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Womens health JP > Jeopardy > Flashcards

Jeopardy Flashcards

1
Q

42yo G2P1 ho tobacco use presents 42 weeks in labor w/ - (graph)

A

Late declaration

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2
Q

27yo G2P1 prego at 9 wks present w/ bleeding. vag exam open cervical os. what kind of abortion?

A

Inevitable abortion

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3
Q

15yo G1 twin prego, denies alcohol drug use, smokes.. what are her risk factors for premature labor

A

Twins, smoking, age

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4
Q

Broken clavicle during birth is MC assoc. w/ what?

A

Macrosomia

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5
Q

31yo G2P1 presents @ 34wk w/ sudden gush of bright red bleeding. What is happening?

A

Placenta previa

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6
Q

to confirm PROM in 31 yo G2P1 - 34 weeks w. fluid leaking from vaginal

A

Ferning (fern under microscope)

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7
Q

MC finding associated with CPD cephalopevlic disproportion

A

failure to progress

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8
Q

What vax is CI during pregnancy

A

Varicella and MMR vaccine - any live vaccine

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9
Q

Potential outcome ETOH during embryonic organogenesis

A

thin vermillion border

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10
Q

Risk factors for developing prey induced HTN or preeclampsia/eclampsia

A

Alcohol abuse, chronic renal dz, obesity, teen pregnancy, (tobacco use - is PROTECTIVE!)

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11
Q

GPA/FPAAL

23 yo primp (three triplets) C-section 36weeks

A

0-3-0-3

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12
Q

GPA/FPAAL

Elderly (35+yo) primip delivers 2 at 37.5 wk gestation

A

37yo 2-0-0-2

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13
Q

GPA/FPAAL

Twins at 38wk EGA, then quadruplets at 30 wk all living to a 30yo woman

A

30 yo 2-4-0-6

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14
Q

53yo, all full term singletons, all survived - 5 children

A

53yo 5-0-0-5

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15
Q

GPA

Is c/w 35 you 2 term births, 1 premi, no abotions, and 3 living children

A

2-1-0-3 or G3P3A0 (3 preg, 3 deliveries)

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16
Q

Oct 20, 2013 first dayLMP - when is she due?

A

July 27, 2014

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17
Q

Represent methods for assessing pt method in labor:

A

Effacement, dilation and station (TRIAD)


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18
Q

22 yo 8 wk prego. 6 sonometer painless cyst on ovary. fetus normal on US

A

Corpus luteal cyst

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19
Q

27 yo presents 40wk active labor, on exam you see herpes

A

Deliver infant via C-section

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20
Q

C-section - baby and cord out, placenta still in - what stage?

A

3rd stage

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21
Q

The cardinal motion most helps infant prevent CPD in labor

A

Flexion

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22
Q

First of twins on warmer, second One Leg out of a C-section- what stages?

A

3rd stage 1st twin, 2nd stage 2nd twin

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23
Q

Is as far as (pic, prolapse cord) labor is likely to go once it is discovered (c-section)

A

1st stage, maybe second, preferable prior to engagement

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24
Q

how long is an egg viable for ?

A

18-24hrs

25
Q

sperm viable for how long?

A

48-72

26
Q

Naegels Rule:

A

1st day LMP +7d (-3 mon) +1yr

27
Q

When is term

A

37+ wk

28
Q

abortion is

A

20

29
Q

How is labor measured? TRIAD

A

dilation, effacement or thinning, station

30
Q

Define stages of labor
1st
2nd
3rd

A

1st - onset full dilation of cervix
2nd - full dilation of cervix of delivery of infant
3rd - delivery of infant to delivery of placenta

31
Q

Cardinal movements

A 
engage
flexion
descent
internal rotation
extension 
external rotation
32
Q

smallest diameter of head presents if the head flexed and face is towards mothers right - what position is this?

A

LAO (MC)

33
Q

how many arteries and veins in umbilical cord

A

2 arteries
1 central vein
24% have nucal cord

34
Q

When is Oxytocin absolutely CI

A 
placenta previa
scars
multiples
contracted pelvis
prev c-section
35
Q

Snow storm appearance

A

Gestational trophoblastic disease

36
Q

TSH and HCG share the same ___chain

A

alpha

37
Q

clinical/ lab findings suggestive of gestational trophoblastic disease

A

preeclampsia prior to 20 wks gestation is diagnostic GTD

38
Q

What is the cure for preeclampsia

A

delivery

39
Q

Rh incompatibility during pregnancy is associated with what?

A

anemia leading to fetal hydrous

40
Q

define gestational DM

A

carb intolerance w/ onset during pregnancy

41
Q

pt has GDM if FBS is greater than….

A

95

42
Q

does all GDM require insulin?

A

no

43
Q

how to treat A1 GDM. A2

A

diet. A2=insulin control

44
Q

what is diagnostic of eclampsia?

A

seziures

45
Q

gestational HTN

A

increase BP after 20wk. NO proteinuria

46
Q

Chronic HTN

A

> 140/90 prior to pregnancy

47
Q

Precalmpsia define

A

new HTN and PROTIENURIA

48
Q

How to tx ectopic

A

Methotrexate

49
Q

HELLP syndrome

A

Hemolysis, Elevated Liver enzymes, Low Platlets

50
Q

In US 4 causes of maternal death

A

preclampsia/eclampsia
hemmorrage
CV conditions
thromboemboli

51
Q

Which of the following is NOT associated w. PROM

  1. signleton pregnancy
  2. prev PROM
  3. GU infection
  4. Antepartum bleeding
  5. Cigarette smoking
A
  1. Signleton pregnancy
52
Q

How is placenta pre via different from placental abruption

A

painless bleeding, abruption is painful bleeding. BOTH in 3rd trimester

53
Q

MC reason for C-seciton

A

Cephalopelvis disproportion

54
Q

3 MC indications for C-section

A

failure to progress during labor, questionable fetal status, fetal malrepresentation

55
Q

Women w. previous classical C-section due to a low lying fibroid, what risk is of concern in subsequent pregnancy

A

rupture of uterus even prior to onset of labor

56
Q

Requirements for Vaginal Birth After Cesarean (VBAC)

A
  1. vertex
  2. only one prior C/S
  3. Prev C/S >18mon
  4. Full consent of pt
  5. Available OR for emergent C/S
  6. Blood available
  7. NO PITOCIN, NO prostoglandins
57
Q

Major cause of maternal morbidity and mortality is…

A

postpartum hemorrhage

58
Q

Sheehan syndrome

A

occurs w/ postpartum hemorrhage : damage to pituitary galands

59
Q

Ashermans syndrome

A

severe pelvic infection from d+c = adhesions and amenorrhage

Womens health JP (5 decks)

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