Brainscape's Knowledge GenomeTM

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


See full index

COMAT - OBGYN > Obstetric Complications in Pregnancy > Flashcards

Obstetric Complications in Pregnancy Flashcards

1
Q

Where are most Ectopic Pregnancies and what is a risk factor?

A

Tubal
– Tubal scarring from PID/surgery/endometriosis

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

How will an Ectopic Pregnancy present?

A

Vaginal bleeding + abdominal pain following a missed period

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

What diagnostics should be ordered with an Ectopic Pregnancy and what will it show?

A

TVUS = empty uterus
beta-hCG = (+)

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

If the patient is stable with an Ectopic Pregnancy, what medication should be given?

A

Methotrexate

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

If the patient is stable with an Ectopic Pregnancy, what medication should be given?

A

Methotrexate

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

What classifies an abortion? Fetal demise?

A

Expulsion of fetal tissue < 20 weeks = Abortion
– Fetal Demise = > 20 weeks

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

If the Abortion occurs before 13 weeks, what is a surgical treatment option?

A

Dilation and Curettage

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

If the Abortion occurs after 13 weeks, what is a surgical treatment option?

A

Dilation and Evacuation

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

What classifies IUGR?

A

Fetal weight < 10th percentile for gestational age

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

There are many risk factors for IUGR. What diagnostic should be done and what will it show?

A

Umbilical A. Doppler Velocimetry = Reversal of flow

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

What will an Umbilical A. Doppler Velocimetry show with IUGR?

A

Reversal of flow

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

What classifies Fetal Macrosomia?

A

Fetal weight > 95th percentile for gestational age

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

If the fetus is macrosomic and the mother has GDM, when should the C-section be performed?

A

If the infant weighs more than 4500g

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

If the fetus is macrosomic and the mother does NOT have GDM, when should the C-section be performed?

A

If the infant weighs more than 5000g

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

What AFI classifies Polyhydramnios?

A

AFI > 25

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

How may Polyhydramnios present?

A

Fundal height greater than expected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What AFI classifies Oligohydramnios?

A

AFI < 5

18
Q

Oligohydramnios may present how? What fetal anomalies are often present?

A

IUGR or fetal distress
= Renal/MSK anomalies, pulmonary hypoplasia and often fetal mortality

19
Q

What women are at risk for Rh Isoimmunization?

A

Rh (-) women.. like me with A negative blood

20
Q

How does Rh Isoimmunization occur?

A
  • Fetal RBCs leak into maternal circulation
  • Maternal Anti-Rh IgG antibodies form
  • Antibodies cross the placenta
  • Hemolysis of Fetal RBCs = Hydrops Fetalis
21
Q

When is RhoGAM given to Rh (-) mothers?

A

28 weeks and within 72 hours of delivery
– Also with any ectopics/abortions/mixing of fetal and maternal blood

22
Q

If the mother is sensitized with Rh Isoimmunization, what tests need to be done often? Treatment options?

A

Serial US and Amniocentesis to assess fetal anemia
= Preterm delivery or fetal intrauterine blood transfusions

23
Q

What occurs with a Complete Mole?

A

Sperm fertilizes an empty ovum

24
Q

What is the karyotype of a Complete Mole? Will there be fetal tissue present?

A

46 XX
NO fetal tissue present!

25
Q

What is the karyotype of a Complete Mole? Will there be fetal tissue present?

A

46 XX
NO fetal tissue present

26
Q

What occurs with a Partial Mole?

A

2 sperm fertilize 1 normal ovum

27
Q

What is the karyotype of a Partial Mole? Will there be fetal tissue present?

A

69 XXY
Some fetal tissue is present

28
Q

What is the karyotype of a Partial Mole? Will there be fetal tissue present?

A

69 XY
Some fetal tissue is present

29
Q

How may a Molar pregnancy present?

A

1st trimester bleeding
Hyperemesis Gravidarum

30
Q

What may be seen on physical exam/pelvic exam with a Molar Pregnancy?

A
  • Large uterine size
  • Bilateral enlarged ovaries due to theca lutein cysts
  • Grapelike molar clusters into vagina
31
Q

What may be seen on physical exam/pelvic exam with a Molar Pregnancy?

A
  • Large uterine size
  • Bilateral enlarged ovaries due to theca lutein cysts
  • Grapelike Molar clusters into vagina
32
Q

What is commonly seen on US with a Molar Pregnancy?

A

Snowstorm appearance with no gestational sac/fetus

33
Q

What is the treatment for a Molar Pregnancy?

A

D&C with weekly beca-hCG levels

34
Q

Sometimes a Molar pregnancy progresses to?

A

Invasive mole or malignant Choriocarcinoma

35
Q

How do you treat a Mole that becomes a Choriocarcinoma?

A

Chemotherapy

36
Q

What is Chorioamnionitis?

A

Intramniotic infection

37
Q

What are 2 risk factors for Chorioamnionitis?

A

Premature ROM and Prolonged labor

38
Q

What are the signs of Chorioamnionitis?

A

Maternal FEVER + 1 of the following:
- Maternal Leukocytosis
- Purulent Amniotic fluid
- Fetal Tachycardia

39
Q

What are the signs of Chorioamnionitis?

A

Maternal FEVER + 1 of the following:
- Maternal Leukocytosis
- Purulent Amniotic fluid
- Fetal Tachycardia

40
Q

What is the treatment for Chorioamnionitis?

A

Antibiotics + IMMEDIATE delivery

COMAT - OBGYN (12 decks)

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