MTB Obs

Question 0

Preeclampsia is characterized by…

Answer 0

HTN, proteinuria and oedema

Question 1

Rh sensitized mother, what to do?

Answer 1

Serial amniocentesis to measure the fetal bilirubin level.

High bilirubin requires intrauterine transfusion

Question 2

Preterm eclampsia, what to do?

Answer 2

Betamethasone

Magnesium sulphate

Question 3

HELLP Syndrome, what is it and what to do?

Answer 3

Complication of preeclampsia.
Hemolysis, elevated liver enzymes, low platelet.
Treatment is the same as eclampsia; magnesium sulphate and hydralazine, (betamethasone)

Question 4

Gestational diabetes treatment

Answer 4

Diet, exercise, then insulin

Never say lose weight

Question 5

IUGR prevention

Answer 5

Quit smoking and immunization

Question 6

Fetal heart rate

Answer 6

N. 110-160

Brady. 160

Question 7

CTG: deceleration types and causes

Answer 7

Early - head compression
Variable - umbilical cord compression
Late - fetal hypoxia

Question 8

Benign contraction without cervix dilation

Answer 8

Braxton-Hicks contraction

Question 9

Protracted cervical dilation etiology

Answer 9

3 Ps
Power, passenger, passage
Cesarian or oxytocin

Question 11

Shoulder dystocia treatment

Answer 11

McRoberts maneuver
Rubin maneuver
Woods maneuver

Question 12

Nagele rule:

Answer 12

LMP- 3 months + 7 days = estimated day of delivery

Question 13

Signs of Pregnancy
Goodell sign,
Telangiectasias/ palmar erythema

Answer 13

softening of the cervix

Small blood vessels/reddening of the palms

Question 14

Quickening is

16 to 20 weeks:

Answer 14

the first time the mother feels fetal movement.

Question 15

Beta-HCG >1500 or

5 weeks =

Answer 15

gestational sac on ultrasound

Question 16

A triple screen includes

Answer 16

maternal serum alpha fetoprotein (MSAFP), beta- HCG, and estriol.

Question 17

Chorionic Villus Sampling

Answer 17

• Done at 10 to 13 weeks in advanced maternal age or known genetic dis- ease in parent

Question 18

Amniocentesis

Answer 18

• Done after 11 to 14 weeks for advanced maternal age or known genetic dis- ease in parent

Question 19

Preterm fetuses without chorioamnionitis should be treated with

Answer 19

betametha- sone (to mature the lungs), tocolytics (to decrease contractions), ampicillin, and 1 dose of azithromycin (to decrease risk of developing chorioamnionitis while waiting for steroids to begin working).

Question 20

Rh incompatibility occurs when

Answer 20

the mother is Rh negative and the baby is Rh positive. This is generally not a problem in the first pregnancy, as the mother has not developed antibodies to the “foreign” Rh positive blood yet.

Question 21

Pregnancy HTN

Answer 21

Treat the patient with methyldopa, labetalol, or nifedipine.