Obstetrics Flashcards
What are the primary causes of third-trimester bleeding?
Placental abruption and placenta previa
What is the classic ultrasonography and gross appearance of complete hydatidiform mole?
Snowstorm on ultrasound
“Cluster of grapes” appearance on gross examination
What is the chromosomal pattern of a complete mole?
46,XX
What do you call a molar pregnancy containing fetal tissue?
Partial mole
What presents with continuous, PAINFUL vaginal bleeding?
Placental abruption
What presents with self-limiting, PAINLESS vaginal bleeding?
Placenta previa
When should a vaginal exam be performed with suspected placental previa?
NEVER!!
What antibiotics have teratogenic effects?
Tetracycline
Fluoroquinolone
Aminoglycosides
Sulfonamies
What medication is given to accelerate fetal lung maturity?
Betamethasone or dexamethasone x 48hrs
What is the most common cause of postpartum hemorrhage?
Uterine atony
What is the treatment for postpartum hemorrhage?
Uterine massage
If fails, give oxytocin
What are the typical antibiotics for Group B strep prophylaxis?
IV penicillin or ampicillin
A patient fails to lactate after an emergency C-section with marked blood loss, what condition does she have?
Sheehan syndrome (postpartum pituitary necrosis)
Uterine bleeding at 18 weeks gestation; no products expelled; cervical os open.
Inevitable abortion
Uterine bleeding at 18 weeks gestation; no products expelled; cervical os closed.
Threatened abortion
