OB Cases

Question 1

21 yo G2P0 at 39/1
- GDM
- Preeclampsia w/o severe features
- PROM - augmented
SVD

Answer 1

GDM - PB 190, CO 828
- Diagnosis of GDM
- Antepartum management
     - Antenatal testing
     - Delivery timing
- Risks during pregnancy
- Long-term risks to mother/baby
- Intrapartum management
- Postpartum management
Preeclampsia - Practice Bulletin 222, CO 828
- Diagnosis of preeclampsia
- Antepartum management
     - Outpatient vs inpatient management
     - Antenatal testing
     - Serial labs
     - Delivery timing
- Postpartum management
PROM - PB 217

Question 2

39 yo G1P0 at 37/1
- AMA
- Depression - on medications
- PROM - augmented
SVD

Answer 2

AMA - PB 162, CO 828
- Risks of aneuploidy
- Risks to pregnancy
- Antepartum management
     - Antenatal testing
     - Delivery timing
Depression - PB 92, CO 757
- Diagnosis
- Treatment - medication vs non-medication
PROM - PB 217, CO 831

Question 3

24 yo G1P0 at 35/5
- FGR
- PPROM
- PTL
SVD

Answer 3

FGR - PB 227, CO 828
PPROM - PB 217
PTL - PB 171, 234
ANCS - CO 713

Question 4

27 yo G5P3 at 34/0
- HSV
- Hx of CD
- PPROM - IOL
VBAC

Answer 4

HSV - PB 220
VBAC - PB 205
PPROM - PB 217
IOL - PB 107, CO 831
ANCS - CO 713

Question 5

38 yo G5P3 at 28/5
- No prenatal care
- AMA
- Opioid use disorder
- PPROM
- PTL
SVD

Answer 5

Suboptimal dating - CO 688
AMA - PB 162
PPROM - PB 217
PTL - PB 171, 234
ANCS - CO 713

Question 6

20 yo G1P0 at 34/0
- FGR
- Preeclampsia w/ severe features - IOL
- Category II FHR
- Episiotomy
SVD

Answer 6

FGR - PB 227, CO 828
Preeclampsia - PB 222
IOL - PB 107, CO 831
Intrapartum EFM - PB 106, 116
Episiotomy - PB 198
ANCS - CO 713

Question 7

21 yo G1P0 at 34/3
- PTL
SVD

Answer 7

PTL - PB 171, 234

ANCS - CO 713

Question 8

34 yo G3P1 at 37/2
- Ulcerative colitis
- Obesity
- Preeclampsia w/ severe features - IOL
SVD

Answer 8

Immune modulators - CO 776, CO 828
Obesity - PB 230, CO 548
Preeclampsia - PB 222
IOL - PB 107, CO 831

Question 9

33 yo G5P2 at 37/5
- GDM
- Hx of shoulder dystocia
- SROM
SVD

Answer 9

GDM - PB 190, CO 828
Shoulder dystocia - PB 178
PROM - PB 217, CO 831

Question 10

34 yo G3P2 at 37/3
- HSV
SVD

Answer 10

HSV - PB 220

Question 11

19 yo G1P0 at 42/1
- Post-term
SVD

Answer 11

Post-term - PB 146, CO 828

Question 12

28 yo G1P0 at 39/5
- GBS+
- PROM
SVD

Answer 12

GBS - PB 199, CO 797

PROM - PB 217

Question 13

37 yo G4P3 at 38/3
- AMA
- GDM - IOL
- Hx of shoulder dystocia
SVD

Answer 13

AMA - PB 162
GDM - PB 190, CO 828, CO 831
Shoulder dystocia - PB 178

Question 14

27 yo G2P1 at 39/1
- CHTN - IOL
SVD

Answer 14

CHTN - CO 828, PB 203

IOL - PB 107

Question 15

22 yo G2P1 at 39/1
- GBS+
SVD

Answer 15

GBS - PB 199, CO 797

Question 16

29 yo G1P0 at 40/1
- Obesity
- Fibroid uterus
- IOL
SVD

Answer 16

Obesity - PB 230, CO 548

IOL - PB 107

Question 17

27 yo G2P1 at 40/1
- Preeclampsia without severe features - IOL
- Cat II FHT
- Arrest of dilation
CD

Answer 17

IOL - PB 107
Preeclampsia - PB 222
Intrapartum EFM - PB 106, 116
Prevention of primary CD - OB Care Consensus 1

Question 18

25 yo G3P2 at 39/1
- Depression - meds
- Hx of CD
- Arrest of dilation
CD

Answer 18

Depression - PB 92, CO 757
VBAC - PB 205
Prevention of primary CD - OB Care Consensus 1

Question 19

27 yo G1P0 at 39/2
- Obesity
- CHTN - IOL
- Cat II FHR
- Arrest of descent
CD

Answer 19

Obesity - PB 230, CO 548
CHTN - CO 828, PB 203
IOL - PB 107
Prevention of primary CD - OB Care Consensus 1