Download NMS Obstetrics and Gynecology (National Medical Series for by Samantha M. Pfeifer PDF

By Samantha M. Pfeifer

NMS Obstetrics and Gynecology delivers clinically correct content material in quick-review define structure for college kids engaged within the obstetrics and gynecology rotation. situations, questions, and a complete examination mix to supply extra aid, even if the coed is getting ready for the SHELF examination or USMLE Step 2. Differential analysis and diagnostic checking out info is definitely seen for fast assessment sooner than seeing a sufferer or offering on rounds. The text's easy-to-navigate, two-color layout gains vast margins for note-taking. 

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Sample text

Because ovulation can be late in any given cycle, the menses should be at least 10 days late before their absence is considered a reliable indication. 2. Breast changes. In very early pregnancy, women report tenderness and tingling in the breasts. Breast enlargement and nodularity are evident as early as the second month of pregnancy. The nipples and areolae enlarge and become more deeply pigmented. 3. Nausea (with or without vomiting). The so-called morning sickness of pregnancy usually begins early in the day and lasts for several hours, although occasionally it persists longer and may occur at other times.

B Naegele’s rule The EDC is determined by subtracting 3 months and adding 7 days to the first day of the last menstrual period (LMP). For example, if the LMP is July 15, then the EDC is April 22. This assumes a 28-day menstrual cycle with ovulation occurring on Day 14. C Ultrasound may be used to confirm or identify an EDC when the LMP is uncertain. 1. Transvaginal ultrasound allows for early identification of an embryo and the accurate dating of pregnancy by measurement of the crown–rump length.

The answer is A [IIC4]. At term, induction of labor is indicated if there is no labor within 6 to 24 hours of rupture of membrane. Fetal lung maturity status is no longer necessary in a term patient as the risk of RDS is minimal. There is also no role of magnesium sulfate and glucocorticoids as the risks of infection after rupture of membrane outweighs the risks of prematurity after 34 weeks’ gestation. A cesarean section is not necessary given the fetus is in vertex presentation. 5. The answer is E [IVB1b].

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