Obsterics Miscellaneous Flashcards

1
Q

Effect of Factor V Leiden deficiency on expectant mother

A

Increases risk of VTE throughout life, compounds the normal increase in risk in puerperium.

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2
Q

Epilepsy in the pregnant

A

Increased f of episodes during pregnancy

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3
Q

What pre existing maternal condition has increased risk of fetal macrosomia if condition not well controlled?

A

Diabetes

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4
Q

What condition can cause maternal muscle fatigue in labour?

A

Myasthenia Gravis

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5
Q

What pre existing maternal condition requires prophylactic Abx for instrumental delivery?

A

Congenital heart valve problems due to infection risk

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6
Q

In describing twin pregnancies, how are they described?

A

Twins count as one pregnancy but two live births.

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7
Q

A woman currently pregnant who has had a previous term delivery.

A

G2P1

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8
Q

A woman not currently pregnant who has had one previous termination , one early miscarriage and one still birth at 36/40.

A

G3P1

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9
Q

A woman who attends for pre conception counselling, never having been pregnant.

A

G0P0

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10
Q

A woman currently pregnant with twins who has had one previous early miscarriage.

A

G2P0

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11
Q

A woman not currently pregnant who previously had a twin delivery at 28/40.

A

G1P2

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12
Q

Prolactin in pregnancy

A

Levels 15x higher in third trimester than in non pregnant state. Produced by ant pituitary gland and is essential for milk production.

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13
Q

Prostaglandins in pregnancy

A

Induces the process of cervical remodelling

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14
Q

Local collagenase in pregnancy

A

Aids in cervical softening

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15
Q

What regulates local uterine blood flow through endothelial effects in pregnancy

A

Cortisol

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16
Q

Triple test consists of

A

Bhcg, alpha-fetoprotein, oestriol

17
Q

Oxytocin and ADH are released from?

A

Post pituitary gland

18
Q

Antenatal care FBE taken at

A

At booking and 28/40

19
Q

Screening test for pre-eclampsia

A

BP measurement and proteinuria

20
Q

Fetal anomaly scan is scheduled for

A

18-22/40

21
Q

In a normal pregnancy when is a membrane sweep offered?

A

At 41/40 to avoid induction in post- date pregnancy

22
Q

Anti-D prophylaxis given

A

At 28/40 & 34/40

23
Q

Effect of smoking during pregnancy…

A

Reduces intrauterine growth in a dose-dependant manner.

24
Q

Ideal dating of pregnancy

A

US wk 10-14 using crown rump length.

25
Q

14/40-20/40 US dating parameter?

A

Head circumference

26
Q

Marker of asymmetric IUGR?

A

Hc/Ac ratio

Head bigger than abdo circumference due to brain sparing.