Obstetrics Flashcards
1
Q
diagnosing pregnancy
A
- presence of gestational sac (4-5 wks by transvaginal US)
- fetal heart motion (5-6 wks)
- fetal heart sounds (8-10 wks)
- fetal movements (after 20 wks)
2
Q
first trimester ROUTINE tests
A
- CBC
- type and screen
- direct and indirect Coombs
- cervical PAP smear
- UA/urine culture
- rubella Ab
- hepatitis B surface Ag
- VDRL or RPR
- HIV
- cervical culture (chlamydia and gonorrhea)
3
Q
third trimester ROUTINE tests
A
- diabetes (OGTT at 24-28 wks)
- CBC
- indirect Coombs test
- GBS (vaginal and rectal culture at 35-37 wks)
4
Q
- sudden onset vaginal bleeding
- SEVERE, constant pelvic PAIN
- h/o HTN or trauma
A
abruptio placenta
5
Q
- sudden-onset painLESS bleeding
- occurs at REST or during activity w/o warning
- h/o trauma, coitus, or pelvic examination
A
placenta previa
6
Q
placental implantation over a previous uterine scar possibly causing intractable BLEEDING
A
placenta accreta
7
Q
- life-threatening for fetus
- fetal vessels crossing or running in close proximity to the inner os
A
vasa previa
8
Q
- rupture of membranes
- painLESS vaginal bleeding
- fetal bradycardia
A
classic triad for vasa previa
9
Q
first step in management
A
ALWAYS EMERGENCY CESAREAN SECTION
10
Q
- h/o uterine scar w/ SUDDEN-ONSET abdominal pain and vaginal bleeding
- associated w/ loss of electronic fetal HR, uterine contractions, and recession of fetal head
A
uterine rupture
11
Q
ALWAYS r/o what in patients presenting w/ fetal demise?
A
coagulopathy by ordering:
- platelet count
- D-dimer
- fibrinogen
- PT/PTT
12
Q
onset of regular UC
A
stage 1; latent phase effacement
13
Q
prepares cervix for dilation
A
stage 1; active phase dilation
14
Q
10cm cervical dilation
A
stage 2; descent
15
Q
delivery of baby
A
stage 3; expulsion
