OGG Flashcards
what is a hysterosalpingogram (HSG)
They put dye in the uterus and tubes and then x-ray to see whether the fallopian tubes are patent (open) and if the inside of the uterus (uterine cavity) is normal.
for tay sachs disease, how many parents need to be carriers to risk an affected child?
both
how do you DDX intrauterine from ectopic pregnancy?
ultrasound
what is a full term pregnancy?
40 weeks from LMP (38-42 weeks)
what changes happen in maternal physiology?
skin - estrogen stimulates melanocytes (linea alba, areola, dark scars)
what vitamins are important in pregnancy for vegetarians who don’t eat meat or dairy
B12
what vitamin is a teratogenic?
Vitamin A
beta-carotene is seen as OK
what is the pathophysiology of preeclampsia?
generalized vasospasm
decreased blood supply to brain and other organs
Presents after 20 weeks - usually in the last trimester
what is the Tx for preeclampsia
bed rest
what is the management for shoulder dystocia?
corkscrew maneuver to rotate baby’s shoulders
what happens at term?
vertex over the pelvic inlet engagement into the pelvis begin effacement and dilation cervical ripening (softening) pass mucus from cervix effacement (thinning) and dilation of cervix
what is the longest phase of labor?
latent phase
- contractions 5 to 20 minutes
- duration 20 sec or longer
- about 0-3 cm dilated
what is the concern of prolonged rupture of membranes?
increased risk of infection after 24 hours
how do you monitor fetus through birth?
external fetal monitor
at the 5 minute APGAR, what is a bad score?
below 6
think neurologic sequelae
what is the cheesy substance that covers newborn?
vernix caseosa
what reflex is normal in a baby but abnormal in adult?
babinski should be positive in newborn
what is puerperium?
6 week period postpartum when organs are returning back to pre-pregnancy regions
what is a high risk of puerperium?
UTIs
- LBP
- CVA tenderness
- fever
- nausea and vomitting
during pregnancy, when should someone do a diabetes screen
24-28 weeks
how does preeclampsia-eclampsia present? (3)
hypertension
edema/weight gain
proteinuria
what is the tx for preeclampsia
bed rest
high protein diet
magnesium sulphate