Clinical aspects of Pregnancy I

Question 1

What are the five complications that account for 80% of maternal deaths?

Answer 1

Severe bleeding
Infections
High blood pressure during pregnancy
Obstructed labor
Unsafe abortion

Question 2

At what point can maternal glucose cross the placenta?

Answer 2

12 weeks

Question 3

How many deliveries of women with GDM are larger than normal?

Answer 3

20%

Question 4

What are some risk factors for gestational diabetes?

Answer 4

35 years or older
BMI > 25
Family hx of DM in 1° relative
Macrosomia in previous pregnancy
Hx of gestational DM
High risk ethnic group

Question 5

What medications are often used in GDM treatment?

Answer 5

Glyburide

Metformin

Question 6

What is defined as preterm labor?

Answer 6

labor prior to 37 weeks

Question 7

What is the incidence of preterm labor in the US?

Answer 7

11% of pregnancies

Question 8

What should you do with a patient when evaluating preterm labor?

Answer 8

Speculum exam, cultures, fetal fibronectin
Ultrasound
Digital exam

Question 9

How long should the cervix be when considering cerclage?

Answer 9

<16 mm

Question 10

What has the best predictive value when considering imminent delivery?

Answer 10

Fetal fibronectin

High Negative predictive value

Question 11

What drugs are often given for lung maturation?

Answer 11

Betamethasone or dexamethasone

Question 12

What does placenta previa present as?

Answer 12

Painless bleeding

Question 13

What does placenta abruption present as?

Answer 13

painful contractions

Question 14

How do you evaluate antepartum bleeding first?

Answer 14

Ultrasound. Before anything else. Then speculum

Question 15

What is the treatment for placenta previa?

Answer 15

C section delivery

Question 16

What is placenta accreta?

Answer 16

Invasion of placenta into uterus

Question 17

Which are the more likely fetal presentations to do a C section?

Answer 17

Face presentation
Shoulder presentation
Breech presentation