PANCE - OBGYN review

Question 1

tx of hyperemesis gravidarum

Answer 1

doxylamine pyridoxine and diet changes

Question 2

best initial test for gestational DM

Answer 2

50g OGTT at 24-28 wks

if >140, then do a 3 hr 100g OGTT

Question 3

what precautions are taken for a woman w preeclampsia

Answer 3

intrapartum magnesium drip
AND
seizure prophylaxis for 24 hrs post-partum

monitor for magnesium toxicity
- somnolence & areflexia
- increased risk in pts w renal insuff
- tx: IV calcium gluconate