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Women's Health EOR > Pregnancy Complications > Flashcards

Pregnancy Complications Flashcards

1
Q

Complete abortion

A

Complete expulsion of all products of conception before 20 weeks

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2
Q

Complete abortion tx

A

None

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3
Q

Incomplete abortion

A

Partial expulsion of some but not all POC before 20 weeks

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4
Q

Incomplete abortion tx

A

D&C
Prostaglandins

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5
Q

Inevitable abortion

A

No expulsion of products but vaginal bleeding and dilation of cervix

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6
Q

Inevitable abortion tx

A

Prostaglandins

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7
Q

Missed abortion

A

Death of embryo or fetus before 20 weeks with complete retention of all POC

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8
Q

Missed abortion tx

A

Prostaglandins
D&C

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9
Q

Threatened abortion

A

Any vaginal bleeding before 20 weeks without dilation of cervix

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10
Q

Threatened abortion tx

A

Monitor closely

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11
Q

MC location for ectopic

A

Ampulla

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12
Q

S/S of ectopic pregnancy

A

Amenorrhea
Vaginal bleeding
Lower abdominal pain
Adnexal mass

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13
Q

HCG of ectopic

A

Does not double every 48 hours as it should

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14
Q

Diagnosis of ectopic pregnancy

A

US

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15
Q

Tx of ectopic pregnancy

A

Methotrexate
Surgical removal

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16
Q

Complete mole

A

46, XX, or XY
Both sets of chromosomes are paternal

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17
Q

S/S of complete mole

A

Vaginal bleeding
Large for date
HCG over 100,000

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18
Q

Diagnosis of complete mole

A

Snowstorm on US

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19
Q

Incomplete mole

A

69, XXX, or XXY
Two paternal haploid sets and one maternal

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20
Q

Diagnosis of incomplete mole

A

Thickened multicystic placenta

21
Q

S/S of incomplete mole

A

Missed abortion
Small for date

22
Q

Management of molar pregnancy

A

D&C
Pitocin and Rhogam should be given

23
Q

Goals for glucose control in gestational diabetes

A

Preprandial 70-100
Postprandial 100-129
A1C < 7

24
Q

Glucose challenge test

A

1 hour test between 24-28 weeks
Then 3 hour if positive

25
Q

Treatment of gestational DM

A

First diet modification and exercise
Metformin
Insulin

26
Q

When is elective c-section considered for gestational DM?

A

Weight > 4500g

27
Q

Risks of gestational DM

A

Stillbirth
Macrosomia
Obesity

28
Q

Risk factors for cervical insufficiency

A

D&C
Conization
LEEP

29
Q

US of cervical insufficiency

A

Cervix shorter than 2.5 cm

30
Q

When is cerclage placed?

A

Rescue: up until 24 weeks
Elective: 12-14 weeks

31
Q

MCC of third trimester bleeding

A

Placental abruption

32
Q

S/S of placental abruption

A

Painful vaginal bleeding

33
Q

S/S of placenta previa

A

Painless vaginal bleeding

34
Q

Diagnosis of placenta previa

A

TV US

35
Q

Preeclampsia

A

Onset of hypertension and proteinuria after 20 weeks
SBP > 140 OR DBP > 90
Proteinuria of >/= 0.3 g in 24 hour urine specimen

36
Q

Eclampsia

A

Occurrence of generalized convulsion in the setting of preeclampsia

37
Q

HELLP syndrome

A

Hemolysis
Elevated liver enzymes
Low platelets

38
Q

Definitive treatment of preeclampsia

A

Delivery

39
Q

Primary prevention for preeclampsia

A

Magnesium sulfate

40
Q

When are steroids given for preterm infants?

A

Before 28 weeks

41
Q

Gestational HTN

A

HTN after 20 weeks

42
Q

Treatment of gestational HTN

A

Labetalol
Methyldopa
Nifedipine

43
Q

Reduce risk of preeclampsia

A

Low dose ASA

44
Q

Rh incompatibility

A

Rh- mom and Rh+ baby

45
Q

Result of Rh incompatibility

A

Hemolysis of fetal RBC leading to hydrops fetalis

46
Q

Administration of Rhogam

A

28 weeks
Within 72 hours of delivery

47
Q

S/S of choriocarcinoma

A

Irregular bleeding
Pelvic pain
Hx of molar pregnancy

48
Q

Diagnosis of choriocarcinoma

A

US
Elevated HCG
CT

49
Q

Treatment of choriocarcinoma

A

Chemo + hysterectomy

Women's Health EOR (11 decks)

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