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  #1  
Old 05-29-2012
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ObGyn vaginal herpes..what to do when membranes have still not # ?

A young expectant mother at term begins having contractions and is admitted to labor and delivery. On examination, several painful fluid-filled vesicles are present at the vaginal introitus. The mother confirms she has had this condition before. Her membranes have not yet ruptured. Appropriate management at this time would be

A. expectant management
B. immediate cesarean delivery
C. intravenous antibiotics
D. magnesium sulfate
E. pitocin augmentation
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  #2  
Old 05-29-2012
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Originally Posted by tyagee View Post
A young expectant mother at term begins having contractions and is admitted to labor and delivery. On examination, several painful fluid-filled vesicles are present at the vaginal introitus. The mother confirms she has had this condition before. Her membranes have not yet ruptured. Appropriate management at this time would be

A. expectant management
B. immediate cesarean delivery
C. intravenous antibiotics
D. magnesium sulfate
E. pitocin augmentation
active HSV is contraindication to vaginal delivery
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Old 05-29-2012
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Originally Posted by tyagee View Post
A young expectant mother at term begins having contractions and is admitted to labor and delivery. On examination, several painful fluid-filled vesicles are present at the vaginal introitus. The mother confirms she has had this condition before. Her membranes have not yet ruptured. Appropriate management at this time would be

A. expectant management
B. immediate cesarean delivery
C. intravenous antibiotics
D. magnesium sulfate
E. pitocin augmentation
may be B......
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Old 05-29-2012
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B.C section
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  #5  
Old 05-29-2012
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Quote:
Originally Posted by tyagee View Post
A young expectant mother at term begins having contractions and is admitted to labor and delivery. On examination, several painful fluid-filled vesicles are present at the vaginal introitus. The mother confirms she has had this condition before. Her membranes have not yet ruptured. Appropriate management at this time would be

A. expectant management
B. immediate cesarean delivery
C. intravenous antibiotics
D. magnesium sulfate
E. pitocin augmentation

B. immediate cesarean delivery
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  #6  
Old 05-30-2012
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Originally Posted by Novobiocin View Post
B. immediate cesarean delivery
qbank expln...

Explanation
Option D (magnesium sulfate) is correct. Tocolysis may delay delivery to convert the situation from an emergent cesarean section delivery to a more controlled operative environment.

Option B (immediate cesarean delivery) is incorrect. Cesarean delivery is most appropriate because a painful lesion of the vagina is often due to herpes simplex. Vaginal delivery in the presence of an actively shedding herpetic lesion is associated with severe neonatal encephalopathy. Delaying the operation even for an hour or more can reduce the risks of the surgery.


desperately waiting for comments...
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  #7  
Old 05-30-2012
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So more people can subscribe in including the husband for video tapping,Lool
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  #8  
Old 05-30-2012
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now what is that?
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  #9  
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Quote:
Originally Posted by tyagee View Post
qbank expln...

Explanation
Option D (magnesium sulfate) is correct. Tocolysis may delay delivery to convert the situation from an emergent cesarean section delivery to a more controlled operative environment.

Option B (immediate cesarean delivery) is incorrect. Cesarean delivery is most appropriate because a painful lesion of the vagina is often due to herpes simplex. Vaginal delivery in the presence of an actively shedding herpetic lesion is associated with severe neonatal encephalopathy. Delaying the operation even for an hour or more can reduce the risks of the surgery.


desperately waiting for comments...
This is the most stupid explanation ever by any stretch of imagination. She is in first stage of labor and most likely a Primi. You have hours to do the C section before she can deliver vaginally.
I seriously advise you to stop doing this QBank since it is destroying the concepts by splitting hair.
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  #10  
Old 05-30-2012
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So more people can subscribe in including the husband for video tapping,Lool
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