Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MS3 > OBGYN 5 > Flashcards

OBGYN 5 Flashcards

1
Q

Describe quad screen for Down syndrome

A

Remember that Downs is UP

  • AFP and Estriol are down in both Downs and Edwards
  • hcG and Inhibin A are UP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe quad screen for Edwards

A

Remember that Edwards is down

  • AFP and Estriol are down in both Downs and Edwards
  • hcG and Inhibin A are DOWN
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What tests make up 1st trimester screen

A
  • US for nuchal translucency (normal <3 mm)
  • PAPP-A
  • hcG
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What tests make up quad screen

A

o hcG
o AFP
o Estriol
o Inhibin A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Next step: currently pregnant woman with unknown GBS status but with previous GBS disease baby

A

Give intrapartum abx prophylaxis. No need to check GBS status because she will get abx regardless

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Tx of umbilical cord prolapse

A

Elevate fetal head and arrange for C-section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Tx of baby born to meconium stained fluid

A

If newborn is depressed, intubate trachea and suction meconium from beneath the glottis

If newborn is vigorous, tracheal suctioning is not necessary - will more likely just cause damage to the vocal cords

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Are babies of T1DM moms likely to be large or small

A

Small

Macrosomic infants are typically associated with gestational diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe complications associated with a baby of mom with poorly controlled gestational DM in relation to:

  • Size
  • Sugar
  • RBC
  • Bilirubin
  • Calcium
A
  • Macrosomia
  • Stillbirth
  • Hypoglycemia
  • Polycythemia
  • Hyperbilirubinemia
  • Hypocalcemia
  • Respiratory distress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the protocol of a baby delivered by an HIV+ mother on treatment with undetectable viral load

A
  • Start AZT immediately after deliver
  • Start HIV testing at 24 hours
  • Breast feeding is contraindicated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Should HIV infected mom deliver vaginally or via csx

A

Depends on viral load

  • Viral load < 1000 = vaginal delivery as long as no other contraindications
  • Viral load > 1000 = csx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the 5 components of apgar scoring

A 
A = appearance/color
P = pulse
G = grimace/reaction
A = activity/muscle tone
R = respiratory effort
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe scoring of appearance/color

A 
2 = completely pink
1 = acrocyanosis
0 = blue/pale
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe pulse of apgar scoring

A 
2 = > 100 bpm 
1 = < 100 bpm
0 = absent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe apgar scoring of grimace/reaction

A 
2 = cough/sneeze/gag
1 = grimace
0 = no response
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe apgar scoring of activity/muscle tone

A 
2 = flexed/active motion
1 = some flexion of extremities
0 = limp
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe apgar scoring of respiratory effort

A 
2 = good, crying
1 = slow, irregular
0 = absent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe presentation of Sheehan synrome

A

♣ Panhypopituitarism
♣ Failure to lactate, absent menstruation, cold intolerance
♣ Slow mental function, weight gain, fatigue, difficulty staying warm, no milk production, hypotension, and amenorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Tx of Sheehan syndrome

A

♣ Estrogen and Progesterone replacement and supplementation with thyroid and adrenal hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Risk factors for postpartum endometritis

A

Prolonged labor, prolonged rupture of membranes, multiple vaginal examinations, internal fetal monitoring, removal of placenta manually, low SEC

21
Q

What is the tx for chorioamnionitis

A

IV abx and induction of labor

22
Q

At what gestational age should tx of PPROM be delivery

A

> 34 weeks

23
Q

At what gestational age is magnesium indicated in PROM

A

<32 weeks

24
Q

What is the most common complication associated with PROM

A

Preterm labor

25
Q

Most common organism responsible for chorioamnionitis without membrane rupture

A

Listeria

26
Q

What is the most common abnormality on fetal heart rate tracing seen in PROM

A

Variable decelerations due to oligohydramnios causing insufficient fluid to buffer the cord

27
Q

Management of Parvovirus in pregnant mom

A
  • Fetal US every 1-2 weeks for 8-10 weeks after a positive IgM assay
  • Doppler assessment to assess for fetal anemia
  • If evidence of hydrops of anemia, fetal blood sampled to obtain hematocrit for fetal transfusion
28
Q

When do you give Rhogam in Rh- mom

A

At 28 weeks, and again within 72 hours of delivery

29
Q

Most common organisms of endometritis

A

Staph aureus and streptococcus

30
Q

What is the difference between postpartum depression and postpartum blues

A

Blues < 2 weeks

Depression > 2 weeks

31
Q

Breast feeding decreases the risk of what disease

A

Ovarian cancer

32
Q

Name uterotonics

A

Pitocin, Cytotec, Hemabate

33
Q

Name tocolytics

A

Terbutaline, Nifedipine, Nitroglycerin, Indomethacin

34
Q

Tx of mastitis in a breast feeding mom

A

Antibiotics

Mom can continue breast feeding

35
Q

Why does it take a while for mothers to produce milk after delivery

A

Needs time for estrogen and progesterone levels to decrease in order to remove the inhibitory effect on prolactin

36
Q

Most common organism in mastitis

A

Strep

37
Q

What hormones are responsible for milk production vs. milk ejection

A 
Production = prolactin
Ejection = oxytocin
38
Q

What progesterone level suggests a normal pregnancy

A

> 25 ng/ml

39
Q

At what beta-hCG level should an intrauterine pregnancy be expected to be seen on US

A

Discriminatory zone is >2000

40
Q

What is the criteria for use of methotrexate to treat ectopic pregnancy

A

Hemodynamic stability, non-ruptured ectopic pregnancy, size of ectopic mass <4cm without a fetal heart rate or <3.5 cm with a fetal heart rate

41
Q

What is the most common cause of spontaneous abortion in the 1st trimester

A

genetic abnormalities

42
Q

What are risk factors for chorioamnioitis

A

♣ Prolonged rupture of membranes (>18 hours)
♣ PPROM
♣ Prolonged labor
♣ Internal fetal/uterine monitoring devices
♣ Repetitive vaginal examinations
♣ Presence of genital tract pathogens

43
Q

How do you diagnose chorio

A 
♣	Maternal fever PLUS >/=1 of the following:
•	Fetal tachycardia (>160)
•	Maternal leukocytosis
•	Purulent amniotic fluid
•	Maternal tachycardia (>100)
•	Uterine fundal tenderness
44
Q

Treatment of chorio

A

♣ Broad spectrum antibiotics

♣ Induction of labor

45
Q

Maternal complications of chorio

A

postpartum hemorrhage, endometritis

46
Q

Neonatal complications of chorio

A

♣ Neonatal: preterm birth, pneumonia, encephalopathy

47
Q

What are the components of biophysical profile (BPP)

A

Nonstress test plus US of the following:

  • Amniotic fluid volume
  • Fetal breathing movement
  • Fetal tone
  • Fetal movement
48
Q

Management of delivery plan for a nonviable fetys

A

Vaginal delivery (has lowest risk of maternal complications)

49
Q

Define late term vs. postterm pregnancy

A

Late term = 41wk - 41wk6d

Postterm = >42wk

MS3 (88 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions