Complications of Forceps Delivery - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-21-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 258
Threads: 118
Thanked 292 Times in 115 Posts
Reputation: 302
ObGyn Complications of Forceps Delivery

A 28-year-old G1 at 38 weeks had a normal progression of her labor. She has an epidural and has been pushing for 2 hours. The fetal head is direct occiput anterior at +3 station. The fetal heart rate tracing is 150 beats per minute with variable decelerations. With the patient’s last push the fetal heart rate had a prolonged deceleration to the 80s for 3 min. You recommend forceps to assist the delivery due to the non-reassuring fetal heart rate tracing. Compared to the use of the vacuum extractor, forceps are associated with an increased risk of which of the following neonatal complications?
a. Cephalohematoma
b. Retinal hemorrhage
c. Jaundice
d. Intracranial hemorrhage
e. Corneal abrasions
Reply With Quote Quick reply to this message
The above post was thanked by:
usluipek (08-21-2011)



  #2  
Old 08-22-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 29
Threads: 6
Thanked 33 Times in 11 Posts
Reputation: 43
Default

I would pick D, intracranial hemorrhage... Cephalohematoma is normal during head modeling, jaundice is normal after delivery too, not connected to forceps, never heared about corneal abrasions... Retinal hemorrhage? Maybe, but intracranial seems to me more likely...
Reply With Quote Quick reply to this message
  #3  
Old 08-22-2011
jahn77's Avatar
USMLE Forums Guru
 
Steps History: Step 1 Only
Posts: 326
Threads: 20
Thanked 220 Times in 124 Posts
Reputation: 232
Default

b) retinal hemorraghe, compression of neck veins with increased pressure
Reply With Quote Quick reply to this message
 
  #4  
Old 08-22-2011
drnirajmavani's Avatar
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 268
Threads: 14
Thanked 103 Times in 69 Posts
Reputation: 113
Default

D). intracranial hemorrage.. why wld this be asked in step1??its kind of step2ck types....
Reply With Quote Quick reply to this message
  #5  
Old 08-22-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,175
Threads: 38
Thanked 852 Times in 478 Posts
Reputation: 862
Default

Quote:
Originally Posted by drnirajmavani View Post
D). intracranial hemorrage.. why wld this be asked in step1??its kind of step2ck types....
Exactly this isn't step 1.
__________________
PGY-3
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
  #6  
Old 08-22-2011
USMLE Forums Master
 
Steps History: Not yet
Posts: 674
Threads: 264
Thanked 959 Times in 393 Posts
Reputation: 969
Send a message via Yahoo to ricko335
Default

it can be intracranial or retinal haemmorhage but this is not a step 1 question
Reply With Quote Quick reply to this message
The above post was thanked by:
usluipek (08-22-2011)
  #7  
Old 08-22-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 296
Threads: 41
Thanked 167 Times in 102 Posts
Reputation: 177
Default A?

i pick cephalohematoma
pls what the ans

Quote:
Originally Posted by usmleman2020 View Post
A 28-year-old G1 at 38 weeks had a normal progression of her labor. She has an epidural and has been pushing for 2 hours. The fetal head is direct occiput anterior at +3 station. The fetal heart rate tracing is 150 beats per minute with variable decelerations. With the patientís last push the fetal heart rate had a prolonged deceleration to the 80s for 3 min. You recommend forceps to assist the delivery due to the non-reassuring fetal heart rate tracing. Compared to the use of the vacuum extractor, forceps are associated with an increased risk of which of the following neonatal complications?
a. Cephalohematoma
b. Retinal hemorrhage
c. Jaundice
d. Intracranial hemorrhage
e. Corneal abrasions
Reply With Quote Quick reply to this message



Reply

Tags
ObGyn-, Pathology-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
delay of delivery to ECFMG ?? mahganem General Topics Forum 3 01-07-2014 02:13 AM
Complications of an old MI alaahoda2001 USMLE Step 2 CK Forum 0 06-24-2011 07:34 AM
Expeted Date of Delivery in this girl Farqad USMLE Step 2 CK Forum 5 06-13-2011 07:51 PM
Regarding International Test Delivery Surcharges ! aungnaingmyo General Topics Forum 1 02-26-2011 09:16 AM
Immediate Delivery Options obgynaim USMLE Step 2 CK Mnemonics 0 04-12-2010 02:04 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)