truelearn Flashcards
Negative contraction stress test
No late or sig variable decels
Postitive contraction stress test
late decels after 50% or more contractions
equivocal contraction stress test
FHR decels occurring in the presence of contractions more frequent than Q2min or lasting longer than 90 sec
unsatisfactory contraction stress test
fewer than 3 contractions in 10 min or uninterpretable
after one twin dies in monochorionic twins what is the risk of neurologic injury and death to the other twin
neurologic injury - 18%
death - 15%
after one twin dies in dichorionic twins what is the risk of neurologic injury and death to the other twin
Neurologic injury - 1%
Death- 3%
which mullarian anomaly is most common among patients with recurrent pregnancy loss
septate uterus
cervical cancer staging IA1 vs IA2 vs IB1-3
IA1 stromal invasion < 3mm
IA2 >3mm <5mm in depth
IB1: >5mm depth and < 2cm greatest dimensions
IB2: 2-4 cm
IB3: > 4 cm
cervical cancer stage II
Invades beyond the uterus, but has not extended onto the lower third of the vagina or to the pelvic wall
cervical cancer stage III
Involves the lower third of the vagina (A) and/or extends to the pelvic wall and/or causes hydronephrosis or non-functioning kidney (B) and/or involves pelvic and/or paraaortic lymph nodes (C)
Cervical cancer stage IV
Carcinoma has extended beyond the true pelvis or has involved (biopsy proven) the mucosa of the bladder or rectum
surrogate decision maker
decision made for an incapacitated patient by a family or close friend who is not legally appointed
what is postmaturity syndrome
decreased subcutaneous fat lack of vernix lack of lanugo mec oligo
occurs in 15-20% postterm pregnancies
recommended intake of vit D in pregnancy
600 IU
1000-2000 if deficient
neg low dose dexamethosone suppression test with positive high dose
pituitary adenoma
clinical dx criteria for APLS
- Arterial or venous thrombotic event
- ≥1 unexplained deaths of morphologically normal fetuses after the 10th week of gestation by ultrasound or direct examination of the fetus
- ≥1 premature births of a morphologically normal neonate < 34 weeks gestation because of eclampsia or severe preeclampsia or recognized features of placental insufficiency
- ≥3 unexplained consecutive spontaneous abortions < 10 weeks gestation with maternal anatomic or hormonal abnormalities and paternal and maternal chromosomal causes excluded
risk of need for additional surgery for endometriosis after TLH if ovary is left
30%
what is the embryologic origin of the distal 2/3 of the vagina
urogenital sinus
what is the embryologic origin of the proximal 1/3 of vagina
paramesonephric ducts
how does blood pressure differ from brachial artery to uterine artery in pregnancy
During pregnancy, the growing uterus can compress the great vessels in the abdomen when the patient lies in the supine position. This can cause hypotension and decreased blood flow to the uterus.
uterine BP is lower than brachial. Left lat decubitus can correct
BRCA1 & 2 chromosomes
1- Chromosome 17
2 - Chromosome 13
how long should you try conservative management for a bowel obstruction
5 days
NYHA functional classification system
1 - no symptoms
2- slight limitations of physical activity (can walk 2 blocks)
3. marked limitations in activity, comfortable at rest
4- symptoms with all physical activity and at rest
what infections are most associated with preterm birth
BV prior to 16 wks > N. gonorrheae > asym bacteriuria
