10 Flashcards
most effective way of confirming gestational age
- fetal heart tones by doppler for 30 weeks or by non-electronic fetoscope for 20 weeks
- 36 weeks since a reliable bhcg test
- US crown-rump length from 6-12 weeks –> GA of 39 weeks
- US of 13-20 weeks –> GA 39 weeks
fetal complications of preeclampsia
oligohydramnios
fetal growth restrictions
(from uteroplacental insuff)
imaging for pregnant woman with suspected appendicitis
US with graded compression technique
CIN 3 requires what type of management
cervical cone
Fitz hugh curits
PID + parahepatitis
risk factors for placenta accreta
prior D and C
prior c-section
advanced maternal age
do you need to do anything different for hep C moms?
nope, c-section doesn’t decrease the risk of vertical transmission
2-5% risk
magnesium sulfate excreted by..
the kidney! check renal function
fluid in posterior cul de sac
in setting of ectopic –> blood in pelvis –> emergency!
drugs to treat pregnant hypertensive crisis
labetolol, hydrolyzine, nifedipine
HPV vaccines given until what age
26
what should you give mom for preterm labor
tocolytics
mag sulfate
penicillin if GBS pos
corticosteroids if under 34 weeks
how many measurements of BP to make diagnosis of HTN
2 measurements taken less than 4 hours apart
whats are initial steps after pregnant woman trauma with suspected placenta abruptio
- IV fluids
2. left lateral decubitus position to displace uterus off aortocaval vessels and maximize CO
