Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Step2CK > OB Uworld > Flashcards

OB Uworld Flashcards

1
Q

causes of asymmetric fetal growth restrictions

A 
vascular disease like HTN and preeclampsia and DM
antiphospholipids Ab
autoimmune
cyanotic cardiac disease
substance abuse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

causes of symmetric fetal growth restrictions

A

genetic
congenital heart disease
intrauterine infections: malaria CMV, rubella, toxo, varicella)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

causes of variable heart decelerations

A

cord compression
oligohydramnios
cord prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Tx variable decelerations

A

maternal repositioning to left lateral then if fail to improve do amnioinfusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

PPROM and fetus has bilateral renal agenesis

next step

A

allow spontaneous vaginal delivery because baby wont survive anyway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when to do C section no matter what

A

prior classic cesarean (vertical)

myomectomies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

postpartum endometritis

A

fever greater than 100.4 outside first 24 hours postpartum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

risk factors postpartum endometritis

A

prolonged rupture of membranes
prolonged labor >12 hours
C section
use of intrauterine pressure catheters or fetal scalp electrodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

signs Sx of endometritis postpratum

A

fever, uterine tenderness foul smelling lochia and leukocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

pathogens in postpartum enodmetritis

A

polymicrobial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Antibiotics for postpartum endometritis

A

clinda and genta IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

low grade fever and leukocytosis in first 24 hours postpartum

A

normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

management of missed spontaneous abortion

A

D and C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

indication for induction labor for fetal demise

A

when coagulation studies are low normal range

impending DIC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

chorioamninitis

A

prolonged rupture of membranes

>18 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dx chorioamnionitis

A

maternal fever and 1+:

  • uterine tenderness
  • maternal or fetal tachy
  • malodorous amniotic fluid
  • purulent vaginal discharge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

risk factor for chorioamnionitis

A

prolonged rupture of membranes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

management chorioamnionitis

A

broad spec antibiotics and delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Dx intrauterine fetal demise

A

US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

patient has confirmed intrauterine fetal demise and passes baby. next step to address?

A

autopsy to determine cause and if can prevent for future pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

when is serial bhCG monitoring required post delivery

A

for molar pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what can you give patient if want to pass their spontaneous abortion at home

A

misoprostol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

when to give anti D Ig or rhogam

A 
28-32 weeks in Rh negative patient
within 72 hours of delivery
ectopic
molar
CSV or amniocentesis
abdominal trauma
2nd and 3rd trimester bleeding
external cephalic version
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

management for preterm labor

A

tocolytics, NSAIDs

corticosteroids and MgSO4 for neuroprotection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

risk for fetus if mom has Hx of anorexia nervosa

A

higher risk for baby small for gestational age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

common findings in anorexic patients

A 
osteoporosis
elevated cholesterol and carotene
cardiac arrythmias like long QT
euthyroid sick syndrome
HPA dysfunction
hyponatremia from drinking excess water
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

very high AFP is associated with what

A

open NT defects
ventral wall defects
multiple gestation

28
Q

placenta previa with bleeding at 37 weeks

hemodynamically stable

A

C section

29
Q

greatest risk placental abruption

A

DIC

30
Q

risk factors for placental abruption

A

tobacco use and preeclampsia

31
Q

tonic clonic seziure in pregnancy and now has arm adducted and internally rotated
normal DTR and strength

A

posterior shoulder dislocation

32
Q

contraindications to external cephalic version

A 
indications for c sextion
placental abnormalities
oligohydramnios
ruptured membranes
hyperextended fetal head
fetal or uterine anomaly
multiple gestation
33
Q

what vaccines can be given during pregnancy

A

Tdap and inactivated influenza

34
Q

avoid conception for how long after live attentuated vaccines

A

4 weeks

35
Q

severe features preeclampsia

A 
proteinuria or end organ damage
BP >160 ?110 on 2 occasions more than 4 hours apart
thrombocytopenia
Cr >1.1
inc LFTs
Pulmonary edema
new onset visual or cerebral Sx
36
Q

Tx preeclampsia

A

delivery if term

MgSO4 and hydralazine or labetolol or nifedipine PO

37
Q

most comon cause postpartum hemorrhage

A

uterine atony

38
Q

Tx uterine atony

A

bimanual uterine massage
IV fluids, oxygen
Uterotonic medications (oxytocin, methylergonovine, carboprost, misoprostol)

39
Q

risk factors uterine rupture

A

prior uterine surgery
induction labor or prolonged
congenital uterine anomalies
fetal macrosomia

40
Q

presentation uterine rupture

A 
vaginal bleeding
intra abdominal bleeding (hypotension)
fetal deceleartions
loss of fetal station
loss of intrauterine pressure
41
Q

suspect ectopic, and transabominal US shows no implant in uterus
next step

A

transvaginal US

42
Q

when do majority breech presentation self correct by

A

37 weeks

43
Q

risk factors placental abruption

A

cocaine and HTN

44
Q

is there pain with problems with vasa previa

A

no

45
Q

management threatened abortion

A

reassurance and US one week later

bed rest and no sex

46
Q

lumpke palsy presentation

A

extended wrist
hyperextened MCP join with flexed ICP joints
absent grasp reflex

can also get ptosis and miosis
injury to C8 and T1

47
Q

erb duchenne

A

decreased moro and biceps reflexes
waiters tip
intact grasp

48
Q

risk for chorioamnionitis

A

protracted labor and prolonged membrane rupture

49
Q

pain RUQ with HELPP

A

distention liver capsule

50
Q

hard to breath with preeclampsia is from what

A

pulmonary edema from increased pulmonary capillary pressure from increased afterlod from generalized arterial vasoaspasms

51
Q

screen all women at first visit for what

A

syphilis Hep B and HIV

52
Q

when to screen for Hep C in pregnant women

A

HIV patients and those at high risk

53
Q

risk for uterine inversion

A

nulliparity, fetal macrosomia

placenta acreta and rapid labor and delivery

54
Q

management uterine inversion

A

aggressive fluid replacement
manual replacement uterus
placental removala nd uterotonic durgs after replacement

55
Q

greates risk for pregnancy in someone with primary HTN

A

preterm labor

56
Q

US of placental abruption can show what

A

retroperitoneal hemorrhage

57
Q

first step placental abruption

A

aggressive fluid resuscitation with crystalloids and put in L lateral decubitus

58
Q

old patient with vulvar atrophy and urinary Sx

cause of urinary problems

A

estrogen deficiency

59
Q

if patient quad screen shows low AFP and estriol with high bhCG and inhibin A
at 18 weeks
next step

A

US to look for endocardial cushion defects, duodenal atresia, cystic hygroma

60
Q

PPROM with unknown GBS status

A

give penicillin

61
Q

Tx septic abortion

A

suction curretage

62
Q

preterm labor and many late declerations

next step

A

C section

63
Q

problem with dribbling urinary Sx post partum

A

urinary retention because of epidural

64
Q

risk uterine rupture

A

previous C section

scar!!

65
Q

loss of fetal station, fetus retracts

A

uterine rupture

66
Q

contraindication to breastfeeding

A 
active substance abuse
unTx active TB
maternal HIB
herpetic lesions
varicella infection
67
Q

lab findings in hyperemesis gravidarum

A

severe persistent vomiting
fluid and electrolyte abnormalities
ketones!!! in urine
>5% body weight loss

Step2CK (26 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions