14 - 35 yo F with missed periods Flashcards

1
Q

during what weeks does Chadwick’s sign (bluish discoloration of the cervix) appear?

A

8-10 weeks

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2
Q

when is US most accurate for determining gestation date?

A

earliest possible - should be performed before 20 weeks

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3
Q

by what week does the neural tube close?

A

week 4

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4
Q

what are the risk factors for placenta previa?

A
  • prior pregnancy
  • over 35
  • smoking
  • have had twins
  • previous uterine surgery including C section
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5
Q

what defines ‘chronic HTN’ in pregnancy?

A

BP elevation first detected before the 20th week and persists beyond 12 weeks postpartum

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6
Q

what defines gestational HTN?

A

persistent systolic BP 140 or higher and/or diastolic BP 90 or higher WITHOUT proteinuria in a previously normotensive pregnant woman at or after 20 weeks

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7
Q

definition: preeclampsia

A

persistent systolic BP 140 or above and/or diastolic BP 90 or higher WITH PROTEINURIA OR 0.3 g or greater in a 24 hour urine specimen

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8
Q

definition: eclampsia

A

describes the occurrence of one or more convulsions in the presence of preeclampsia without the presence of another underlying disorder in a pregnant woman with a history of elevated BP and proteinuria

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9
Q

papulovesicular lesions on trunk and extremities?

A

pruritic urticarial papules and plaques of pregnancy (PUPPP)

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10
Q

generally appears as excoriated areas on trunk or limbs?

A

prurigo of pregnancy

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11
Q

rash may be centered around hair follicles and have an associated pustular appearance

A

pruritic folliculitis

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12
Q

when can progestin-only pills and progestin implants be started post partum? what about if the mother is breastfeeding and wants to take progestin-only contraception?

A
  • immediately post partum

- wait 6 weeks

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13
Q

what is the only type of IUD approved for use postpartum? when can it be inserted?

A
  • copper containing

- immediately

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14
Q

postpartum depression occurs in about ____% of women and refers to the onset of clinical depression within the first ___ weeks postpartum

A
  • 15%

- 4 weeks

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15
Q

bright red, painless bleeding in the third trimester?

A

placenta previa

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16
Q

third trimester bleeding with associated abdominal pain, uterine contractions, and a non-reassuring fetal heart tracing?

A

placental abruption

17
Q

what is the leading cause of infant mortality in the US?

A

preterm labor

18
Q

what are the recommendations for TORCHES screening?

A

not recommended

19
Q

what makes up the triple screen?

A
  • AFP
  • hCG
  • estriol
20
Q

what makes up the quad screen?

A
  • AFP
  • hCG
  • estriol
  • inhibin
21
Q

when are triple / quad screens performed?

A

15-21 weeks

22
Q

routine US for fetal abnormalities is not recommended until _____ weeks

A

18-20

23
Q

what is the treatment for BV during pregnancy?

A

metronidazole