Day 14 - Ob2 Quiz Flashcards
Teratogens: phocomelia
Thalidomide (used to be sedative used in pregnancy)
Teratogens: Yellow/brown teeth
Tetracyclines
Teratogens: Deafness
Aminoglycosides
Teratogens: Spina bifida & hypospadias
Valproic acid
Teratogens: Cardiac epstein anomaly
Lithium
Teratogens: Craniofacial abnormalities, growth retardation, CNS malformations, stillbirth
Warfarin
Teratogens: Fingernail hypoplasia, Craniofacial defects, neural tube defects
Carbamazepine
Teratogens: CNS problems (hydrocephalus), craniofacial, ear, & cardiovascular defects
Isotretinoin (or other Vitamin A excess)
Teratogens: goiter, cretinism
Iodine/Iodide
Teratogens: cerebral infarcts/hemorrhages & mental retardation
Cocaine
Teratogens: clear cell adenocarcinoma of vagina, cervical incompetence
DES
Types of Spontaneous Abortion: intrauterine pregnancy on sono, w/ vaginal bleeding,
Threatened abortion
Types of Spontaneous Abortion: Nonviable uterine pregnancy, open os, nothing passed yet
Inevitable abortion
Types of Spontaneous Abortion: Nonviable uterine pregnancy, closed os, nothing passed yet
Missed abortion
Types of Spontaneous Abortion: open os, tissue at or beyond cervical os, some but not all products of conception passed
Incomplete abortion
Types of Spontaneous Abortion: open os, all products of conception have passed
Complete abortion
Indications for GBS ppx
GBS on vaginal/rectal culture in last 4 wks; Regardless of culture shows - GBS bacteuria in current pregnancy, hx of early onset GBS in prior infant, signs of infx (intrapartum fever, prolonged ROM, preterm labor)
Congenital infx: initially asx, later develops unilateral hearing loss
CMV
Congenital infx: hydrocephalus, chorioretinitis, intracranial calcifications
Toxoplasmosis (could also be CMV)
Congenital infx: rash, deafness, cataracts
Rubella
Congenital infx: hearing loss, chorioretinitis, intracranial calcifications
CMV
Congenital infx: PDA, pulmonary artery stenosis
Rubella
Congenital infx: anemia, blood tinged nasal secretions (i.e., snuffles), hepatosplenomegaly
Syphilis
Congenital infx: temporal lobe encephalitis
HSV
First line tx hyperemesis gravidarum
B6, doxylamine, hydration