OB Flashcards
1
Q
Term:
A
37- 42 weeks
2
Q
abortion date
A
< 20 weeks
3
Q
embryo
A
0-8 weeks
4
Q
fetus
A
9-40 weeks
5
Q
neonate ages
A
0- 28 days
6
Q
infant dates
A
0-1 year
7
Q
EDD nagles rule
A
LMP + 7 days (minus 3 months)
8
Q
gestational age
A
day of last menstarl period
9
Q
1st trimester
A
0-12 weeks
10
Q
2nd trimester
A
12-28 weeks
11
Q
3 rd trimester
A
28 - 40 weeks
12
Q
what is a darkening of the face during pregnancy
A
malasma
13
Q
TV and O2 during prenancy
A
increase
14
Q
Co2 during pregnancy
A
decrease
15
Q
Q during pregnancy
A
increase
16
Q
SVC during pregnancy
A
decrease
17
Q
low amount of folic acid
A
.4 mg (average 1.0)
18
Q
Beta Hcg 2X every
A
48 hours
19
Q
the corpus lutum produces
A
progesterone
20
Q
blue cervix
A
chadwick sign
21
Q
softening of cervix
A
goodells signs
22
Q
what do you want on initial visit
A
CBC blood type (RH) STI Hep B PAP (if they need one)
23
Q
when can you hear the heart beat on US
A
roughly 6 weeks
24
Q
genetic screen 1st trimester
A
US: nuchal translucenecy (T-21)
Blood: increased HcG (T-21)
25
2nd trimester genetic screen
- Quad screen
1. HcG
2. AFP (twins, neural tube defects)
3. Estrol
4. inhibin
26
what do you do if quad screen is +
amniocentesis
27
frequency of visits
0-28: monthly
28- 36: bi weekly
36- Birth: weekly
28
heart tones date and rate
10-12 weeks 120- 160
29
when do you do a cervical exam
37 weeks
30
when should you expect fetal movement
18 weeks (1st time)
31
how much fetal movement
5X every hour
32
fundal height 12 weeks 20 36
12: pubic symphasis
20: umbilicus
36 weeks: drops
33
what 3 labs at 26 weeks
1. Diabetes
2. RH
3. STI
34
what labs at 35 weeks
1. Hemoglobin
2. Hct
3. Strep B
35
1 hr glucose
50 g < 130 : normal
36
3 hr glucose
100g
- fasting
- 1,2, 3 hr
> 2 : abnormal
37
how do you treat group B strep
ampcillin
38
How many calories a day
350
39
whar fish do you want to avoid
big fish
40
How much caffene
< 200 mg
41
undercooked meat
listeria
| toxoplasmosis
42
soft cheeses
brucelliosis
43
2st stage of labor
dialation to delivery
44
1st stage of labor
labor to dialation
45
3rd stage of labor
deleivery to placenta
46
fetal monitoring
Inc 15 beats in 15 seconds
47
variable deceleration
cord compression
48
late deceleration
fetal hypoxia
49
dysfunctional labor what is it and what the tx
1. Hypocontractile uterus
- < 3 10 min
- Tx: pitocin (oxytocin)
50
what is an abortion
loss of pregnancy prior to 20 weeks
51
what is the MC complication in early pregnancy
abortion
52
what are the types of abortion
1. Thretened
2. Inevitable
3. Incomplete
4. complete
5. Missed
6. Septic
53
elective abortin medications
Day 1: mifepristone
Day 3: Misoprostol
Only if < 70 days
54
Surgical abortions 1st trimester
suction and curettage
55
surgical abortions 2nd trimester
Dialation and evacualtion
56
what medication for ectopic
methotrexate
57
4 types of gestatiional trophobastic disease
1. Hydadifrom mole
2. invasive mole
3. placental mole
4. Choriocarcinoma
58
sperm fertilized egg without DNA
hydadiform mole
59
Mole: pregnancy invade myometreum:
Invasive mole
60
Placental Mole:
following full term pregnancy
61
AUB
absent heart sounds
preeclampsia like symptoms
Gestational trophoblastic disease
62
snow storm on US
| - Increased B HcG
Gestational trophoblastic disease
63
premature separation of placenta > 20 weeks
placental Abruption
| painful bleeding and contractions
64
placental Abruption tx
C section
65
abnormal location of placenta
Placenta Previa
(painless vaginal bleeding > 20 weeks)
- no cervical exam they can bleed
- no sex
66
what is a risk factor for premature rupute of membranes
bacterial vaginosis
67
_ gush of yellow fluid
- Ferning
- Inc AFP
premature rupute of membranes
68
postpartum hemmorage values
vaginal > 500
| C section > 1000
69
Treatment for post partum hemmorage 3
1. uterine massage
2. Oxytosin
3. misoprostol
4
70
dizygotic twins are also called
faternal (lamda sign)
71
monozygotic twins are called
identical (T sign)
72
when are most twins born
premature
73
what us twin transfunction syndrome
1 twin takes the others blood
74
Cervical incompatance
< 20 mm
< 25mm no preterm deleivery
tx: cervicak cerclavge
75
Chronic HTN
> 140/90
76
pregnancy induced HTN
> 140/90 after 20 weeks
77
pre elamspia
> 140/ 90 after 20 weeks with protein
78
Elampsia
pre elampsia with seizures
79
- HTN
- epigastic pain
- hyperreflexia
Elampsia
80
complications with elampsia
Hemolysis
Elevated liver enzymes
Low Platelets
81
when do you treat pregnancy HTN
labatalol
nefiedipine
methaldopa
82
what is gestational DM
increased insulin and insulin resistance
83
what is the blood sugar goal for pregnancy
fasting:< 100
| 2 hr: < 120
84
when do you give rhogam
28 weeks and 72 hrs post
85
what are the risks to fetus with RH
anemia and hyperbilirubinemia
86
what is it called when the cord is compressed by the baby and how do you treat it
- cord prolapse
| - C section
87
what are your top three reasons to do a C section
- fetal distress
- breach
- transverse lie
88
what is it called when the cervix fails to dialate and what is the tx
dystonia
| oxytocin
89
what is TORCH
```
T:Toxoplasmosis
O: Other Syphlyis
R: Rubells
C: CMV
H: herpes
```
90
Toxoplasmosis
- corioretinitis
- hydocephalmus
- intracranial calcifications
91
Toxoplasmosis tx triad
pyrimetherine
sulfudiazine
folic acid
92
treatment for syphlyis
Pen G
93
- Hearingloss
| - Blueberry muffin rash
Rubella
94
- Microcephally
- Chorioretrnitis
- intracranial calcifican
- CMV
95
what is the key for depression
anhedonia
