Jeopardy

Question 1

42yo G2P1 ho tobacco use presents 42 weeks in labor w/ - (graph)

Answer 1

Late declaration

Question 2

27yo G2P1 prego at 9 wks present w/ bleeding. vag exam open cervical os. what kind of abortion?

Answer 2

Inevitable abortion

Question 3

15yo G1 twin prego, denies alcohol drug use, smokes.. what are her risk factors for premature labor

Answer 3

Twins, smoking, age

Question 4

Broken clavicle during birth is MC assoc. w/ what?

Answer 4

Macrosomia

Question 5

31yo G2P1 presents @ 34wk w/ sudden gush of bright red bleeding. What is happening?

Answer 5

Placenta previa

Question 6

to confirm PROM in 31 yo G2P1 - 34 weeks w. fluid leaking from vaginal

Answer 6

Ferning (fern under microscope)

Question 7

MC finding associated with CPD cephalopevlic disproportion

Answer 7

failure to progress

Question 8

What vax is CI during pregnancy

Answer 8

Varicella and MMR vaccine - any live vaccine

Question 9

Potential outcome ETOH during embryonic organogenesis

Answer 9

thin vermillion border

Question 10

Risk factors for developing prey induced HTN or preeclampsia/eclampsia

Answer 10

Alcohol abuse, chronic renal dz, obesity, teen pregnancy, (tobacco use - is PROTECTIVE!)

Question 11

GPA/FPAAL

23 yo primp (three triplets) C-section 36weeks

Answer 11

0-3-0-3

Question 12

GPA/FPAAL

Elderly (35+yo) primip delivers 2 at 37.5 wk gestation

Answer 12

37yo 2-0-0-2

Question 13

GPA/FPAAL

Twins at 38wk EGA, then quadruplets at 30 wk all living to a 30yo woman

Answer 13

30 yo 2-4-0-6

Question 14

53yo, all full term singletons, all survived - 5 children

Answer 14

53yo 5-0-0-5

Question 15

GPA

Is c/w 35 you 2 term births, 1 premi, no abotions, and 3 living children

Answer 15

2-1-0-3 or G3P3A0 (3 preg, 3 deliveries)

Question 16

Oct 20, 2013 first dayLMP - when is she due?

Answer 16

July 27, 2014

Question 17

Represent methods for assessing pt method in labor:

Answer 17

Effacement, dilation and station (TRIAD)


Question 18

22 yo 8 wk prego. 6 sonometer painless cyst on ovary. fetus normal on US

Answer 18

Corpus luteal cyst

Question 19

27 yo presents 40wk active labor, on exam you see herpes

Answer 19

Deliver infant via C-section

Question 20

C-section - baby and cord out, placenta still in - what stage?

Answer 20

3rd stage

Question 21

The cardinal motion most helps infant prevent CPD in labor

Answer 21

Flexion

Question 22

First of twins on warmer, second One Leg out of a C-section- what stages?

Answer 22

3rd stage 1st twin, 2nd stage 2nd twin

Question 23

Is as far as (pic, prolapse cord) labor is likely to go once it is discovered (c-section)

Answer 23

1st stage, maybe second, preferable prior to engagement

Question 24

how long is an egg viable for ?

Answer 24

18-24hrs

Question 25

sperm viable for how long?

Answer 25

48-72

Question 26

Naegels Rule:

Answer 26

1st day LMP +7d (-3 mon) +1yr

Question 27

When is term

Answer 27

37+ wk

Question 28

abortion is

Answer 28

20

Question 29

How is labor measured? TRIAD

Answer 29

dilation, effacement or thinning, station

Question 30

Define stages of labor 1st 2nd 3rd

Answer 30

1st - onset full dilation of cervix 2nd - full dilation of cervix of delivery of infant 3rd - delivery of infant to delivery of placenta

Question 31

Cardinal movements

Answer 31

``` engage flexion descent internal rotation extension external rotation ```

Question 32

smallest diameter of head presents if the head flexed and face is towards mothers right - what position is this?

Answer 32

LAO (MC)

Question 33

how many arteries and veins in umbilical cord

Answer 33

2 arteries 1 central vein 24% have nucal cord

Question 34

When is Oxytocin absolutely CI

Answer 34

``` placenta previa scars multiples contracted pelvis prev c-section ```

Question 35

Snow storm appearance

Answer 35

Gestational trophoblastic disease

Question 36

TSH and HCG share the same ___chain

Answer 36

alpha

Question 37

clinical/ lab findings suggestive of gestational trophoblastic disease

Answer 37

preeclampsia prior to 20 wks gestation is diagnostic GTD

Question 38

What is the cure for preeclampsia

Answer 38

delivery

Question 39

Rh incompatibility during pregnancy is associated with what?

Answer 39

anemia leading to fetal hydrous

Question 40

define gestational DM

Answer 40

carb intolerance w/ onset during pregnancy

Question 41

pt has GDM if FBS is greater than....

Answer 41

95

Question 42

does all GDM require insulin?

Answer 42

no

Question 43

how to treat A1 GDM. A2

Answer 43

diet. A2=insulin control

Question 44

what is diagnostic of eclampsia?

Answer 44

seziures

Question 45

gestational HTN

Answer 45

increase BP after 20wk. NO proteinuria

Question 46

Chronic HTN

Answer 46

>140/90 prior to pregnancy

Question 47

Precalmpsia define

Answer 47

new HTN and PROTIENURIA

Question 48

How to tx ectopic

Answer 48

Methotrexate

Question 49

HELLP syndrome

Answer 49

Hemolysis, Elevated Liver enzymes, Low Platlets

Question 50

In US 4 causes of maternal death

Answer 50

preclampsia/eclampsia hemmorrage CV conditions thromboemboli

Question 51

Which of the following is NOT associated w. PROM 1. signleton pregnancy 2. prev PROM 3. GU infection 4. Antepartum bleeding 5. Cigarette smoking

Answer 51

1. Signleton pregnancy

Question 52

How is placenta pre via different from placental abruption

Answer 52

painless bleeding, abruption is painful bleeding. BOTH in 3rd trimester

Question 53

MC reason for C-seciton

Answer 53

Cephalopelvis disproportion

Question 54

3 MC indications for C-section

Answer 54

failure to progress during labor, questionable fetal status, fetal malrepresentation

Question 55

Women w. previous classical C-section due to a low lying fibroid, what risk is of concern in subsequent pregnancy

Answer 55

rupture of uterus even prior to onset of labor

Question 56

Requirements for Vaginal Birth After Cesarean (VBAC)

Answer 56

1. vertex 2. only one prior C/S 3. Prev C/S >18mon 4. Full consent of pt 5. Available OR for emergent C/S 6. Blood available 7. NO PITOCIN, NO prostoglandins

Question 57

Major cause of maternal morbidity and mortality is...

Answer 57

postpartum hemorrhage

Question 58

Sheehan syndrome

Answer 58

occurs w/ postpartum hemorrhage : damage to pituitary galands

Question 59

Ashermans syndrome

Answer 59

severe pelvic infection from d+c = adhesions and amenorrhage