OB

Question 0

Causes of false + RPR or false + VDRL

Answer 0

Pregnancy (very common)
Acute Infections (TB, viral, HIV etc)
Autoimmune disorders (SLE)
Antiphospholipid Ab Syndrome

Question 1

Labs for initial prenatal visit (9)

Answer 1

CBC
Blood type and screen
RPR or VDRL
Rubella Ab titer
Hep B Surface Ag
HIV ELISA

UA
Pap smear
GC/Chlamydia

Question 2

Fetal complications of GDM

Answer 2

Delayed neurological maturity
Fetal respiratory distress syndrome
Hypoglycemia
Hypocalcemia
Hypomagnesemia
Polycythemia (2/2 fetal hypoxia, thus increased EPO)

Question 3

Medication options for reducing blood pressure in preeclampsia

Answer 3

IV labetalol

or

IV hydralazine

Question 4

Seizure prophylaxis for preeclampsia

Answer 4

Mg sulfate (IV)

Question 5

Acute seizure treatment in eclampsia

Answer 5

Mg sulfate (IV)

• same as prevention
• Diazepam is teratogenic
• Szs are usually short duration so Tx is focused on prevention

Question 6

UTI or asymptomatic bacteria during pregnancy

• Tx?
• Follow up care?

Answer 6

PO Nitrofurantoin 100 mg BID x 5d

PO Amoxacillin or Amox-Clav BID or
Cephalexin 500 mg BID x 3-7d

PO Fosfomycin 3g x 1 dose

***f/u Culture IS NEEDED!

Question 7

Mother with a history of substance-abuse delivers a baby with meconium aspiration syndrome (resp distress, stained AF)
-cause?

Answer 7

Opioid use during pregnancy
*May also cause narcotic withdrawal:
high-pitched cry irritability tremors seizures vomiting diarrhea poor feeding within the first few days of life