When will it end! Flashcards
Postterm pregnancies should be followed with antepartum fetal surveillance because ?
perinatal morbidity and mortality increases beginning at 41 weeks of gestation
Postterm pregnancies are associated with?
macrosomia, oligohydramnios, meconium aspiration, uteroplacental insufficiency and dysmaturity.
In a patient with irregular menses, it is important to obtain an ultrasound prior to________ to accurately date the pregnancy.
20 weeks
Induction of labor in a patient with ___________ increases the risk of Cesarean section significantly
an unfavorable cervix- closed, long, non-effaced
Ablative therapy is an effective treatment for women with
high-grade or persistent low-grade cervical intraepithelial neoplasia (CIN)
no suspicion of glandular or invasive squamous disease
In growth-restricted pregnancies, oligohydramnios is frequently found because?
This finding is presumably due to reduced fetal blood volume, renal blood flow and urinary output
Chronic hypoxia is responsible for diverting blood flow from the kidney to organs that are more critical during fetal life.
An increase in the S/D ratio reflects increased vascular resistance, commonly found in
It is a common finding in IUGR fetuses.
As vascular resistance increases, the S/D ratio increases.
Tests indicated in monitoring fetuses with IUGR.
twice weekly NST with AFI and weekly umbilical artery Doppler studies- check for increased S/D ratio
before birth; during or relating to pregnancy; prenatal.
Antenatal
ultrasound measurement of the crown-rump length is preformed at?
obtained at six to twelve weeks
The crown-rump length can reliably date a pregnancy within five to seven days.
Fetal size w/ IUGR
- the fetal abdomen measures below normal and the head remains very close to normal
- weight is below normal
Symmetric fetal growth restriction indicates
all fetal measurements are below normal
indicates an intrinsic growth failure or an “early event” secondary to one or more organ system anomalies, fetal aneuploidy or chronic intrauterine infection.
a growth disorder that causes large body size, large organs, and other symptoms. It is a congenital condition
Beckwith-Wiedemann syndrome
When do you do a C section in macrosomia
baby over 5000 g
IUGR definition
less than 10th percentile
Prostaglandins are used for cervical ripening and are contraindicated in patients with ?
history of previous Cesarean section
Checking ___________ would rule out late onset 21-hydroxylase deficiency
17-hydroxyprogesterone
A diagnosis of choriocarcinoma is made once the presence of _________ is confirmed
Beta-hCG
__________ is a common complication for the plethoric twin.
Polycythemia
he acronym PALM-COEIN
This term can encompass both structural causes (polyp, adenomyosis. Leiomyoma, or malignancy [or hyperplasia]) as well as non-structural causes (coagulopathies, ovulatory dysfunction, endometrial, iatrogenic or not classified).
Cesarean section. Prior to establishing a diagnosis of surgical site infection, evaluation requires
opening the wound, checking for fascial dehiscence, drainage and assessment of the fluid.
___________ are findings seen with septic abortion
She has fever and bleeding with a dilated cervix
adding Gentamicin, you are covering the spectrum of ____________
gram-negative organisms
Breast mass normal mamo?
needle aspiration
besides lungs why else are steroids in fetus good
Decreased incidence of intracerebral hemorrhage
what imaging for advanced 1st time ovarian cncer
CT Scan
There is no associated risk for _______ in postterm gestations.
preeclampsia
__________ has been found to occur more frequently in vacuum-assisted deliveries, but resolves spontaneously and unlikely to be of clinical importance.
Transient neonatal lateral rectus paralysis
GnRH agonist therapy is recommended for only a short period of time: ?
3-6 months
Pregnancy, or the possibility of pregnancy, within four weeks is a contraindication to the_______ vaccinations
MMR and varicella
intrinsic sphincteric deficiency rx
Urethral bulking procedures are minimally invasive and have a success rate of 80% in these specific patients.
Progestins should be used with caution in women with a history of ?
depression.
w/ intra-amniotic infection can you have vaginal delivery
yes- if reassuring baby heart tones
____________ is the most common explanation for an elevated MSAFP
under-estimation of gestational age
Women with chorioamnionitis are also more likely to develop ___________ vs healthy prego
pulmonary edema
usually chorio is not main cause tho- mult tocolticis
_________ is the indication for at least 40% of all gynecologic laparoscopies
Chronic pelvic pain
Division at or after _______ results in conjoined twins.
day 13
Diamniotic monochorionic placentation occurs with division between days______ post-fertilizatio
four and eight
Monoamniotic, monochorionic placentation occurs with division between days _______ post fertilization.
8 and 12
If meconium is present and the newborn is depressed, the clinician should
intubate the trachea and suction meconium or other aspirated material from beneath the glottis.
If the newborn is vigorous= strong RR, good muscle tone, and HR > 100, no evidence that tracheal suctioning is necessary.
Ibuprofen is safe to take until around____ weeks gestation,
32 weeks
