Day 14 - Ob1 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 14 - Ob1 Quiz > Flashcards

Flashcards in Day 14 - Ob1 Quiz Deck (19):
1

Dx HTN & pregnancy prior to 20 wks GA

Chronic HTN, Molar pregnancy

2

Conditions assoc w/ increased nuchal translucency

Down syndrome, Turner syndrome, Congenital heart defects

3

Quad screen: decreased AFP, decreased unconjugated estriol, elevated Inhibin A, elevated B-HCG

Down syndrome (Trisomy 21) or Turner syndrome

4

Hb levels indicating tx for physiologic anemia of pregnancy

1st or 3rd trimester: Hb

5

Supplements given to woman on anticonvulsants during pregnancy

Vitamin K (last month of pregnancy), Folic acid (4 mg)

6

Additional supplements given to complete vegetarians (vegans?) during pregnancy

Daily: Iron (30 mg), Vit D (400 IU), Vitamin B12 (200 mcg)

7

Findings characteristic of HELLP syndrome

Preeclampsia (HTN, proteinuria, elevated BUN/Cr, elevated uric acid levels); Hemolysis, Elevated LFTs, Low Platelets

8

Gestational HTN v. Preeclampsia

Both can present after 20 wks of age; Gestation HTN - usually just in 3rd trimester, no edema or lab abnormalities

9

How long MgSO4 continued after delivery in preeclampsia/eclampsia

Preeclampsia - 24 hr; Eclampsia - 48 hrs

10

GA age for quad screen

16-18 wk GA

11

GA 1 hr glucose tolerance test performed

24-28 wk

12

Parameter changes during pregnancy: TSH

No change

13

Parameter changes during pregnancy: pH

Increase; Metabolic alkalosis w/ respiratory compensation

14

Parameter changes during pregnancy: Cardiac output

Increase by 40%; Systolic mumurs worsen

15

Parameter changes during pregnancy: Ventilation

Increases -> respiratory alkalosis

16

Folic acid needed during pregnancy

At least 0.4 mg per daily

17

Iron needed during pregnancy

30 mg daily

18

Calcium needed during pregnancy

1200 mg daily

19

When can amniocentesis v. chorionic villous sampling be performed

After 16 wks gestation (amnio) v. After 9 wks

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