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USMLE Step 2 CS SP Challenges Challenging situations presented by the Standardized Patient (SP) during the the USMLE Step 2 CS Encounter.


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Old 03-12-2012
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ObGyn I may fall asleep while carrying the baby?

A post-partum pt who feels sleepy and fatigued asks if she should avoid carrying her baby bcuz she is afraid she might sleep while holding him.

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Old 03-12-2012
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You can tell her that always carry the baby on your chest and you incline back on the breast feeding chair or the bed, this way the baby won't fall, even if he/she fall they'll fall next to mom and won't be hurt.

But, I think what they are trying to hint you here is to pay attention to the extreme fatigue that she's having, you need to think of postpartum hemorrhage (sometimes a medical emergency) and postpartum depression (which is also extremely important to treat).

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Old 03-31-2012
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Originally Posted by StepTaker View Post
You can tell her that always carry the baby on your chest and you incline back on the breast feeding chair or the bed, this way the baby won't fall, even if he/she fall they'll fall next to mom and won't be hurt.

But, I think what they are trying to hint you here is to pay attention to the extreme fatigue that she's having, you need to think of postpartum hemorrhage (sometimes a medical emergency) and postpartum depression (which is also extremely important to treat).

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What questions should be asked in PP depression? All I can think of is: Duration, progression, thoughts of harming baby (to differentiate it from PP psychosis), SIGE E CAPS..etc. Thanks!
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