Ob

Question 1

Management of inevitable abortion

Answer 1

20 week bleeding plus pain
Open cervical os
No uterine contents expelled
Possible detection of fetus on US

If stable- expectant management or prostaglandins or D&C

If unstable with heavy bleeding- D&C

Question 2

Management of incomplete abortion

Answer 2

First 20 weeks bleeding
Open cervical os
Some uterine contents expelled
History of expelled contents-diagnosis

If stable- expectant management or prostaglandins or D&C

If unstable with heavy bleeding- D&C

Question 3

Management of missed abortion

Answer 3

Bleeding present or pain only
Closed cervical os
No uterine contents expelled
Unviable fetus detected on US

If stable- expectant management or prostaglandins or D&C

If unstable with heavy bleeding- D&C

Question 4

Management of threatened abortion

Answer 4

Uterine bleeding in first 20 weeks with Closed cervical is and no uterine contents expelled

Viable fetus on US

Expectant management with bed rest and limited activity until symptoms resolve or progress to inevitable, incomplete or missed abortion

Question 5

Management of complete abortion

Answer 5

Within initial 20 weeks
Open os
All uterine contents expelled

No treatment

Question 6

Septic abortion

Answer 6

Blood and endometrial cultures
Broad spectrum antibiotics
D&C of uterine contents

Question 7

Management of placental abruption
Sudden onset
Tender hypertonic uterus

Answer 7

Stable VS and >34 weeks and in labor-vag delivery

Unstable mom or baby- emergency c section

Question 8

Manage meant of placenta Previa

Painless bleeding

Answer 8

Stable-mom and fetus both stable, antiparticle bleeding stopped–>corticosteroids and expectant until assess fetal lung maturity at 36 weeks
Unstable mom or baby and bleeding does not stop–> emergency c section