1

Question 1

risk factors for placenta previa

Answer 1

multiparity
prior c-section
prior D&C
previous previa

Question 2

risk factors for placenta abruption

Answer 2

**HTN
**cocaine
smoking
trauma
hydramnos
PPROM
uteroplacental insuff.
twins
…

Question 3

risk factos for placenta accreta

Answer 3

low lying or ant. placenta
placena previa
prior c-sect, D&C
over 35 yo

Question 4

treat placenta accreta

Answer 4

1. hysterectomy after delivery

2. if refuse, ligate umbilical cord high and IV methotrexate

Question 5

serum testing

Answer 5

15-21 weeks

AFP, bHCG, unconjugated estriol

Question 6

downs syndrome lab levels

Answer 6

AFP low
unconjugated estriol low
bHCG high

Question 7

edwards syndrome lab levels

Answer 7

AFP low
uncon estriol low
bHCG low

Question 8

causes of postpartum hemorrhage

Answer 8

1. uterine atony
2. genital tract laceration (if supracervical–>atypical atony)
3. if late, subinvolution of uterus

Question 9

causes of intrauterine growth restriction

Answer 9

placenta problens

chromosome abnl

DM, HTN, kidney/lung disease

smoking

TORCH

Question 10

risk factors for preterm ruptured membranes

Answer 10

low SES
STD
smoking
multiparity
hydramnios
placental abruption
cervical colonization
cerclage

Question 11

fetal fibronectin tests for

Answer 11

PPROM

Question 12

tocolytics

Answer 12

mag sulfate
terbutaline, ritodine (beta ag)
nifedipine
indomethacin
17 alpha hydroxyprogesterone

Question 13

side effect of terbutaline, ritodine

Answer 13

pulm edema

Question 14

side effect of indomethacin

Answer 14

oligohydramnios –> cord compression –> deceleration

Question 15

contra for tocolytics

Answer 15

suspected placenta abruption

Question 16

chorioamniotis effect on fetal HR

Answer 16

tachycardia

Question 17

manage postpartum hemorrhage

Answer 17

1. uterine massage and IV dilute oxytocin
2. uterotonic agents + ergot alkyloids
3. IVs, foley catheter, vitals, call for blood
4. intrauterine balloon
5. laparotomy (hysterectomy or ligate vessels)

Question 18

sinusoidal HR indicative of

Answer 18

severe fetal anemia or asphyxia

Question 19

increased AFP in screen indicates

Answer 19

neural tube defects
wrong dates
abd wall defects
oligohydramniois
fetal skin defect
low maternal weight
cystc hygroma

Question 20

avg age for menopause

Answer 20

51