Quiz2 Flashcards
quickening occurs at how many weeks gestation?
18-20
Congestion and a bluish color of the vagina in early pregnancy?
Chadwick sign
Softening of the cervix on PE in early preg
Hegar sign
Excluding fetal HR reactivity, the part of biophysical profile considered most imp. is?
Qualitative amniotic fluid level
which aspect of amniotic fluid is in calculating the score in a biophysical profile?
Volume
The inheritance of Huntington disease is?
AD
The inheritance of Marfan Syndrome is?
AD
33yo pt, aunt Dx w breast ca. at 49 and her grandfather had lung ca. you recommend?
annual clinical breast exams, no further testing at this time
the quad screen adds what marker?
Inhibin A
MC complication of CVS?
bleeding
what rate of cervical dilation is considered a protraction disorder in nulliparous pts?
less than 1cm per hr
for a pt. in active labor, this provides a quantitative measurement of the strength of her uterine contractions
Intrauterine pressure catheter
management for prolonged latent phase?
sedation
Low forceps-assisted vaginal delivery occurs w the fetal head at what position?
AT the +2 station
In high risk cases, intermittent FHR auscultation should be atleast how often during active phase of labor?
every 15mins
In high risk cases, intermittent FHR auscultation should be at least how often during secoud phase of labor?
every 5 mins
During resuscitation of the newborn, metabolic well-being is best assessed by measurement of?
umbilical cord blood gases
acute bilirubin encephalopathy or kernicterus is assoc with total serum bilirubin greater than?
30mg/dL
After delivery, infant vital signs should be taken at what interval?
every 30mins until the signs are stable for 2hrs
Uterine involution is due to a decrease in the
size of cells in uterine myometrium
when is the endometrium re-est. after delivery in most pts?
3rd week
Lochia rapidly decreases in amt. over the first ____ days post-partum, but can last several wks
2-3 days
passage of placental eschar commonly begins btwn
8-14 days postpartum
Abortion is termination of preg before what gestational age?
20wks
80% of spontaneous abortions occur by what gestational age?
incidence of clinically recognized spontaneous abortion?
12wks ;
15-25%
Recurrent early abortion is assoc w what chance that one parent is an ASx carrier of a Chr abnormality?
3%
which location of leiomyomata is most assoc w spontaneous abortion?
submucosal
approx what % of threatened abortions proceed to spontaneous abortion?
50%
Asherman Sy is confirmed by ?
Tx involoves lysis of the adhesions and with?
hysteroscopy ;
estrogen
Postabortal Sy results from
uterine atony
etiology for vaginal bleeding in cases of ectopic is?
sloughing of decidua
early in preg, quantitative bhCG levels should increase by what % in 48hrs?
66
what aspect of preg is the serum progesterone most useful in assessing?
Viability
primary risk factor in pts w a cervical ectopic?
h/o D&C
tubal pregnancy in what region typically presents later than those in other areas?
isthmic
24yo undergoing laprascopy for otherwise unexplained infertility, what are the chances endometriosis will be found in this woman?
what is the most likely site?
20%-40%;
posterior cul-de-sac
a pt. w complete obliteration of the cul de sac by adhesions has?
severe disease
if pt with chronic pelvic pain underwent laprascopy, the likelihood that an identifiable cause will be found is approx?
60-70%
tender symmetrically enlarged “boggy” uterus suggests?
Adenomyosis
Thickening of the adnexa is most consistent with?
PID
what med may help treats IBS Sxs?
Hyoscyamine
NSAIDs act to reduce?
uterine contractile activity
avg age of menopause?
51
ovarian fxn requires pulsatile secretion gnRH at what interval?
60-240 mins
this hormone stimulates the granulose cells of the primary ovarian follicle
FSH
what principle sex steroid is secreted by the granulose cells
estradiol
underweight teen runs track, most likely cause of amenorrhea is an abnormality at the level of ?
the hypothalamus
in premenstrual Sy, there is a Sx free period of atleast?
1 wk per cycle
PMDD occurs in what % of women?
5
hormone most likely related to underlying etiology of PMDD?
serotonin
first line Tx for managing Sxs of PMS?
what else significantly improves Sxs?
complex carb diet (eliminate fat);
aerobic exercise and oral contraceptives
