APGO UWise Questions Flashcards
In addition to not getting stronger, Braxton-Hicks contraction are also ______________.
irregular; true labor presents with regular contractions
When would you not swab a pregnant woman for GBS?
If she has had a prior pregnancy in which the child developed sepsis from GBS, then you treat with penicillin during labor (with the assumption that she still has it unless she was treated).
The nitrazine test can indicate _____________.
leakage of amniotic fluid (if that is unclear from the history and physical)
You might want to recheck the FHR if _______________.
one method shows it to be the same as the mother’s
If a significant amount of blood comes out after inserting an intrauterine pressure catheter, then what should you do?
Bleeding with an IUPC could indicate placental abruption. In this case, remove the IUPC and check the FHR. If it’s reassuring (i.e., doesn’t show late decelerations), reinsert the IUPC.
List the symptoms of magnesium toxicity.
- Respiratory depression
- Muscle weakness
- Loss of DTRs
How do you treat magnesium toxicity?
Calcium gluconate
Chronic hypertension, prior cases of preeclampsia, diabetes, and ______________ all increase risk of preeclampsia.
multifetal gestation
What are some indications for early delivery in preeclampsia?
- Inability to control HTN on two meds
- Platelets less than 100,000
- Non-reassuring FHTs
- LFTs more than two times normal
Fetal anemia presents with what FHR pattern?
- Sinusoidal rhythm
- Tachycardia
For patients with preeclampsia in the severe BP range, what diastolic BP should you aim for?
90-100
In type 1 diabetics, _____________ is the most common complication.
fetal growth restriction
For patients with a strong predisposition to GD (like FMH and obesity), begin screening with GTT at _________________.
the first visit
Which disorder has the highest rate of mortality in pregnancy?
Pulmonary hypertension
IUPCs can help determine if _____________.
contractions are adequate; for instance, if a woman seems to be having strong contractions every four minutes but her cervical exam is unchanged after several hours, then her contractions might be inadequate
If a woman has occasional late decelerations, the first thing you should do is ______________.
have her lie on her left side; the increased preload can improve fetal hypoperfusion
Why is there sometimes hydronephrosis in the right kidney during pregnancy?
The dilation of the uterus and ovarian vein compress the ureter. The left side is cushioned by the sigmoid colon.
The risk of cerebral palsy in twin pregnancies is __________.
6-7 times higher
____-zygotic twins are at increased risk of congenital anomalies.
Mono
The dividing chromosomes correlate with chromosomal abnormalities.
What characteristic of early pregnancy in twin pregnancies has been shown to have decreased risk of preterm delivery?
Adequate weight gain in the first 20 weeks
True or false: the recipient twin in TTTS is macrosomic.
False.
Although the recipient twin becomes larger, it is called plethoric – not macrosomic.
Twins are named such that twin A is ___________.
closer to the cervix
The most common cause of PPH is __________.
uterine atony (1/20 deliveries!)
The rate of endometritis is ___________ in cesarian deliveries compared to vaginal.
10-times higher
_______ is the most common cause of postpartum fever.
Endometritis
Endometritis is most often caused by what kinds of organisms (not the specific species, but rather the classifications)?
Aerobic and anaerobic
Other than suicidality, what symptom can help differentiate postpartum blues from depression?
Ambivalence toward the newborn (is suggestive of PPD)
What is the strongest risk factor for postpartum depression?
History of depression
The safest method to suppress lactation is _____________.
breast binding, ice packs, and analgesics
Bromocriptine is associated with hypertension and stroke, and hormone therapy is associated with thromboembolic events.
In evaluating PROM, it’s important to test the ___________ fluid.
vaginal
Cervical mucus can cause false positives.
In a PPROM patient in labor, why would you give tocolytics?
Although disputed, many people give tocolytics to delay labor for long enough to give steroids.
One of the strongest predictors of PROM is ____________.
GU infections during pregnancy
PPROM patients not in labor should be given ________________.
ampicillin and erythromycin
Ruptured membranes with tender __________ are suggestive of chorioamnionitis.
fundus
What medicine has been shown to reduce the risk of preterm labor?
17-alpha hydroxyprogesterone
If you’re doing a suction curettage and you notice fatty tissue, what might have happened?
You might have poked through the uterus and sucked up omentum.
