Ob-Gyn Brainscape Flashcards - uWise - Normal Obstetrics

Question 1

What are the IOM recommendations for wt gain in pregnancy (by BMI class)?

Answer 1

underweight (BMI 30 kg/m2) total weight gain 11 - 20 pounds

Question 2

D/o to screen for in Ashkenazi Jewish populations seeking pre-conception genetic counselling?

Answer 2

Fanconi anemia, Tay-Sachs disease, Cystic Fibrosis, and Niemann-Pick disease are all autosomal recessive conditions that occur at an increased incidence in Jews of Ashkenazi descent

Question 3

Fetal malformations associated w/ valproate?

Answer 3

neural tube defects, hydrocephalus and craniofacial malformations

Question 4

What aneuploidy screening has the highest detection rate?

Answer 4

Sequential screen: (first trimester NT and PAPP-A + second trimester quad screen)

Question 5

What is the risk of fetal loss w/ CVS?

Answer 5

risk of fetal loss associated with CVS is approximately 1% (unrelated to prior miscarriage rate)

Question 6

What is the most common form of inherited mental retardation?

Answer 6

Fragile-X syndrome

Question 7

“wnl” cut-off for 1hr glucose challenge in preg?

Answer 7

???

Question 8

Risk factors associated w/ GDM vs. pre-preg DM?

Answer 8

IUGR is typically seen in women with pre-existing diabetes and not with gestational diabetes. Shoulder dystocia, metabolic disturbances, preeclampsia, polyhydramnios and fetal macrosomia are all associated risks of gestational diabetes.

Question 9

Folic acid doses for no risk vs. high risk?

Answer 9

0.4mg QD or 4.0mg QD

Question 10

RDA of protein for preg women?

Answer 10

appx 70 gm/day

Question 11

Recommended weight gain during pregnancy for underweight (BMI < 18) women?

Answer 11

28-40 lbs

Question 12

Recommended weight gain during pregnancy for normoweight (BMI 18.5-24.9) women?

Answer 12

25-35

Question 13

Recommended weight gain during pregnancy for overweight (BMI 25-29.9) women?

Answer 13

15-25

Question 14

Recommended weight gain during pregnancy for obese (BMI > 30) women?

Answer 14

11-20

Question 15

Is ibuprofen safe to take in pregnancy?

Answer 15

Yes, until 32 weeks gestation at which time the ductus arteriosus is maturing

Question 16

What are labor warning signs?

Answer 16

ctx q5min x1hr; SROM; FM < 10/2hrs; or VB

Question 17

Ob R.O.S.?

Answer 17

LOF? VB? FM? h/a? RUQ pain? visual changes? n/v? weight loss?

Question 18

Mnemonic for interpreting fetal tracings?

Answer 18

V: Variable decelerations C: Cord Compression
E: Early decelerations H: Head compression/movement
A: Accelerations O: Okay-it’s a good thing!
L: Late decelerations P: Placental insufficiency

Question 19

Signs of Trisomy 21

Answer 19

flattened nasal bridge, small size and small rotated, cup-shaped ears, sandal gap toes, hypotonia, a protruding tongue, short broad hands, Simian creases, epicanthic folds, and oblique palpebral fissures

Question 20

wide-spaced nipples and lymphedema are signs of?

Answer 20

Turner Syndrome

Question 21

Large plethoric twin

Answer 21

Think incr risk of polycythemia d/t twin-twin transfusion syndrome

Question 22

Metabolic disturbances commonly seen in babies born to mothers w/ DM or gDM?

Answer 22

hypoglycemia, polycythemia, hyperbilirubinemia, hypocalcemia and respiratory distress

Question 23

Initial Mgmt of baby born to HIV+ mother?

Answer 23

Start AZT immediately and begin testing at 24 hrs

Question 24

APGAR

Answer 24

Appearance, Pulse, Grimmace (reflex), Activity and Respirations

Question 25

Definition of PPH

Answer 25

EBL > 500 mL (vag) or > 1000 mL (section)

Question 26

DDx for pp fever?

Answer 26

UTI, lower genital tract infx, wound infx, pulm infx, thrombophlebitis, and mastitis

Question 27

Cut-off between PP blues and PP depression?

Answer 27

Two weeks

Question 28

How to inhibit lactation in a woman who does not want to breastfeed PP?

Answer 28

breast binding, ice packs and analgesics

Question 29

Usual suspect organism in mastitis in breast-feeding woman?

Answer 29

strep from baby’s mouth

Question 30

S/Sx of candidial mastitis?

Answer 30

HPI: severe pain worse with feeding; P.E.: tips of nips are pink and shiny w/ periph peeling

Question 31

Signs that baby is gettting enough milk?

Answer 31

3-4 stools in 24 hours, six wet diapers in 24 hours, weight gain and sounds of swallowing

Question 32

suckling incr release of ______ which causes the breast to incr _______

Answer 32

oxytocin; milk letdown

Question 33

ref range for progesterone in a healthy pregnancy?

Answer 33

> 25 ng/mL