5 Flashcards

1
Q

serum levels with twins

A

AFP doubled

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2
Q

intervention to reduce chance of preterm delivery with twins

A

make sure you gain adequate weight in first 20-24 weeks of pregnancy

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3
Q

whats best way to deliver twins when first one is breech?

A

c- section

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4
Q

which weeks is greatest at developing intellectual disability in fetus?

A

8-15 weeks

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5
Q

risk factors for breech

A
fibroids
prematurity
multiple gestation 
genetic disorders
polyhydramnios
anencephaly
hydrocephaly
placenta previa
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6
Q

secondary arrest of dilation

A

been in active phase for 4 hours with no development

do amniotomy

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7
Q

what is most common type of breech

A

frank- butt first

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8
Q

most common cause of pre term labor

A

idiopathic

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9
Q

solution for preterm chorioamniotis

A

labor induction

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10
Q

what disease is mag sulfate contraindicated in?

A

myasthenia gravis

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11
Q

mag sulfate MOA

A

compete with calcium into cells

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12
Q

terbutaline side effects

A

hypotension
tachycardia
anxiety
chest pain

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13
Q

bethamethason in 24- 34 week fetus helps decrease incidence of…

A

resp distress syndrome
intracerebral hemorrhage
necrotizing enterocolitis

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14
Q

fetal fibronectin

A

ECM protein that’s adhesive between decidua and fetual membrane

indicates preterm labor- disruption of adhesion

high negative predictive value

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15
Q

primary risk factor for preterm rupture of membranes

A

prior infection- BV

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16
Q

labs to detect chorioamniotis infection

A

IL-6

low amniotic fluid glucose

17
Q

what can be adminstered to prevent PPROM?

A

17 alpha hydroxy progesterone

cerclage for incompetent cervix

18
Q

prostaglandins contraindicated in history of

A

c- section