NM 706 Mod 1 and 2

Question 1

Placental Abruption

Answer 1

Definition: Premature separation of normally implanted placenta
Risk Factors: Maternal: AMA, cocaine, smoking, alcohol, abnormal elev AFP

OB risk: chorio, FGR, hx abruption, short interconception, HTN, Multi gestation, PROM, Poly, Fibroids, Thrombophioia, hypothyroid, asthma, hx c/s
Acute: trauma, ECV
DX: US rarely helpful ,Dx based on clinial s/s
Management: Expedite birth near term
At risk for coagulopaty and hypovolemia
May cause Couvelaire uterus
COLLABORATE

Question 2

Placenta Previa

Answer 2

Def: Placenta implants over cervical os, dx routine US
RF: Previous uterine scaring (C/S, uterine surgery)
Maternal age
Multigestation Smoking ,Cocaine ,Short interconception
Terminations ,Reproductive tech
S/S: painless bleeding
DX: Trans vag US
Placenta close to not covering os (2 cm) term low lying
Management: Vag birth contraindicated ,No sex with vaginal penetration or orgasm
collaborate/refer

Question 3

Vasa Previa

Answer 3

Def: fetal vessesls emerge from placenta over OS
Risk factor- velamentous cord insertion
DX: US, risk based US for previa
Management: Collaborate!
Preterm steroids 30-32 wks

Question 4

Retained Placenta

Answer 4

Def: Placenta en utero @ 30 min
S/S: PPH risk inc 20-75 min
PPH:
Dx: 3rd stage 20 min < AMTSL, 60 min < EMTSL
Mng: consult/collab at 20 min/60 min, upright position, nipple stim, empty bladder, manual remove @ 30 min

Question 5

Iron Deficiency Anemia and Megaloplastic

Question 6

Thallasemia

Answer 6

Alpha
Beta

Question 7

Uterine Atony

Question 8

Uterine Inversion

Question 9

Vaginal/Cervical Laceration

Question 10

PPH

Answer 10

Diff:
Management:

Question 11

Hematoma

Question 12

Rh Isoimmunizatioin

Question 13

ABO incompatibility

Question 14

Kell Sensitization

Question 15

Sickle Cell

Question 16

Thrombocytopenia

Question 17

G6PD

Question 18

Indirect Bilirubin

Question 19

Pathologic hyperbilirubinemia

Answer 19

vs physiologic jaundice

Question 20

Bhutanis nomogram

Question 21

Bilirubin encephalopathy vs Kernicterus

Question 22

Bilirubin encephalopathy

Question 23

Newborn anemia

Question 24

Polycythemia

Answer 24

Def:
Risks:
S/S:
Complications:
Mngm:

Question 25

Abdominal pain Diff Diagnosis

Question 26

Appendicitis

Question 27

Cholecystitis

Question 28

Pancreatitis

Question 29

Reproductive Congenital Anomalies Male

Question 30

Reproductive Congenital Anomalies Female

Question 31

Gastrointestinal Congenital Anomalies

Question 32

Neurological Congenital Anomalies

Question 33

PEP (Polymorphic Eruption of Pregnancy)

Question 34

Pemphigoid gestationis

Question 35

Atopic eruption of pregnancy