Clinical Pregnancy

Question 1

How does gestational diabetes lead to macrosomia

Answer 1

sugar crosses placenta at 12 wk

• fetus makes insulin –> GH spike to compensate
• macrosomia spike

Question 2

How does gestational diabetes lead to macrosomia

Answer 2

sugar crosses placenta at 12 wk

• fetus makes insulin –> GH spike to compensate
• macrosomia spike

Question 3

Screening for DM in normal moms

Answer 3

glucose tolerance test at 24-28 wk

Question 4

Positive glucose tolerance test

Answer 4

130 mg/dL one hour after 1 hr 50 g sugar

+ screening –> do 3 hour confirmatory test

Question 5

Definition of preterm labor

Answer 5

less than 37 wk

Question 6

Screening for DM in normal moms

Answer 6

glucose tolerance test at 24-28 wk

Question 7

Fetal fibronectin assay

utility

Answer 7

adhesive of fetal membranes do decidua
good negative predictive value
-> if negative, low risk of progressing to labor

Question 8

Post -partum management of moms who had gestational diabetes

Answer 8

50% of T2D in 5-10 yr

screen at 3 yr intervals

Question 9

Speculum in preterm labor

Answer 9

culture and fetal fibronectin screening

Question 10

Cerclage

Answer 10

stitch in cervix

Question 11

Fetal fibronectin assay

utility

Answer 11

adhesive of fetal membranes do decidua
good negative predictive value
-> if negative, low risk of progressing to labor

Question 12

Cerclage: what is that

Answer 12

stitch put in cervix

trying to push off the delivery

Question 13

HIV Tx in pregnancy

Answer 13

same as other times

Question 14

Chlamydia Tx in pregnancy

Answer 14

erythromycin or
azithromycin or
amoxicillin

Question 15

Infection with this disease during pregnancy can lead to sensorineuronal hearing loss, cardiac defects, etc

Answer 15

rubella

Question 16

First step in management of antepartum bleeding

Answer 16

ultrasound

don’t do a bimanual exam right away because you might damage the placenta if it’s placenta previa

Question 17

Common causes of:
painLESS bleeding
painFUL bleeding

Answer 17

painless: placenta previa
painful: placental abruption

Question 18

Which direction does a baby normally come out

ie which way is it facing

Answer 18

facing down

so occiput anterior

Question 19

Bishop’s score for induction based on

Answer 19

position
consistence
effacement
dilation
fetal station

Question 20

ACE inhibitors in pregnancy

Answer 20

nope

renal tissues in baby, oligohydramnios and neonatal renal failure

Question 21

Gestational HTN definition

Answer 21

HTN w/o proteinuria after 20 wk

Question 22

These two drugs may reduce risk of pre-eclampsia occuring

Answer 22

Ca2+ supplementation

ASA

Question 23

Nonstress test

Answer 23

monitors baby movements

tracks fetal heart tones to make sure they accelerate when the baby kicks

Question 24

Bishop’s score for induction based on

Answer 24

position
consistence
effacement
dilation
fetal station

Question 25

Tx of depression in pregnancy

Answer 25

SSRIs

can use TCAs, but just use SSRIs

Question 26

Ideal Bishop’s score for induction

Answer 26

> 5