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OB > MTB 3 > Flashcards

MTB 3 Flashcards

1
Q

Test for IUGR

A

US

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2
Q

Complications with IUGR

A 
Premature labor
Stillbirth
Fetal hypoxia
Lower IQ 
Seizures
MR
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3
Q

Causes of IUGR

A 
Chromosomal abnormalities
Multiple gestation
NTDs
Infxn
Maternal HTN
Renal Dz
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4
Q

What is the #1 preventable cause of IUGR in U.S.?

A

Smoking

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5
Q

Risk factors for Macrosomia

A

Maternal Diabetes
Obesity
Advanced maternal age
Postterm pregnancy

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6
Q

What is fundal height in macrosomic baby

A

Fundal height is 3 cm greater than GA

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7
Q

What is workup for macrosomic baby

A

US

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8
Q

Complications of macrosomia

A

Shoulder dystocia
Birth injuries
Low Apgar
Hypoglycemia

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9
Q

Tx for macrosomic baby

A

Induction of Labor - if lungs mature before fetus is 4500g

C section if fetus > 4500g

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10
Q

What does NST assess

A

Fetal movements

Fetal HR

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11
Q

What does BPP consist of?

A 
NST
Fetal chest expansions
Fetal movement
Fetal muscle tone
Amniotic fluid index
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12
Q

What are normal accelerations

A

2.15.15.20

TWO movements fetal HR >15 bpm lasting 15 secs over 20 minutes

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13
Q

What are early decelerations indicative of and what are they

A

Head compression

Decrease in HR occurring w/ CTX

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14
Q

What are variable decelerations indicative of and what are they

A

Cord compression
Decrease in HR and return to baseline
No relationship w CTX

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15
Q

What are late decelerations indicative of and what are they

A

Fetal hypoxia
Decrease in HR AFTER CTX started
No return to baseline until CTX end

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16
Q

How to remember decelerations?

A 
VEAL CHOP
Variable
Early
Accelerations
Late Dec

Cord compression/cord prolapse, oligohydramnios
Head compression
OK
Placental insufficiency

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17
Q

What are the movements in stage 2 of labor?

A 
Engagement
Descent
Flexion
Internal Rotation
Extension
External Rotation
Delivery - Anterior Shoulder, Posterior shoulder
18
Q

What do we not give to asthmatic pts during induction of labor?

A

Prostaglandin - provokes bronchospasm

19
Q

What is arrest of cervical dilation

A

No dilation of cervix for more than 2 hours

20
Q

What is prolonged latent stage

A

Latent phase > 20 hours primipara

> 14 hours multipara

21
Q

What is a protracted cervical dilation

A

Slow dilation during active phase stage 1 labor
< 1.2 cm/hr - primipara
< 1.5 cm/hr - multipara

22
Q

What are the types of arrest disorders and how do they present

A

Cervical Dilation - no dilation for 2 hours

Fetal Descent - No descent for 1 hour

23
Q

Hard circular surface felt in proximal part of uterus on palpation of abdomen?

A

Fetal head - breech presentation

24
Q

How does frank breech present

A

Hips Flexed

Knees extended

25
Q

How does complete breech present

A

Hips and knees flexed BL

26
Q

When is external cephalic version performed?

A

After 36 weeks

27
Q

What is shoulder dystocia

A

Head delivered

Anterior shoulder stuck behind pubic symphysis

28
Q

First line tx for shoulder dystocia

A

Maternal flexion of knees into abdomen w suprapubic pressure

29
Q

What is the definition of postpartum hemorrhage

A

Bleeding > 500 mL after delivery

30
Q

What is tx for PPH

A
  1. Check to make sure there is no uterine rupture
  2. Check for retained placenta
  3. Bimanual compression and massage
  4. Oxytocin - make uterus contract and constrict BV’s and decrease blood flow
31
Q

When does ovulatory reserve drop?

A

4th Decade of life

32
Q

How do we test for ovulatory reserve drop

A

Clomiphene challenge test

- Early follicular phase FSH level

33
Q

What is premature ovarian failure

A

Amenorrhea

Hypoestrogenism and increased serum gonadotropin in a female > 40 yoa

34
Q

What are causes of premature ovarian failure

A

AI Dz
Inheritable factors
Radiation

35
Q

How is premature ovarian failure diagnosed

A

Increased serum FSH and LH

Decreased estrogen

36
Q

Clinical presentation of lactational mastitis

A

Fever
Firm, red, tender, swollen quad of unilateral breast
+/- myalgia, chills, malaise

37
Q

Tx for lactational mastitis

A

Analgesia
Frequent feedings
Abx
Continued nursing q 2-3 hours

38
Q

What abx are used for lactational mastitis

A

MSSA - dicloxacillin

MRSA - clindamycin, TMP-SMX, Vanco

39
Q

What are premies at risk for?

A 
RDS
PDA 
Bronchopulmonary dysplasia
IVH
Necrotizing Enterocolitis
Retinopathy
40
Q

Rapidly enlarging head circumference + bulging fontanelles + communicating hydrocephalus is what

A

IVH

OB (4 decks)

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