Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

IFOM > 8 OB > Flashcards

8 OB Flashcards

1
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

at what rate does the b-HCG rise during the first 4 weeks of normal pregnancy?

A

doubles evry 48 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do the “triple” and “quad” screens include?

When should they be performed?

A
  1. maternal serum alpha fetoprotein (MSAFP)
  2. beta-HCG
  3. estriol

quad 4. inhibin A

15-18 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Combines with an increased MSAFP what does this indicate?

A

neural tube defect

(compression of the cerebellum in posterior fossa)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does the first screening include?

When is it performed

A

Combined Test:

  1. HCG
  2. PAPP-A
  3. nucal translucency

9-13 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When can the cell -free DNA testing be performed?

A

7 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does the Quad test for a trysomy 21 look like?

A

MSAFP ↓

bHCG ​↑

estriol ↑

inhibin A ↓

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does the Quad test for a trysomy 18 look like?

A

MSAFP ↓

bHCG ↓

estriol ↓

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Normal Biophysical Profile (BPP)

A

*in 30 minutes

  1. NST ≥ 2 accelarations (15bmp)
  2. Fetal Breathing ≥ 1 lasting 30 seconds
  3. Fetal Movements > 3
  4. Fetal Muscle Tone ≥ 1 episode of flex/ext

5 Amniotic Fluid Index ≥ 2 cm max vertical pocket

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

birth steps

A
  1. engagement
  2. descent
  3. flexion
  4. internal rotation
  5. extension
  6. external rotation
  7. expulsion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

most common implantation site for ectopic pregnancies?

A

ampulla

(90% in fallopian tube, 70-80% ampulla)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Qualifiers for treatment of ectopic pregnancy with metotrexate?

A
  1. sable
  2. available for follow up
  3. bHCG <5000
  4. no fetal heart rate
  5. lab tests normal
  • CBC
  • blood type/screen
  • liver function
  • kidney function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Contraindications for treatment for ectopic pregnancy with metotrexate?

A
  • does not neet criteria
  • inmunodeficiency
  • concurrent viable pregnancy
  • ruptured ectopic pregnancy
  • breats feeding
  • hypersensitivity to metrotraxate

relative:

  • >3.5 mass
  • fetal heart rate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When should preterm labor occur?

A

MATERNAL

  1. severe HTN
  2. cardiac disease
  3. hemorrage

PREGNANCY

  1. cervical dilation >4 cm
  2. premature membrane rupture >34 wks
  3. chorioamnionitis

FETAL

  1. death
  2. distress
  3. IUGR with reverse diasistolic flow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What should I give a patient with:

  • >37 wks gestation
  • unknown GBS
  • PROM >18 hrs
A

prophylactic penicilin!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

up to what weeks can I administer corticosteroids to a patient with preterm labor?

A

up to 34 wks

GA: 24-36.6

weight 600-<2500

17
Q

up to what weeks can I administer corticosteroids to a patient with PPROM?

A

32 wks

18
Q

what is the first thing I should think about when I have a patient with third semester bleeding?

A

placenta previa

19
Q

what exam is contraindicated in a patient with suspected placenta previa?

A

digital exam!!!

do not introduce anything in the vagina -> no transvaginal US

20
Q

what are some of the risk factors of placental abruption?

A

HTN

cocaine use

smoking

trauma

previous abruption

21
Q

what is the treatment for uterine rupture?

A

immediate laparotomy with delivery of the fetus

22
Q

In what scenarios is the RhoGAM given (to unsensitized patients)?

A
  1. abortion
  2. delivery
  3. vaginal bleeding
  4. placental abruption
  5. amniocentesis
23
Q

what is the antidote of magnesium sulfate?

A

calcium gluconate

24
Q

symmetric IUGR

A

brain in proportion to body

before 20 wks

intrinsic factor

25
Q

asymmetric IUGR

A

brain weight is NOT decreased

abdomen smaller than the head

after 20 wks

extrinsic factors

26
Q

empiric treatment for asymptomatic bacteriuria

A
  1. nitrofurantoin
  2. amoxicillin
  3. cephalexin
27
Q

when should women be tested for asymptomatic bacteriuria?

A

12-16 wks

28
Q

what is the treatment sequence for hyperemesis gravidarum

A
  1. dietary modification + avoidance of triggers + non-pharmachological (acupuncture, giner, vitamin B6)
  2. diphenydramine
  3. metoclopramide
  4. ondansetron
29
Q

antibiotics that should be avoided during pregnancy

A
  • TMP-SMX (1st trim)
  • aminoglucosydes
  • tetracyclines
  • fluoroquinolones
30
Q

drugs that can be used to treat hypertension (chronic and gestational) during pregnancy?

A

metildopa

labetalol

nifedipine

31
Q

what is the only definitive treatment of preeclampsia?

A

delivery!

32
Q

thyroid disease in pregnancy:

what crosses the placenta?

A

TRH

inmunoglobulins against TSH receptor

33
Q

thyroid disease in pregnancy:

what does not cross the palcenta?

A

TSH

T4

34
Q

type of deceleration?

what does it indicate?

A

early decelerations

head compression

35
Q

type of deceleration?

what does it indicate?

A

variable decelerations

umbilical cord compression

36
Q

type of deceleration?

what does it indicate?

A

late decelerations

fetal hypoxia

DELIVER!

37
Q

Duration of the stages of labor:

Stage 1

A

primigravid: 6-18
multipara: 2-10

38
Q

Duration of the stages of labor:

latent phase / active phase

A

latent phase:

  • primigravid: 6-7
  • multipara: 4-5

active phase:

  • primigravid: >1.2 cm/hr
  • mulitpara: >1.5 cm/hr
39
Q

what is the treatment for septic abortion

A

D&C + IV ATB

Clindamycin + gentamycin

Cefoxitin + doxicycline

IFOM (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions