High Risk Case Studies by Irena Klika https://padlet.com/irenaklika/23r7fmupfbn421qx en-us 2024-06-17 15:26:30 UTC 2024-06-17 16:53:56 UTC hello@padlet.com irenaklika https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030149551 OB High Risk APC

36 yo G4P2 @ 32 weeks


Diagnosis: U/S EFW 3200 grams (7lbs)


Medical Hx: T1 diabetes (insulin dependent, preeclampsia with 1st pregnancy, SVD x 2) (both large for LGA, A1C = 6.4)


Social Hx: Denies tobacco, alcohol or drugs


EFM: Category II

CTX q 3-8 min, Cervix 2/50/-2


]]> 2024-06-17 15:41:39 UTC https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030149551 irenaklika https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030150969

  • Diabetes

  • Hx of Preeclampsia

  • LGA x 2

  • Estimated weight @ 32 wks: 7 lbs

  • Cateory II strip

    • ]]>     2024-06-17 15:43:36 UTC https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030150969     irenaklika https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030151370

  • Preterm Labor

  • Infection

  • LGA

  • Type 1 DM

    • ]]>     2024-06-17 15:44:15 UTC https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030151370     irenaklika https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030152898

  • Monitor for PPROM & signs of infection

  • Administer dose of steroids to speed up fetal lung maturity

  • Tocolytic: Procardia to delay delivery

  • Magnesium Sulfate for neuroprotection

  • Bed Rest

  • Monitor FHR & contractions

  • BGL & Insulin

  • Side-lying position

    • ]]>     2024-06-17 15:46:37 UTC https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030152898     irenaklika https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030156208

  • Ultrasound

  • Type & Cross

  • Labs: CBC, Anticoags

  • 18 gauge IV

  • Tocolytics: Nifedipine (Procardia)

  • Magnesium Sulfate with Calcium Gluconate

  • Steroids: Betamethasone

  • BGL

  • Continuous FHR Monitoring

  • Avoid vaginal exams due to high risk of infection

    • ]]>     2024-06-17 15:51:32 UTC https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030156208     irenaklika https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030157040

  • Signs of preterm labor

  • Signs of infection

  • S/E of Tocolytics: tachycardia, MI, arrhythmias.

  • Signs of MgSO4 toxicity

  • How to manage stress

  • Monitor BP

  • Managing BGL

  • Providing support

    • ]]>     2024-06-17 15:52:49 UTC https://padlet.com/irenaklika/23r7fmupfbn421qx/wish/3030157040