Arielle is a 36 year old female G3P2002 at 39 weeks gestatio…

Arielle is a 36 year old female G3P2002 at 39 weeks gestation who was admitted 24 hours ago for induction of labor. On admission cervical exam was 4cm/90%/-1. Two hours ago she became fully dilated and at a -1 station started pushing. Her prenatal history was uncomplicated aside from diet controlled gestational diabetes. Her membranes spontaneously ruptured 10 hours ago with clear fluid. The fetal heart rate has a baseline of 130 bmp with moderate variability. Since she started pushing she has become very tired and fetal head remains at -1 station after 2 hours. What risk factors for a shoulder dystocia does she have? Select all that apply. 

A 30 year old patient, G2P1001, presents to clinic for her 2…

A 30 year old patient, G2P1001, presents to clinic for her 2nd prenatal visit at 14 weeks gestation. She desires to know if she is up to date on her vaccines. Which of the following vaccines would be safe to give during pregnancy if the patient’s initial prenatal labs indicated non-immunity?