Extras: OB / Gyn Flashcards

1
Q

meds for mild vs severe chronic HTN in pregnancy

A
  1. mild chronic: ASA for last 12 weeks

2. severe: labetolol, nifedipine, etc.

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2
Q

Dx of preeclampsia

A

HTN + proteinuria + edema

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3
Q

Tx for preeclampsia with severe features

A

hospitalize, deliver is 34+ wks, give BP meds

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4
Q

HELLP stands for?

A

hemolysis, elevated liver enzymes, low platelets

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5
Q

Tx for HELLP syndrome

A

immediate delivery

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6
Q

5, 6, 7 weeks on US and hCG levels

A
  1. 5weeks: gestational sac**, hcg 1500-2000
  2. 6weeks: fetal pole, hcg 5200
  3. 7 weeks: cardiac activity, hcg 17,500
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7
Q

when pregnant, one should see the OBGYN q4 weeks until ___wks, when one starts going every 2 weeks

A

28 weeks

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8
Q

normal amount of fetal movements felt by mom

A

10 movements in 2 hrs

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9
Q

normal NST

A

2 accels of 15+ bmp for 15+ seconds

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10
Q

valproid acid during pregnancy causes?

A

open spina bifida

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11
Q

quadruple screen for genetic anomalies in 2nd trimester

A

hCG, estriol, AFP, Inhibin A

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12
Q

normal range of fetal heart rate

A

110-160

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13
Q

when are prolonged decels seen?

A

while pushing

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14
Q

7 cardinal movements of labor

A
  1. engagement
  2. descent
  3. flexion
  4. internal rotation
  5. extension
  6. external rotation
  7. expulsion
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15
Q

MVUs sufficient for labor

A

200+ per 10mis for 2+ hrs

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16
Q

labor with head positioning: OA, OT, OP

A
  1. OA: normal
  2. OT: need to rotate head manually
  3. OP: longer labor and more back pain
17
Q

long end of stage 1 of labor for nulliparous and multiparous women (more = prolonged labor)

A
  1. nullip: 20 hours

2. multip: 14 hours

18
Q

how to treat prolonged latent phase of labor

A

morphine for therapeutic sleep

19
Q

fetal descent rates for nullip vs multip women in active stage 1

A
  1. nullip: 1cm/hr

2. multip: 2cm/hr

20
Q

when to give pitocin in active stage of labor

A
  1. <3 contractions per 10 min

2. contractions <25 mmHg

21
Q

definition of retained placenta

A

no delivery within 30 mins of birth

22
Q

erb-duschenne palsy vs klumpke palsy

A
  1. erb: C5 and C6 injury -> upper arm palsy

2. klumpke: C7 and T1 injury -> lower arm palsy

23
Q

which type of twin has no risk factors and is present in 1 in 250 births worldwide

A

monozygotic

24
Q

arterial to arterial anastomosis presentation

A

acardiac twin

25
what presentation can only deliver by cesarean
brow
26
Kleinhauer-Betke test
tests how much fetal blood is in mom's blood so extra Rhogam can be given if necessary
27
MCA doppler
checks for fetal anemia
28
four prevention pathways for PTL
cervical, placenta-vascular, stress, uterine stretch
29
treatment for PROM
Admit -> 48hrs Ampicillin + erythro, then 5 days of Amoxil + erythro, deliver at 34 weeks
30
how to dx IUGR
fundal height is 3cm behind age
31
when does labor need to be induced by to avoid post-term pregnancy complications
42 weeks
32
mc cause of DIC in pregnancy
placental abruption
33
blood loss that qualifies as PPH in vaginal vs cesarean
1. vaginal: 500cc+ | 2. cesarean: 1000cc+
34
primary vs secondary PPH
primary: within first 24hrs after labor | secondary 24hrs - 12 weeks after labor
35
biggest cause of PPH
uterine atony
36
two Abx to give for puerperal sepsis
Ampicillin + Gentamycin
37
ovarian vein thrombophlebitis vs deep septic pelvic thrombophlebitis
1. ovarian V: appear clinically ill, can see 20% on radiography 2. deep septic pelvic: dont appear ill, just have unlocalized fever unresponsive to Abx, not seen on XR