81 - pregnancy

Question 1

What is labour?

stages?

Answer 1

1. Latent: Regular contractions. Beginning of cervical dilation and effacement.
2. Active: membrane rupture and cervical dilation of 4cm plus.
3. Foetal expulsion.
4. Placental delivery.

Question 2

Name 3 complications of labour

Answer 2

Premature labour,
Breech birth or other malpresentation
Failure to progress
PROM
Shoulder dystocia (GDM risk, leads to Erb’s palsy)
Vaginal tearing
Haemorrhage

Question 3

What stimulates milk release release

Answer 3

oxytocin

Question 4

what causes production of milk and amenorrhea

Answer 4

prolactin

Question 5

Best antipsychotic for preg

Answer 5

quetiapine

Question 6

SSRIs vs TCA preg?

Answer 6

SSRIs

Question 7

what is a hydatidiform mole also called? what is it?

Answer 7

gestational trophoblastic disease.

Rare pregnancy related tumour which proliferates in the womb. May develop into choriocarcinoma.

Question 8

Signs of gestational trophoblasic disease>?

Answer 8

hCG and greater risk of hyperemesis gravidarum.

Stowstorm on USS

Question 9

Mx of gestational trophoblastic disease

Answer 9

Evacuate womb, methotrexate

good response to chemo