3/9/13

Question 1

At what gestational age do you start calling an “embryo” a “fetus”?

Answer 1

8 wks

Question 2

How many births must a woman have to be grand multiparous?

Answer 2

5 or more

Question 3

What is the effect of preg on cardiac output?

Answer 3

increase

Question 4

How is the CO increased in preg?

Answer 4

first d/t increased stroke volume, then increased HR

Question 5

What are the effects of preg on lung function?

Answer 5

30-40% increase in tidal volume, 5% decrease in total lung capacity, increased PaO2, decreased PaCO2

Question 6

Why does GERD tend to occur in preg?

Answer 6

increased gastric emptying times and decreased G-E sphincter tone

Question 7

What is the effect of preg on GFR?

Answer 7

increased by 50%

Question 8

How does progesterone affect blood vessels? How?

Answer 8

dilates; relaxation of smooth muscle

Question 9

What is the main insulin antagonizing hormone of preg?

Answer 9

hPL (human Placental Lactogen)

Question 10

What is the main function of human placental lactogen (hPL)?

Answer 10

causes lipolysis to ensure nutrition for fetus

Question 11

What is the efect of the estrogen of preg on TBG, T4, and T3?

Answer 11

all increased, but free T4 and T3 remains the same

Question 12

Soon after a complicated delivery, a woman has a fever, uterine tenderness, foul-smelling vaginal discharge, and leukocytosis. Dx?

Answer 12

(postpartum) endometritis

Question 13

What pathogen is usually responsible for endometritis?

Answer 13

polymicrobial

Question 14

What is lochia?

Answer 14

vaginal discharge

Question 15

WHat is the appropriate Tx for endometritis?

Answer 15

IV clindamycin and gentamicin

Question 16

If ceftriaxone + azithromycin is used to Tx PID, which organism is the azithromycin for?

Answer 16

Chlamydia