Antepartum

Question 1

What constitutes an abnormal oral glucose test?

Answer 1

3 abnormal values

Question 2

What is initial management for an abnormal oral glucose tolerance test?

Answer 2

diabetic diet and blood glucose monitoring

Question 3

What is the recommended folic acid dose for pregnant pts? (non-high risk)

Answer 3

0.4 mg/day

Question 4

What is the recommended dose of folic acid for high-risk pregnant patients?

Answer 4

4 mg/day before pregnancy AND through the first trimester

Question 5

Valproic acid use during pregnancy is associated with what birth defect?

Answer 5

neural tube defects - lumbar meningomyelocele

Question 6

Elevated MSAFP is most commonly associated with…

Answer 6

under-estimation of gestational age

Question 7

How can you diagnose fetal anemia antepartum?

Answer 7

Doppler ultrasonograpy

Question 8

What are Lewis antibodies?

Answer 8

IgM antibodies

do not affect isosensitization or hemolytic dz of the fetus

Question 9

What is the mneumonic to remember atypical antibodies?

Answer 9

Lewis lives, duffy dies, kell kills

Question 10

An intraperitoneal transusion is made into what vessel for the fetus?

Answer 10

Into the umbilical vein

Question 11

What is the Kleihauer-Betke test used for?

Answer 11

quantify the volume of fetomaternal hemorrhage

Question 12

What are reasons for an elevated maternal serum AFP (MSAFP)?

Answer 12

multiple gestation, neural tube defects, pilonidal cysts, cystic hygroma, sacrococcygeal teratoma, fetal abdominal wall defects, fetal death

Question 13

Mo-Di twins occur from division between what days?

Answer 13

4-8 days post-fertilization

Question 14

Mo-Mo twins occur from division between what days?

Answer 14

8-12 days post-fertilization

Question 15

Division of an egg after 13 days results in?

Answer 15

Conjoined twins

Question 16

The twin infant death rate is ___x higher than singletons.

Answer 16

5x

Question 17

The risk of cerebral palsy in twins is ___x higher than in singletons.

Answer 17

5-6

Question 18

When is the risk of developing microcephaly and severe intellectual disability greatest?

Answer 18

8-15 weeks

Question 19

What is associated with postterm pregnancies?

Answer 19

placental sulfatase deficiency, fetal adrenal hypoplasia, anencephaly, inaccurate dates

Question 20

What complications are associated with postterm pregnancy?

Answer 20

macrosomia, oligohydramnios, meconium aspiration, uteroplacental insufficiency, dysmaturity

Question 21

What is Chadwick’s sign and what does it indicate?

Answer 21

bluish color of cervix - indicates pregnancy