3rd Trimester Gestational Conditions

Question 1

➢A CONDITION IN WHICH
EXCESS AMNIOTIC FLUID
ACCUMULATES DURING
PREGNANCY

Answer 1

hydramnios

Question 2

➢IT HAPPENS IN ABOUT 1%
OF PREGNANCIES. IT’S
ALSO CALLED
POLYHYDRAMNIOS.

Answer 2

hydramnios

Question 3

IN THIS
CONDITION, IDENTICAL TWINS SHARE A PLACENTA.

Answer 3

TWIN-TO-TWIN TRANSFUSION SYNDROME.

Question 4

volume of amniotic fluid of hydramnios

Answer 4

2L

Question 5

choice diagnosing hydramnios

Answer 5

ultrasonography

Question 6

oligohydramnios AFI

Answer 6

< 5

Question 7

treatment of oligohydramnios

Answer 7

amnioinfusion

Question 7

is a condition in
pregnancy
characterized by
a deficiency of
amniotic fluid. It
is the opposite of
polyhydramnios.

Answer 7

oligohydramnios

Question 8

treatment of polyhydramnios

Answer 8

amniocentesis

Question 9

small amount of amniotic fluid is withdrawn from the amniotic sac using a thin needle inserted through the mother’s abdomen into the uterus under ultrasound guidance.

Answer 9

amniocentesis

Question 10

Rupture of membranes before labor begins, but at ≥37 weeks gestation.

Answer 10

PROM

Question 11

Rupture of membranes before labor begins AND before 37 weeks gestation.

Answer 11

PPROM

Question 12

amniorrhexis (srom)

Answer 12

PROM

Question 13

time interval between
ROM and onset of labor

Answer 13

Latency period

Question 14

management of
patients with the goal of prolonging
gestation (“watchful waiting” until
delivery indication arises)

Answer 14

expectant management

Question 15

collection of amniotic fluid in the posterior vaginal fornix, observed during a sterile speculum exam. It is a primary clinical sign used to diagnose rupture of membranes (ROM).

Answer 15

pooling

Question 16

most common diagnosis of ROM

Answer 16

*Nitrizine testing
*Ultrasonography

Question 17

antibiotics for ROM

Answer 17

(Ampicillin/EES-Azithro)

Question 18

*Regular contractions and cervical
change-dilation, effacement, or both
or initial presentation of regular
contractions and cervical dilation of
at least 2 cm between 20 weeks 0
days and 36 weeks 6 days.

Answer 18

preterm labor

Question 19

3 treatment for preterm labor

Answer 19

magnesium, steroids, NICU consult

Question 20

Stop or slow uterine contractions, delay preterm labor, or reduce contractions in tachysystole.

Answer 20

tocolytics

Question 21

tocolytics examples

Answer 21

Magnesium sulfate
Nifedipine (calcium channel blocker)
Terbutaline (beta-agonist)

Question 22

Induce labor or increase uterine contractions, commonly used for labor induction or postpartum hemorrhage (PPH) prevention.

Answer 22

uterotonics

Question 23

uterotonics examples

Answer 23

Oxytocin
Misoprostol
Syntometrine

Question 24

It is one that has lasted longer than 42 weeks or 294 days beyond the first day of the last menstrual period

Answer 24

prolonged pregnancy/ postterm pregnancy postdate pregnancy

Question 25

20 % cases of prolonged pregnancy (post maturity syndrome) are associated with:

Answer 25

1. Meconium - stained amniotic fluid 2. Oligohydramnios 3. Fetal distress 4. Loss of subcutaneous fat 5. Cracked skin

Question 26

The most frequent cause of post term pregnancy

Answer 26

error in dating

Question 27

post term pregnancy diagnosis

Answer 27

1.Gestational age calculation 2. Routine early pregnancy ultrasound 3. UTZ diagnosis for oligohydramnios

Question 28

Because actual dates of conception are rarely known, the LMP is used as the reference point.

Answer 28

gestational age calculation

Question 29

The accuracy determination of gestational age unreliable because of :

Answer 29

1. Irregular menses . 2. Recent cessation of birth control pills. 3. Inconsistent ovulation times.

Question 30

Reduces the number of women who require induction of labour for apparent postterm pregnancy . ♣ It is recommended to all pregnant women and certainly those who do not have regular menses, for gestational age determination, prior to 20 weeks.

Answer 30

Routine early pregnancy ultrasound

Question 31

The available evidences are strongly in support that dating by ___________________ alone is a very accurate method for predicting EDD.

Answer 31

early ultrasonography

Question 32

❖ Successful management depends on _____________________________ and their full involvement in the decision making process.

Answer 32

effective counselling of women

Question 33

The condition of the fetus can change quickly → monitoring at frequent intervals.

Answer 33

fetal surveillance

Question 34

3 fetal surveillance

Answer 34

◼ biophysical profile ◼ non stress test ◼ amniotic fluid index

Question 35

biophysical profiles

Answer 35

1. fetal heart rate acceleration 2. fetal breathing 3. fetal active movements 4. fetal tone 5. amniotic fluid volume

Question 36

management at 40-41 weeks

Answer 36

labor induction and expectant management

Question 37

what do u assess prior to labor induction

Answer 37

cervical bishop score and ripening agent

Question 38

when do u induce

Answer 38

at 42 weeks

Question 39

expectant management tests to determine if need to induce

Answer 39

non stress test and amniotic fluid index

Question 40

to diagnose thick meconium, if present

Answer 40

amniotomy

Question 41

amniotomy or meconium complication

Answer 41

shoulder dystocia need for neonatal resuscitation at delivery.