The ten-minute recap card

TEN-MINUTE RECAP

BLOCK 1 · THE PIPELINE, IN ONE LINE

1. Maternal oxygenation and blood pressure → prolonged deceleration, bradycardia.
2. Uterine blood flow → late decelerations from tachysystole or hypotension.
3. Placental exchange surface → late decelerations, minimal variability, abruption.
4. Umbilical cord → variable decelerations, prolapse, prolonged deceleration.

BLOCK 2 · DECELERATION CARD

☐ Category I: baseline 110 to 160, moderate variability, no late or variable decelerations. ☐ Category III: absent variability with recurrent lates, recurrent variables, or bradycardia; or sinusoidal. ☐ Category II: everything else.

BLOCK 3 · BLEEDING CARD Painless, bright red, soft uterus, fetus stable early = previa, and no cervical exam of any kind. Painful, dark or concealed, rigid tender uterus, fetal compromise early = abruption, and prepare for expedited birth. Postpartum causes: tone (massage the fundus), trauma (inspect and repair), tissue (evaluate for retained fragments), thrombin (correct coagulopathy). Empty the bladder before the uterotonic.

BLOCK 4 · THE MINUTES LIST crit

• Cord prolapse → gloved hand lifts the presenting part off the cord and stays there.
• Postpartum hemorrhage → massage the fundus, empty the bladder.
• Uterine rupture → prepare for immediate laparotomy.
• Shoulder dystocia → hyperflex the hips, suprapubic pressure. Never fundal pressure.
• Amniotic fluid embolism → airway, circulation, volume, left uterine displacement.

BLOCK 5 · NEWBORN DISCHARGE TEACHING CHECKLIST ☐ Supine for every sleep, firm flat noninclined surface, nothing loose in the sleep space ☐ Room sharing without bed sharing ☐ Rear-facing car seat in the back seat, correctly installed before discharge ☐ Feeding at least 8 to 12 times in 24 hours; feed on cues, not on crying ☐ Expected voids and stool color transition by day of life ☐ Cord and skin care; keep the base clean and dry, report redness, drainage, or odor ☐ How to take an axillary temperature and when to report one ☐ Jaundice progresses head to toe; call if it spreads below the face ☐ Newborn metabolic screening drawn after adequate feeding, with the repeat plan ☐ Hearing screening completed and critical congenital heart disease pulse oximetry screening done at the recommended hour of life

BLOCK 6 · CROSS-LINK STRIP → BOOK 05 uterotonics and tocolytics · → BOOK 06 magnesium sulfate and oxytocin math · → BOOK 07 every value including the pregnancy-adjusted ones · → BOOK 09 hemorrhagic shock · → BOOK 13 after the newborn period · → BOOK 14 postpartum depression treatment · → BOOK 16 the final countdown

THE DRILL · 10 MINUTES, OUT LOUD

1. Name the four break points in the oxygen pipeline in order. (30 seconds)
2. Define gradual and define abrupt, using the thirty-second rule. (20 seconds)
3. Say the timing of each of the four decelerations against the contraction. (60 seconds)
4. Recite the intrauterine resuscitation sequence, first step to last. (60 seconds)
5. State the three parts of the Category III definition. (45 seconds)
6. Separate previa from abruption in two sentences, then say what is forbidden. (45 seconds)
7. Name the severe features of preeclampsia without looking. (60 seconds)
8. Say the cardinal movements in order. (45 seconds)
9. Give the first two actions in cord prolapse and the first two in postpartum hemorrhage. (45 seconds)
10. Name the four newborn heat-loss routes and say why the newborn cannot shiver its way out. (45 seconds)
11. Name the Apgar components and say what a score of 1 for color describes. (45 seconds)
12. State the one jaundice rule that is never negotiable. (20 seconds)

Any question you cannot answer out loud has an address. Send it back to the page that owns it before you close the book.

Margin noteif you can only remember one thing, remember that late means after the peak.

Takeawayten minutes on this page reproduces the decision spine of the whole book, and every unticked box has an address.