OB Flashcards

1
Q

minimal vag bleeding
cervical os closed
no prod of concepts passed
visible pregnancy

A

threatened abortion

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2
Q

no vag bleeding
cervical os closed
no prod of concepts passed
gestational sac/ fetal demise

A

missed abortion

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3
Q

vag bleeding
cervical os dilated
no prod of concepts passed
nonviable pregnancy

A

inevitable abortion

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4
Q

vag bleeding
cervical os dilated
some prod of concepts passed
nonviable pregnancy

A

incomplete abortion

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5
Q

vag bleeding
cervical os closed
all prod of concepts passed
empty uterus

A

complete abortion

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6
Q

intermittent pain with contractions

small amp of blood tinged mucus (bloody show)

A

normal labor

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7
Q
PAINFUL vag bleeding 
abdominal pain 
HARD (hypertonic)/tender uterus w/ frequent contractions 
fetal distress
US: retroplacental hemorrhage
A

abrutio placenta

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8
Q

PAINLESS vaginal bleeding upon ROM
fetal distress
US: velamentous cord insertion

A

vasa previa

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9
Q

PAINLESS BRIGHT RED VAGINAL BLEEDING
soft and contender uterus
US: placenta covering os

vaginal exam in C/I

A

placenta previa

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10
Q
abdominal pain +/- vag bleeding 
fetal distress
hypotonic uterine contractions 
loss of fetal station 
palpable fetal parts on the abdomen
A

uterine rupture

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11
Q

Assoc conditions w. polyhydramnios

A

maternal DM
anencephaly, hydrocephalus
tracheoesophageal fistula
duodenal atresia

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12
Q

clinical features of polyhydramnios

A

uterus large for dates

difficulty palpating fetal parts and hearing FHR

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13
Q

Stage1

A

start: onset of labor
end: full dilation 10cm
descent of fetal head

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14
Q

stage 2

A

start: 10cm dilation
end: delivery of baby
30min-3hrs - 1st time
5-30mins - multiparous

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15
Q

stage 3

A

start: delivery of baby
end: delivery placenta

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16
Q

stage 4

A

postpartum period

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17
Q

intraplacental villous lakes

A

placenta accreta

18
Q

increased AFP

A

open neural tube defects
abd wall defect
multiple gestation

19
Q

decreased AFP

A

Downs

missed abortion

20
Q

L:S >2 indicates

A

maturity

21
Q

L:S <2

A

administer cortisol to increase lecithin

22
Q

screening test done at 11-16wk

A

urine culture - UTI

23
Q

screening test done at 24-28

A

GDM- 1hr glucola

24
Q

screening test done at 35-37

A

Group B strep - tx w/ PCN if pos

25
Q

Rh- mom carries Rh+ fetus

Dx and Rx

A

Rh disease

Rhogam Rh IgG @28wk

26
Q

leading cause of maternal death in T1

hx of PID

amenorrhea
abnormal vag bleeding
abdominal pain

A

ectopic pregnancy

27
Q

Hyperemesis Gravidarum

A

ketonemia
hypochloremic metabolic alkalosis
hypokalemia

28
Q

Risk factors for Vasa Previa

A

IVF pregnancy

multiple gestation

29
Q

Risk factors for abruptio placenta (At least 4)

A
abdominal trauma
Maternal HTN
Multiparity 
>35 maternal age
prior placental abruption
uterine anomaly 
rapid decompression
30
Q

risk factor for uterine rupture

A

uterine scarring

31
Q

prolonged abnormal FHR

acute onset of severe constant abdominal pain
hypotonic uterine contractions

A

Uterine rupture

32
Q

Pre eclampsia features

A

hyperreflexia clonus
pulmonary edema
facial/ bipedal edema
cerebral or visual disturbances

33
Q

preeclampsia + tonic clonic seizures

A

Eclampsia

34
Q
A

Oligohydramnios

35
Q

> 1.5 to 2L of amniotic fluid

A

polyhydramnios

36
Q

Oligohydramnios obstetric complications

A

IUGR
Pulmonary hypoplasia
cord compression

37
Q

Risk factors for macrosomia (>P90)

A

maternal obesity
GDM
prolong gestation
multiparity

38
Q
A

IUGR

intrautereine growth retardation

39
Q

risk factors for IGUR

A
maternal: 
malnutrition
smoking
drug abuse
alcoholism
40
Q

most common cause of abnormal progression of labor

A

inadequate pushing