OB Flashcards

1
Q

What is the first-line treatment for fetal arrhythmias?

A

Digoxin

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2
Q

What is a normal umbilical cord pH and base deficit?

A

pH 7.28

Base deficit 4

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3
Q

What is the treatment for varicella pneumonia in pregnancy?

A

IV acyclovir

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4
Q

What is the minimum amount of fetal blood that can cause Rh alloimmunization in the mother?

A

0.1 mL

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5
Q

Which valvular issue in pregnancy is highly dependent on adequate preload?

A

Aortic insufficiency

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6
Q

What are the NPV and PPV for BPP, NST, and CST?

A

High NPV, low PPV

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7
Q

What are the symptoms of postpartum blues?

A

anxiety, tearfulness, irritability, sadness, dysphoria, insomnia, and decreased concentration

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8
Q

What is the effect of pregnancy on HIV viral loads?

A

No effect

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9
Q

What is the difference between integrated screening and stepwise sequential screening for aneuploidy?

A

Integrated screening - undergo first and second trimester screen and receive one result.
Stepwise sequential - undergo first trimester screen and have NIPT or diagnostic testing if abnormal, if low risk, proceed with second trimester screen

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10
Q

How is polyhydramnios diagnosed in twin gestations?

A

MVP > 8 cm

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11
Q

What are the most common risks to the fetus with maternal Graves disease?

A

Low birth weight, medically indicated preterm delivery

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12
Q

What is the sensitivity of MSAFP for an open neural tube defect?

A

75%

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13
Q

What is the incidence of fetal post-maturity syndrome?

A

10-20%

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14
Q

What are the increased risks associated with sequential operative delivery?

A
Intracranial hemorrhage
Subdural, subarachnoid hemorrhage
Facial nerve injury
Brachial plexus injury
Low UA pH
Anal sphincter tears
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15
Q

The fetal umbilical arteries branch off of which vessel?

A

Internal iliac

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16
Q

What is the risk of death in the surviving twin if one twin dies?

A

Monochorionic - 15%

Dichorionic - 3%

17
Q

When should twin pregnancies be delivered?

A

Mono-mono - 32-34
Mono-di - 34-37
Di-Di - 38

18
Q

What is the most common form of neonatal herpes infection?

A

Limited to the skin, eyes, and mouth

19
Q

What is the correct location for epidural placement?

A

L4-L5

20
Q

What is the path of the pudendal nerve?

A

Exits through greater sciatic foramen, hooks around ischial spine and sacrospinous ligament, then travels through the lesser sciatic foramen

21
Q

What is the incidence of postpartum blues following delivery?

A

40-80%

22
Q

What is the most common ovarian neoplasm found during pregnancy?

A

Mature cystic teratoma

23
Q

What is an adequate contraction pattern for a CST?

A

At least 3 contractions lasting 40 seconds in a 10 minute period