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OB Flashcards

1
Q

Term:

A

37- 42 weeks

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2
Q

abortion date

A

< 20 weeks

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3
Q

embryo

A

0-8 weeks

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4
Q

fetus

A

9-40 weeks

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5
Q

neonate ages

A

0- 28 days

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6
Q

infant dates

A

0-1 year

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7
Q

EDD nagles rule

A

LMP + 7 days (minus 3 months)

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8
Q

gestational age

A

day of last menstarl period

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9
Q

1st trimester

A

0-12 weeks

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10
Q

2nd trimester

A

12-28 weeks

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11
Q

3 rd trimester

A

28 - 40 weeks

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12
Q

what is a darkening of the face during pregnancy

A

malasma

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13
Q

TV and O2 during prenancy

A

increase

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14
Q

Co2 during pregnancy

A

decrease

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15
Q

Q during pregnancy

A

increase

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16
Q

SVC during pregnancy

A

decrease

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17
Q

low amount of folic acid

A

.4 mg (average 1.0)

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18
Q

Beta Hcg 2X every

A

48 hours

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19
Q

the corpus lutum produces

A

progesterone

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20
Q

blue cervix

A

chadwick sign

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21
Q

softening of cervix

A

goodells signs

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22
Q

what do you want on initial visit

A 
CBC 
blood type (RH)
STI 
Hep B 
PAP (if they need one)
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23
Q

when can you hear the heart beat on US

A

roughly 6 weeks

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24
Q

genetic screen 1st trimester

A

US: nuchal translucenecy (T-21)
Blood: increased HcG (T-21)

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25
Q

2nd trimester genetic screen

A
  • Quad screen
    1. HcG
    2. AFP (twins, neural tube defects)
    3. Estrol
    4. inhibin
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26
Q

what do you do if quad screen is +

A

amniocentesis

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27
Q

frequency of visits

A

0-28: monthly
28- 36: bi weekly
36- Birth: weekly

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28
Q

heart tones date and rate

A

10-12 weeks 120- 160

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29
Q

when do you do a cervical exam

A

37 weeks

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30
Q

when should you expect fetal movement

A

18 weeks (1st time)

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31
Q

how much fetal movement

A

5X every hour

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32
Q

fundal height 12 weeks 20 36

A

12: pubic symphasis
20: umbilicus
36 weeks: drops

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33
Q

what 3 labs at 26 weeks

A
  1. Diabetes
  2. RH
  3. STI
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34
Q

what labs at 35 weeks

A
  1. Hemoglobin
  2. Hct
  3. Strep B
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35
Q

1 hr glucose

A

50 g < 130 : normal

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36
Q

3 hr glucose

A

100g
- fasting
- 1,2, 3 hr
> 2 : abnormal

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37
Q

how do you treat group B strep

A

ampcillin

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38
Q

How many calories a day

A

350

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39
Q

whar fish do you want to avoid

40
Q

How much caffene

41
Q

undercooked meat

A

listeria

toxoplasmosis

42
Q

soft cheeses

A

brucelliosis

43
Q

2st stage of labor

A

dialation to delivery

44
Q

1st stage of labor

A

labor to dialation

45
Q

3rd stage of labor

A

deleivery to placenta

46
Q

fetal monitoring

A

Inc 15 beats in 15 seconds

47
Q

variable deceleration

A

cord compression

48
Q

late deceleration

A

fetal hypoxia

49
Q

dysfunctional labor what is it and what the tx

A
  1. Hypocontractile uterus
    - < 3 10 min
    - Tx: pitocin (oxytocin)
50
Q

what is an abortion

A

loss of pregnancy prior to 20 weeks

51
Q

what is the MC complication in early pregnancy

52
Q

what are the types of abortion

A
  1. Thretened
  2. Inevitable
  3. Incomplete
  4. complete
  5. Missed
  6. Septic
53
Q

elective abortin medications

A

Day 1: mifepristone
Day 3: Misoprostol
Only if < 70 days

54
Q

Surgical abortions 1st trimester

A

suction and curettage

55
Q

surgical abortions 2nd trimester

A

Dialation and evacualtion

56
Q

what medication for ectopic

A

methotrexate

57
Q

4 types of gestatiional trophobastic disease

A
  1. Hydadifrom mole
  2. invasive mole
  3. placental mole
  4. Choriocarcinoma
58
Q

sperm fertilized egg without DNA

A

hydadiform mole

59
Q

Mole: pregnancy invade myometreum:

A

Invasive mole

60
Q

Placental Mole:

A

following full term pregnancy

61
Q

AUB
absent heart sounds
preeclampsia like symptoms

A

Gestational trophoblastic disease

62
Q

snow storm on US

- Increased B HcG

A

Gestational trophoblastic disease

63
Q

premature separation of placenta > 20 weeks

A

placental Abruption

painful bleeding and contractions

64
Q

placental Abruption tx

65
Q

abnormal location of placenta

A

Placenta Previa
(painless vaginal bleeding > 20 weeks)
- no cervical exam they can bleed
- no sex

66
Q

what is a risk factor for premature rupute of membranes

A

bacterial vaginosis

67
Q

_ gush of yellow fluid

  • Ferning
  • Inc AFP
A

premature rupute of membranes

68
Q

postpartum hemmorage values

A

vaginal > 500

C section > 1000

69
Q

Treatment for post partum hemmorage 3

A
  1. uterine massage
  2. Oxytosin
  3. misoprostol
    4
70
Q

dizygotic twins are also called

A

faternal (lamda sign)

71
Q

monozygotic twins are called

A

identical (T sign)

72
Q

when are most twins born

73
Q

what us twin transfunction syndrome

A

1 twin takes the others blood

74
Q

Cervical incompatance

A

< 20 mm
< 25mm no preterm deleivery
tx: cervicak cerclavge

75
Q

Chronic HTN

76
Q

pregnancy induced HTN

A

> 140/90 after 20 weeks

77
Q

pre elamspia

A

> 140/ 90 after 20 weeks with protein

78
Q

Elampsia

A

pre elampsia with seizures

79
Q
  • HTN
  • epigastic pain
  • hyperreflexia
80
Q

complications with elampsia

A

Hemolysis
Elevated liver enzymes
Low Platelets

81
Q

when do you treat pregnancy HTN

A

labatalol
nefiedipine
methaldopa

82
Q

what is gestational DM

A

increased insulin and insulin resistance

83
Q

what is the blood sugar goal for pregnancy

A

fasting:< 100

2 hr: < 120

84
Q

when do you give rhogam

A

28 weeks and 72 hrs post

85
Q

what are the risks to fetus with RH

A

anemia and hyperbilirubinemia

86
Q

what is it called when the cord is compressed by the baby and how do you treat it

A
  • cord prolapse

- C section

87
Q

what are your top three reasons to do a C section

A
  • fetal distress
  • breach
  • transverse lie
88
Q

what is it called when the cervix fails to dialate and what is the tx

A

dystonia

oxytocin

89
Q

what is TORCH

A 
T:Toxoplasmosis 
O: Other Syphlyis 
R: Rubells 
C: CMV 
H: herpes
90
Q

Toxoplasmosis

A
  • corioretinitis
  • hydocephalmus
  • intracranial calcifications
91
Q

Toxoplasmosis tx triad

A

pyrimetherine
sulfudiazine
folic acid

92
Q

treatment for syphlyis

93
Q
  • Hearingloss

- Blueberry muffin rash

94
Q
  • Microcephally
  • Chorioretrnitis
  • intracranial calcifican
95
Q

what is the key for depression

Womans Health (6 decks)

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