Ob Gyn

Question 0

ASA use in pregnancy

Answer 0

First trim - fetal anomalies

Late - premature ductus closure, coagulation defects with hemorrhagic complications in both mother and neonate, neonatal cardiovascular complications

ASA and NSAIDS may prolong gestation and labor

Question 1

Normal FHR

Answer 1

120-160 bpm

Question 2

Vaccine use in pregnancy:

Answer 2

Avoid live viruses in all trimesters of pregnancy as well as 3 months prior to conception - measles, mumps, rubella, poliomyelitis, intranasal influenza, varicella

Killed viruses ok - eg parenteral influenza,

?Tetanus toxoid alone or in combination with diphtheria toxoid ok, TDaP, recommendations are to administer tetanus and diphtheria in pregnancy when indicated

Immunoglobulin ok to administer throughout pregnancy

Question 3

Folic acid in pregnancy

Answer 3

400 micrograms daily

If history of NTD then 4 mg per d

Question 4

How do you treat Mg toxicity

Answer 4

Ca Gluconate