Obstets Flashcards

1
Q

Paragard

A

Non-hormonal IUD

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2
Q

Epulis

A

“Pregnancy tumor” of the mouth

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3
Q

PUPP

A

Pruritic urticarial papules and plaques of pregnancy

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4
Q

etonogestrel

A

Progesterone in implant

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5
Q

How long can paragard stay in place for?

A

10 yrs

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6
Q

How long after event can emergency contraception be taken?

A

5 days

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7
Q

When should quickening occur?

A

18-20 wks

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8
Q

DOC to induce uterine contractions for spontaneous abortion

A

Misoprostol

prostaglandin analog

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9
Q

Tocolytics generally not used past which week gestation?

A

34

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10
Q

DOC to delay labor from 24 - 32 wks

A

Indomethican

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11
Q

2nd line therapy to stop labor

A

Nifedipine

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12
Q

DOC at 32 - 34 wks to stop labor

A

Nifedipine

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13
Q

2nd line for preterm labor btw 34 and 34 wks

A

Beta andregenic receptor agonist (Terbutaline)

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14
Q

3rd line to prevent preterm labor

A

Magnesium sulfate

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15
Q

Preferred steroid for fetal development

A

Betamethasone is prefered
or
Non-sulfite dex

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16
Q

Prolonged rupture of membranes for >18 hrs =

A

B strep tx

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17
Q

Should abx be given to B-strep+ mothers if undergoing c-section?

A

No, unless membranes rupture

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18
Q

B strep prophylaxis meds

A
PCN G or Ampicillin
or if allergic
Ancef
or if anaphylactic
Clincamycin
19
Q

Abx prophylaxis for premature membrane rupture

A
1g azithro upon admission
then
ampicillin 2g IV
then
Amoxacillin PO
20
Q

uterotonic DOC for bleeding

A

Oxytocin

21
Q

Oxytocin dosage

A

40 units in 1L saline
10-40 ml/m
Should respond in 1 m if IV

22
Q

Order of drug administration of postpartum hemorrhage

A

Oxytocin then
Misoprostol then
Methyrogonovine
Carboprost tromethamine (hemabate)

23
Q

Severe HTN during labor drug

A

IV lebatalol
or Hydralazine
or Nifedipine

24
Q

Seizure prophylaxis

A

Mag sulfate

25
Q

What treats magnesium toxicity?

A

Calcium gluconate

26
Q

Preferred laxative in pregnancy

A

Bulk forming - not absorbed

Metamucil

27
Q

2nd line laxatives for refractory cases

A

Dulcolax

MOM

28
Q

GERD tx in order

A
Lifestyle mod
Antacids
Sucralafate
Zantac (H2)
Prevacid (PPI)
29
Q

DOC for maternal pain and fever

A

Tylenol

30
Q

NSAIDS and pregnancy

A

Don’t use, especially after 30 wks

31
Q

preg cough suppressant

A

Mucinex (C)

Robitussin (C)

32
Q

Rhinorrhea tx

A

Ipatropium bormie

33
Q

Which days of the cycle are women most fertile?

A

btw 11 and 21

34
Q

How long does it take to start ovulating after stopping the pill?

A

2 wks

35
Q

Medical mgmt of stable ectopic pregnancy

A

Methotrexate

36
Q

Snowy uterus

A

Hydatidiform mole

37
Q

Abdominal pain, contraction and bleeding =

A

Placental abruption

38
Q

Retroplacental hematoma =

A

Placental abruption

39
Q

Which vitamin can tx hyperemesis?

A

B6
then
Promethazine or zofran

40
Q

HTN tx for mild preeclampsia

A

Hydralazine or
Methyldopa
and
ASA

41
Q

HTN, RUQ tenderness, abnormal liver enzymes =

A

HELLP

42
Q

if fFN in present in 2nd or 3rd tri what does it indicate?

A

High risk of pre-term labor

43
Q

Group B strep screening occurs when?

A

35-37 wks

44
Q

Meds to deliver placenta

A

IV Nitro

Umbillican pitocin