Uwise 1

Question 1

Best way to diagnose syphilis?

Classic associated sign?

Answer 1

Serological testing treponemal testing

A characteristic finding is a macular rash on the palms and soles that are often described as copper penny lesions.

Question 2

How do we explain a negative culture for herpes when it is really positive?

Answer 2

If someone has recurrent herpes and they are cultured later on, we could miss it. Better to get culture early on

Question 3

What is typically seen with pre existing diabetes and not gestational diabetes?

Answer 3

Intrauterine growth restriction

Question 4

What is the correct folic acid recommended dose for pregnant women with normal history?
Dose for women with history of baby with neural tube defects?

Answer 4

.4mg

4 mg

Question 5

90-95% of elevated AFP levels are due to what?

Answer 5

Things OTHER than neural tube defects, like underestimation of due date, multiple gestations, etc.

Question 6

What med to use if anticoagulation in pregnancy is necessary?
What anticoagulant is contraindicated?

Answer 6

Low molecular weight heparin

Warfarin

Question 7

How do you treat umbilical cord prolapse?

Answer 7

Elevated fetal head and C section

Question 8

What is the difference in size and sugar levels in babies from moms with type 1 and gestational diabetes?

Answer 8

Type 1: small and low sugar

Gestational: big and low sugar

Question 9

Infants born to diabetic mothers are at risk for what 5 metabolic issues?

Answer 9

Low sugar
High RBC
High bilirubin
Low calcium
RDS

Question 10

What is typical protocol for a baby born to mother who is HIV positive?

Answer 10

Treat infant with AZT immediately and order HIV testing at 24 hours

Question 11

What is the correct position of baby head for Positive pressure ventilation?
Recommended rate of oxygen flow?

Answer 11

Sniffing positing, essentially extension of neck

10 L/min

Question 12

What is the next step in management immediately following delivery of a vigorous baby?
When is best time to clamp and cut cord?

Answer 12

Skin to skin contact

30-60 seconds

Question 13

What is the most common cause of postpartum fever?

Answer 13

Endometritis

Question 14

What type of bacterial is most commonly causing postpartum endometritis?

Answer 14

Mix of aerobes and anaerobes

Staph and strep

Question 15

Biggest difference between postpartum blues and depression?

Answer 15

Blues don’t last longer than 2 weeks

Depression is 2 weeks and on

Question 16

What is the safest method to suppress lactation?

Answer 16

Breast binding, ice packs and analgesics

Question 17

Breastfeeding is associated with a decreased incidence of what?

Answer 17

Ovarian cancer

Question 18

Which postpartum contraception is least desirable or ideal?

Answer 18

Estrogen containing can diminish lactation and mess with breastfeeding

Question 19

What am I thinking with intense bilateral nipple pain with breastfeeding?

Answer 19

Candida

Question 20

When do we not give depo for long term birth control after pregnancy?

Answer 20

If mom is serious about weight loss because depo can cause weight gain

Question 21

2 signs that baby is getting enough milk when feeding?

Answer 21

3-4 poopy diapers a day and 6 wet diapers a day

Question 22

What can be a help to engorged breasts?

Answer 22

Nurse more frequently

Question 23

Suckling of the nipple stimulates what hormone?

Answer 23

Oxytocin

Question 24

What is normal progesterone level for pregnancy?

Answer 24

Greater than 25

Question 25

How to treat magnesium toxicity?

Answer 25

Calcium gluconate

Question 26

What is the only definitive therapy for preeclampsia?

Answer 26

Deliver baby and placenta

Question 27

What is the treatment of choice for eclampsia?

Answer 27

Magnesium sulfate

Question 28

What is therapeutic levels of magnesium? What will happen at levels of 7-10? 11-14? Greater than 15?

Answer 28

4-7 Loss of deep tendon reflexes Respiratory depression Cardiac arrest

Question 29

What symptom of preeclampsia indicates delivery now?

Answer 29

Platelets less than 100k, so thrombocytopenia

Question 30

If lady has preeclampsia and her BP is soaring, what is the target diastolic BP to get it back down to with meds?

Answer 30

90-100

Question 31

What condition increases the risk for preeclampsia the most?

Answer 31

Chronic renal disease.

Question 32

What is the risk of isoimmunization with RH if a mom doesn’t get the shot and is negative and baby positive?

Answer 32

Less than 20% total

Question 33

How much fetal blood is neutralized by the 300mcg RhoGAM shot?

Answer 33

30 cc of blood, 15 cc of RBCS

Question 34

What is the risk posed by atypical RH antibodies?

Answer 34

Lewis lives (these are IgM so don’t cross placenta? Duffy dies Kell kills

Question 35

Why would a women be sensitized to Rh if she got the shot?

Answer 35

Because there was more blood than expected. Remember the shot only covers about 30 CCs of baby blood crossing over.

Question 36

What are 2 clues to twins?

Answer 36

AFP up and fundal height greater than gestational age in weeks

Question 37

What is something mom can do to reduce the risk of premature labor with twins?

Answer 37

Early and adequate weight gain

Question 38

Emergency contraception can work up to how long after intercourse?

Answer 38

72 hours

Question 39

What is the source of vaginal lubrication during sex?

Answer 39

Vaginal transudate