APGO uWISE Flashcards
What are the most common congenital malformations associated with Valproic Acid use during pregnancy?
- Neural-tube defects
- Atrial septal defects
- Cleft palate
- Hypospadias
- Polydactyly
Once an umbilical cord prolapse is diagnosed what is the next best step in management?
Elevate the fetal head with a vaginal hand and perform a C-section
A small infant with hypoglycemia is commonly seen in mothers with what underlying condition?
Poorly controlled Type I DM
Macrosomia is more common with gestational DM
Infants born to diabetic mothers are at increased risk for developing what complications?
- HYPOglycemia
- HYPOcalcemia
- HYPERbilirubinemia
- Polycythemia
- Respiratory distress
Breast feeding is associated with a decreased risk of what type of cancer?
Ovarian
What form of contraception may diminish lactation and cause issues with breastfeeding, especially in the first 30 days postpartum?
Estrogen-progesterone containing
Progesterone-only are most ideal
In the setting of ruptured ectopic pregnancy what is the standard of care for surgical management?
Removal of the ectopic preg. and ruptured tube (salpingECTOMY)
A patient with spontaneous abortion who active bleeding and is hemodynamically unstable should be managed how?
Immediate dilation and suction curettage
What is the most common cause of sepsis in pregnancy?
Acute Pyelonephritis
When should patients with risk factors for underlying T2DM or glucose intolerance be screened during pregnancy?
First prenatal vist
Standard is btw 24-28 weeks in those w/o risk factors
What is the best test for NON-invasive diagnosis of fetal anemia?
Middle cerebral artery peak systolic velocity
A patient with a pmhx of multiple c-sections and a low anterior placenta seen on U/S is at greatest risk of what complication?
Placenta accreta
Which anti-hypertensive is safe to use in pregnancy and can also be used as a tocolytic to delay the progression of labor?
Nifedipine
Which tocolytic agent is contraindicated in a pregnant pt with Myasthenia Gravis?
Magnesium Sulfate
Indomethacin should be discontinued when during pregnancy?
Before 32 weeks gestation
Betamethasone has been shown to reduce the incidence of what 3 complications in newborns?
- Respiratory distress syndrome
- Intracerebral hemorrhage
- Necrotizing enterocolitis
Fetal fibronectin is a useful marker for predicting preterm labor, why?
Negative predictive value = 99.2%
Which drug combo given to pt’s with PPROM has been found to prolong the latency period by 5-7 days + reduce the incidence of chorioamnionitis and neonatal sepsis?
Ampicillin + Erythromycin
Ruptured membranes + a tender fundus is indicative of what?
Chorioamnionitis –> Deliver!