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WOMEN'S HEALTH > Pregnancy > Flashcards

Pregnancy Flashcards

1
Q

2 supplements recommended for pregnancy

A

Folic acid 0.5 or 5 12 weeks before and until 1st trimester
Iodine 150 throughout pregnancy

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2
Q

4 Hyperemesis gravidarum criteria

A
  • electrolyte imbalance
  • moderate to severe dehydration
  • loss of > 5% of body weight
  • ketosis
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3
Q

Medication for hyperemesis gravidarum with the least side effects

A

Pyridoxine or vitamin B6

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4
Q

Cervical shortening cutoff

A

2.5cm

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5
Q

Drug of choice for antenatal thrombophylaxis

A

Low molecular weight heparin (enoxaparin)

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6
Q

Postnatal thrombophylaxis

A

Warfarin and LMWH

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7
Q

Teratogenic effects of warfarin on the 1st trimester

A

fetal chodrodyplasia punctata

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8
Q

Teratogenic effects of warfarin on the 2nd trimester

A

mental retardation
fetal optic atrophy

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9
Q

2 definitive tests for PE

A

Ventilation perfusion syntigraphy and CTPA

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10
Q

7 indications of anti D administration

A

Spontaneous abortion
ECV
Significant closed intraabdominal trauma
Termination of pregnancy
Chorionic villus sampling
Ectopic
Threatened abortion after 12 weeks

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11
Q

UTI meds for pregnancy

A

Cephalexin, Coamoxiclav, Nitrofurantoin

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12
Q

What AOG is cerclage best done

A

22-24 AOG

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13
Q

2 Indications for cerclage

A

2 ore more consecutive prior 2nd trimester pregnancy losses
3 or more preterm births before 34 weeks

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14
Q

Criteria to qualify as hydrops fetalis (4)

A

abnormal accumulation of fluid in 2 or more compartments
- ascites
- pleural eff
- pericardial eff
- skin edema (skin thickness >5mm)

conditional:
placental thickening
polyhydramnios

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15
Q

2 types of hydrops fetalis

A

Immune and non immune

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16
Q

Cause of immune hydrops fetalis

A

ABO group incompatibility

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17
Q

4 causes of hydrops fetalis

A

hemolytic disease of the newborn
severe anemia
chromosomal abnormalities
CHD

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18
Q

6 Effects of tabacco during pregnancy

A

Premature brith
Spontaneous abortion
Low birth weight
Still birth
Placenta previa
Placental abruption (double if >20 cigarettes per day)

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19
Q

Fetal alcohol syndrome facial abnormalities (3)

A

smooth philthrum
thin upper lip
small palpebral fissures

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20
Q

FAS (3)

A

Facial abnormalities
CNS
Growth deficit

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21
Q

APAS criteria

A

1clinical and 1 laboratory (2 positive results 12 weeks apart)

Clinical
Vascular thrombosis
Pregnancy morbidity

Lab
Lupus anticoagulant
Anticardiolipin antibody
Anti B2 glycoprotein antibody

22
Q

Treatment for APAS

A

Aspirin and Heparin (LMWH or Unfractionated)

23
Q

Best time to perform ultrasound to check for physical abnormalities including neural tube defects

A

18-20

24
Q

Best time for Down syndrome screening

A

15-17 weeks

25
Q

Second trimester screening tests for down syndrome and results (4)

A

free BHCG increased
AFP dececreased
Unconjugated estriol decreased
Inhibin A increased

26
Q

When is amniocentesis best done

A

16-18

27
Q

When is chorionic villous sampling best done

A

10-12

28
Q

Frist trimester serum screening for Down syndrome

A

Free BHCG inc
PAPP-A decreased

plus nuchal translucency

29
Q

Safest option for RA in pregnancy

A

Corticosteroids

Sulfasalazine and HCQ can also be used

30
Q

6 list of risk factors for cord prolapse

A

PROM
Polyhy
Breech
Multiparity
Multiple gestation
GDM

31
Q

What can be given to women who have a history of idiopathic preterm delivery detected by UTZ who do not meet the criteria for cerclage

A

Vaginal progesterone

32
Q

7 risk factors for spontaneous abortion

A

35 years old
smoking
high doses of caffeine
uterine abnormalities
viral infection
thrombophilia
chromosomal abnormlaities

33
Q

Subarachnoid hemorrhage

A
  1. rule out intracranial hemorrhage by CT
  2. If no intracranial hemorrhage, may give aspirin and do an LP (12 hours after onset of headache)
34
Q

What cardiac condition can lead to death during pregnancy

A

MS

35
Q

Complication of longstanding MS in pregnancy

A

Pulmonary hypertension

36
Q

Well tolerated cardiac pathologies during pregnancy (4)

A

MVR
TR
AR
AS

37
Q

Contributing factors in the development of pulmonary edema in pregnancy (3)

A

Increase blood volume
Increase cardiac output
Tachycardia

38
Q

Most common method of termination of pregnancy before 20 weeks in AUS

A

Suction curettage

39
Q

What AOG is suction curettage for abortion most applicable

A

6-14 AOG

40
Q

What AOG is medical abortion most applicable

A

4-9

41
Q

3 options for medical abortion (cite the 3 meds)

A

Misoprostol
Mifepristone
MTX

42
Q

How to give mifepristone?

A

single dose of mifepristone followed after 2 days by misoprostol q4

43
Q

How to give Methotrexate

A

MTX followed by 7 days of misoprostol

44
Q

Until what AOG is the possibility of spontaneous version

A

36-37 AOG

45
Q

5 recommendations for discontinuation of antiepileptic drugs

A

seizure free more than 2 years
explained risk and benefits
risk of recurrence
withdrawal must be guided by specialist
carried out slowly 3-6 months

46
Q

4 antihypertensives that are not deemed safe for the baby as they are excreted into breast milk in sufficient amounts to affect the infant.

A

Atenolol, prazosin, lisinopril, and frusemide

47
Q

3 antihypertensives safe for both the mother and the baby during lactation.

A

Propranolol, labetalol, and metoprolol

48
Q

Fetotoxic Vitamin

A

Vitamin A

49
Q
A
50
Q

3 antihypertensives safe for both the mother and the baby during lactation.

A

Propranolol, labetalol, and metoprolol

WOMEN'S HEALTH (13 decks)

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