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OBGYN > Uwise 1 > Flashcards

Uwise 1 Flashcards

1
Q

Best way to diagnose syphilis?

Classic associated sign?

A

Serological testing treponemal testing

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

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2
Q

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

A

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

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3
Q

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

A

Intrauterine growth restriction

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4
Q

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?

A

.4mg

4 mg

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5
Q

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

A

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

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6
Q

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

A

Low molecular weight heparin

Warfarin

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7
Q

How do you treat umbilical cord prolapse?

A

Elevated fetal head and C section

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8
Q

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

A

Type 1: small and low sugar

Gestational: big and low sugar

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9
Q

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

A 
Low sugar
High RBC
High bilirubin
Low calcium
RDS
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10
Q

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

A

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

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11
Q

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

A

Sniffing positing, essentially extension of neck

10 L/min

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12
Q

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

A

Skin to skin contact

30-60 seconds

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13
Q

What is the most common cause of postpartum fever?

A

Endometritis

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14
Q

What type of bacterial is most commonly causing postpartum endometritis?

A

Mix of aerobes and anaerobes

Staph and strep

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15
Q

Biggest difference between postpartum blues and depression?

A

Blues don’t last longer than 2 weeks

Depression is 2 weeks and on

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16
Q

What is the safest method to suppress lactation?

A

Breast binding, ice packs and analgesics

17
Q

Breastfeeding is associated with a decreased incidence of what?

A

Ovarian cancer

18
Q

Which postpartum contraception is least desirable or ideal?

A

Estrogen containing can diminish lactation and mess with breastfeeding

19
Q

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

A

Candida

20
Q

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

A

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

21
Q

2 signs that baby is getting enough milk when feeding?

A

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

22
Q

What can be a help to engorged breasts?

A

Nurse more frequently

23
Q

Suckling of the nipple stimulates what hormone?

A

Oxytocin

24
Q

What is normal progesterone level for pregnancy?

A

Greater than 25

25
Q

How to treat magnesium toxicity?

A

Calcium gluconate

26
Q

What is the only definitive therapy for preeclampsia?

A

Deliver baby and placenta

27
Q

What is the treatment of choice for eclampsia?

A

Magnesium sulfate

28
Q

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

A

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

29
Q

What symptom of preeclampsia indicates delivery now?

A

Platelets less than 100k, so thrombocytopenia

30
Q

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

A

90-100

31
Q

What condition increases the risk for preeclampsia the most?

A

Chronic renal disease.

32
Q

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

A

Less than 20% total

33
Q

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

A

30 cc of blood, 15 cc of RBCS

34
Q

What is the risk posed by atypical RH antibodies?

A

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

35
Q

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

A

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

36
Q

What are 2 clues to twins?

A

AFP up and fundal height greater than gestational age in weeks

37
Q

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

A

Early and adequate weight gain

38
Q

Emergency contraception can work up to how long after intercourse?

A

72 hours

39
Q

What is the source of vaginal lubrication during sex?

A

Vaginal transudate

OBGYN (18 decks)

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