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Flashcards in OB 1 Deck (27):
1

What is schizoaffective disorder?

Mood disorder comes and goes but schizophrenia always there!

2

What is embryonic age?

Measured from fertilization. But gestational used more often from last period.

3

Due date calculator?

1 week minus 3 months

4

Preterm vs abort? What is the cutoff?

20 weeks is cutoff

5

Full term starts when?

37 weeks

6

What happens to BUN and Cr in pregnancy?

Goes down b/c more filter

7

Chronic pancreatitis lab test with most sensitivity and specificity?

Low fecal elastase

8

Vitamins you should get in pregnancy?

Folate and Iron

9

When do you screen for diabetes in preggers?

24-28 weeks

10

What do you do after weird quadruple screen?

US to observe for things like dating or multiple gestation

The Chorion Villus Sampling or Amnio

11

Tx vomiting in preggers?

Vitamin B6 or doxylamine (antiacetylcholine)

12

History of hyperemesis gravid arum?

Lose 5% of weight loss, dehydration, abnormal labs

13

What causes gestational diabetes?

Human placental lactogen

14

DM fetal surveillance starts week 32-34 weeks?

Oh ok. Makes sense.

15

Congen malformations in diabetic moms?

Cardiac and CAUDAL REGRESSION SYNDROME

16

Pregestational diabetes mom has what special test?

Fetal echo during second trimester for heart defects

17

Deliver babies of pre gestational moms when?

39-40 weeks

18

Asymptomatic bacteriurea screened for at first prenatal battle. Tx?

Treat it and repeat urine culture one week after antibiotic.

19

Big clue that it is pyelo and not cystitis?

WBC casts! b/c came from kidney

20

Preggers and pyelo tx?

ADMIT and big gun IV antibiotics empirically

Then treat rest of pregnancy

21

Tx of gestational htn?

Close monitoring for progression

22

Definition of severe preeclampsia?

160/110 or preeclampsia with end organ dysfunction

23

Tx of severe preeclampsia?

Lower BP
Magnesium to stabilize
Delivery

24

Reversal treatment for too much magnesium sulfate?

Calcium gluconate

25

Anticoag post DVT in preggers?

Heparin for 6 weeks

THEN NO MORE ESTROGEN CONTAINING OCP!

26

Pregnany mom who has PE symptoms but with DIC?

LIKELY AMNIOTIC FLUID EMBOLISM

27

Preeclempsia dx?

New HTN and 300 mg/day proteinurea

Or new organ failure