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OBGYN > OB 2 > Flashcards

OB 2 Flashcards

1
Q

when do you screen for group B strep?

A

universal screening at 35-37 weeks gestation

swab both lower vagina and rectum

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2
Q

GBS

A

MC neonatal sepsis

PCN is tx

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3
Q

placenta completely covers cervical os

A

Complete previa

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4
Q

placenta overlies part, but not all of cervical os

A

partial previa

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5
Q

placental edge in lower uterine segment but does not reach internal os

A

low-lying placenta

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6
Q

painless bright red vaginal bleeding in 3rd trimester

A

placenta previa

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7
Q

RF of placenta previa

A

prior C-section
multiple gestations
multiple induced abortions
advanced maternal age

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8
Q

dx placenta previa

A

ultrasound

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9
Q

Placental tissue extends into superficial layer of myometrium

A

Placenta accrete

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10
Q

entire placenta separates from uterine wall

A

complete placenta abruption

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11
Q

premature separation of normally implanted placenta

A

occurs due to any number of causes (trauma, idiopathic, etc.)

placental abruption

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12
Q

painful vaginal bleeding that may not be externally present

A

placental abruption

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13
Q

blood penetrates uterus; uterine serosa becomes blue-purple in coloration

complication of ____ called ____

A

placental abruption

called couvelaire uterus

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14
Q

bleeding occurring during vasa previa belongs to…

A

fetus!

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15
Q

common cause of small gestional age

A

tobacco

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16
Q

macrosomia newborns are common among ____ mothers

A

DB mothers

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17
Q

Gestational HTN

A

onset after 20 weeks gestational age w/o proteinuria

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18
Q

Development of hypertension after 20 weeks’ gestational age with proteinuria

A

Peeclampsia

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19
Q

when to evaluate edema

A

does not improve with rest

involves upper extremities, face, sacral region

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20
Q

earliest week that delivery is recommended with severe preeclampsia

A

34 weeks

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21
Q

drugs encouraged/recommended during pregnancy for HTN

A

methyldopa

labetalol

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22
Q

how to treat and prevent preeclampsia

A

magnesium sulfate when induction (at labor time) is initiated

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23
Q

loss of patellar reflexes

warmth feeling, flushing

slurred speech

muscle paralysis

respiratory difficulty

A

hypermagnesemia - Mag toxicity

treated with calcium gluconate

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24
Q

eclampsia means you now have…

A

seizures

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25
Q

HELLP

A

HTN in pregnancy

H: hemolysis
E: elevated
L: liver enzymes
L: low
P: platelet count
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26
Q

HELLP is MC in

A

multiparous pts

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27
Q

RUQ pain
N/V
General malaise

are all sx of…

A

HELLP syndrome

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28
Q

peripartum cardiomyopathy occurs in..

A

last month of pregnancy or within 6 months of delivery

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29
Q

dx test required for peripartum cardiomyopathy

A

ECHO

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30
Q

medication to avoid when treating peripartum cardiomyopathy

A

ACE-i

31
Q

what is peripartum cardiomyopathy

A

dilated cardiomyopathy that presents in pregnancy with no demonstrable cause for heart failure/hx of heart disease

32
Q

MC isoimmunization of the mother

A

delivery of baby/placenta

33
Q

what is the Rh factors of mom? dad? in Rh incompatibility of pregnancy

A

Mom: Rh Neg
Dad: Rh Pos

34
Q

isoimmunization of pregnancies requires administration of…

A

RhoGam

35
Q

Death of fetus in utero > 20 weeks’ gestation

A

intrauterine fetal demise

36
Q
  • Absent fetal movement
  • Decrease in pregnancy symptoms (e.g., nausea, breast tenderness)
  • Vaginal bleeding
  • Labor/contractions
A

signs and sx of intrauterine fetal demise

37
Q

How to dx intrauterine fetal demise

A

U/S

38
Q

MC reason for intrauterine fetal demise

A

unexplained

39
Q

BEAU-CHOPS of maternal cardiac arrest

A

B: bleeding/DIC
E: embolism
A: anesthesia complications
U: uterine atony

C: cardiac conditions
H: hypertension/preeclampsia
O: others (5H's and 5T's)
P: placenta previa/abruption
S: sepsis
40
Q

Shorter and less intense than true labor

Not associated with cervical dilation

A

Braxton-Hicks Contractions

41
Q

Fetal head descends into maternal pelvis

Associated with increased pelvic pressure

A

Lightening

42
Q

cervical thinning

A

effacement

43
Q

Extrusion of mucus from endocervical glands

Bleeding from small vessels

Associated with cervical thinning (effacement)

A

Bloody show of maternal changes prior to labor

44
Q

relation of fetal long axis to maternal long axis

A

fetal lie

45
Q

position of fetus lowest in birth canal

A

fetal presentation

46
Q

relation of fetal presenting part relative to maternal pelvis

A

fetal position

47
Q

Cervical dilatation expressed in

A

centimeters

48
Q

Cervical effacement expressed as

A

% of thinning

49
Q

Level of presenting part relative to ischial spines

A

fetal station

50
Q

Meconium is a sign of

A

fetal distress

51
Q

edema of fetal scalp

A

Caput succedaneum

52
Q

Episiotomy

A

cutting vaginal opening to enlarge it

53
Q

MCC of postpartum hemorrhage

A

uterine atony

54
Q

Absence of uterine muscle tone resulting in hemorrhage

A

uterine atony

55
Q

abnormal labor

A

labor dystocia “difficult labor”

56
Q

Leading indication for Cesarean delivery in the United States

A

labor dystocia

57
Q

MC breech presentation

A

frank: butt first with hips flexed and knees extended

58
Q

Maternal hips hyperflexed to increase AP diameter; usually accompanied by downward suprapubic pressure

A

McRobert’s maneuver for shoulder dystocia

59
Q

common neuro finding with shoulder dystocia

A

brachial plexus injuries

60
Q

Full term

Clear amniotic fluid; no meconium or purulent fluid

Spontaneous
breathing/crying

Good muscle tone

A

reassuring characteristics of the newborn

61
Q

5 signs of apgar scoring

A 
color
HR
reflex activity
muscle tone
respirations
62
Q

when do you do apgar scoring

A

1 minute and then 5 minutes after delivery

then every 5 minutes all the way to 20 minutes if initial 5 minute score is <7

63
Q

when does the umbilical cord fall off?

A

Sloughs off in 3-5 days

64
Q

erythromycin in the eyes…

A

treats gonococcal infection

65
Q

pulse < 100 bpm

A

provide positive pressure ventilation

66
Q

Pulse < 60 bpm despite PPV

A

chest compression

67
Q

pulse < 60 bpm despite PPV and chest compressions

A

give epi

68
Q

MC source of bleeding for postpartum hemorrhage

A

uterine atony (80&)

69
Q

how do you prevent uterine atony

A

nipple massage
nursing
uterine massage
administer oxytocin

70
Q

must wait how long for sexual activity after birth

A

minimal 2 weeks postpartum

71
Q

postpartum blues

A

occurs in 70-80%

mild, intermittent feelings of sadness, anxiety, anger

onset of 2-4 days and abates by 1-2 wks

72
Q

postpartum blues vs. postpartum depression

A

interferes with daily functioning

worsens over weeks

unknown causes

73
Q

Individuals with… are more likely to have ____

Personal history of depression/anxiety

Family history

Acute stressors

Child with difficult health issues

Depression in pregnancy (strong predictor)

A

postpartum depression

74
Q

postpartum psychosis is a ….

A

medical emergency

OBGYN (12 decks)

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