APGO uWISE

Question 1

What are the most common congenital malformations associated with Valproic Acid use during pregnancy?

Answer 1

• Neural-tube defects
• Atrial septal defects
• Cleft palate
• Hypospadias
• Polydactyly

Question 2

Once an umbilical cord prolapse is diagnosed what is the next best step in management?

Answer 2

Elevate the fetal head with a vaginal hand and perform a C-section

Question 3

A small infant with hypoglycemia is commonly seen in mothers with what underlying condition?

Answer 3

Poorly controlled Type I DM

Macrosomia is more common with gestational DM

Question 4

Infants born to diabetic mothers are at increased risk for developing what complications?

Answer 4

• HYPOglycemia
• HYPOcalcemia
• HYPERbilirubinemia
• Polycythemia
• Respiratory distress

Question 5

Breast feeding is associated with a decreased risk of what type of cancer?

Answer 5

Ovarian

Question 6

What form of contraception may diminish lactation and cause issues with breastfeeding, especially in the first 30 days postpartum?

Answer 6

Estrogen-progesterone containing

Progesterone-only are most ideal

Question 7

In the setting of ruptured ectopic pregnancy what is the standard of care for surgical management?

Answer 7

Removal of the ectopic preg. and ruptured tube (salpingECTOMY)

Question 8

A patient with spontaneous abortion who active bleeding and is hemodynamically unstable should be managed how?

Answer 8

Immediate dilation and suction curettage

Question 9

What is the most common cause of sepsis in pregnancy?

Answer 9

Acute Pyelonephritis

Question 10

When should patients with risk factors for underlying T2DM or glucose intolerance be screened during pregnancy?

Answer 10

First prenatal vist

Standard is btw 24-28 weeks in those w/o risk factors

Question 11

What is the best test for NON-invasive diagnosis of fetal anemia?

Answer 11

Middle cerebral artery peak systolic velocity

Question 12

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?

Answer 12

Placenta accreta

Question 13

Which anti-hypertensive is safe to use in pregnancy and can also be used as a tocolytic to delay the progression of labor?

Answer 13

Nifedipine

Question 14

Which tocolytic agent is contraindicated in a pregnant pt with Myasthenia Gravis?

Answer 14

Magnesium Sulfate

Question 15

Indomethacin should be discontinued when during pregnancy?

Answer 15

Before 32 weeks gestation

Question 16

Betamethasone has been shown to reduce the incidence of what 3 complications in newborns?

Answer 16

• Respiratory distress syndrome
• Intracerebral hemorrhage
• Necrotizing enterocolitis

Question 17

Fetal fibronectin is a useful marker for predicting preterm labor, why?

Answer 17

Negative predictive value = 99.2%

Question 18

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?

Answer 18

Ampicillin + Erythromycin

Question 19

Ruptured membranes + a tender fundus is indicative of what?

Answer 19

Chorioamnionitis –> Deliver!