Post term pregnancy, GBS

Question 1

What is the definition of early term gestation?

Answer 1

37w0d-38w6d

Question 2

What is the definition of full term gestation?

Answer 2

39w0d-40w6d

Question 3

What is the definition of late term gestation?

Answer 3

41w0d-41w6d

Question 4

What is the definition of post term gestation?

Answer 4

>42w0d

Question 5

What is the incidence of post term pregnancy?

Answer 5

7%

Question 6

What is post term pregnancy associated with?

Answer 6

1. Increased perinatal mortality
2. Low 5 min APGAR scores
3. Low cord pH
4. Dysmaturity syndrome
5. Meconium aspiration
6. Stillbirth
7. Oligohydramnios
8. Macrosomia
9. Convulsions

Question 7

What should you not give for at least 4hrs after receiving cytotec?

Answer 7

Pitocin

Question 8

What is the recommendation for GBS screening per ACOG?

Answer 8

Screen all pregnancies at 36w0d-37w6d weeks gestation

Question 9

Where should you swab for GBS screening?

Answer 9

Lower vagina and rectum

Question 10

How long are GBS results valid for?

Answer 10

5 weeks

Question 11

How much does screening and treating GBS decrease incidence of early onset GBS?

Answer 11

80%

Question 12

What is the exception for screening for GBS in pregnancy?

Answer 12

1. Prior infant with invasive GBS disease
2. GBS bacteriuria

Question 13

What medication is used to treat GBS?

Answer 13

Penicillin G 5 million units, then 2.5 million q4hrs until delivery

Question 14

What medication is used to treat GBS if there is a mild PCN allergy?

Answer 14

Cefazolin 2g, then 1g q8hrs

Question 15

What medication is used to treat GBS if there is a high risk PCN allergy?

Answer 15

Clindamycin if susceptible 900mg q8hrs
or
Vancomycin 20mg/kg q8hrs

Question 16

When do you treat GBS if no screening was performed?

Answer 16

<37 weeks gestation
ROM>18hrs
Temperature >38 degrees
Known GBS positive status in prior pregnancy