OB

Question 1

minimal vag bleeding
cervical os closed
no prod of concepts passed
visible pregnancy

Answer 1

threatened abortion

Question 2

no vag bleeding
cervical os closed
no prod of concepts passed
gestational sac/ fetal demise

Answer 2

missed abortion

Question 3

vag bleeding
cervical os dilated
no prod of concepts passed
nonviable pregnancy

Answer 3

inevitable abortion

Question 4

vag bleeding
cervical os dilated
some prod of concepts passed
nonviable pregnancy

Answer 4

incomplete abortion

Question 5

vag bleeding
cervical os closed
all prod of concepts passed
empty uterus

Answer 5

complete abortion

Question 6

intermittent pain with contractions

small amp of blood tinged mucus (bloody show)

Answer 6

normal labor

Question 7

PAINFUL vag bleeding 
abdominal pain 
HARD (hypertonic)/tender uterus w/ frequent contractions 
fetal distress
US: retroplacental hemorrhage

Answer 7

abrutio placenta

Question 8

PAINLESS vaginal bleeding upon ROM
fetal distress
US: velamentous cord insertion

Answer 8

vasa previa

Question 9

PAINLESS BRIGHT RED VAGINAL BLEEDING
soft and contender uterus
US: placenta covering os

vaginal exam in C/I

Answer 9

placenta previa

Question 10

abdominal pain +/- vag bleeding 
fetal distress
hypotonic uterine contractions 
loss of fetal station 
palpable fetal parts on the abdomen

Answer 10

uterine rupture

Question 11

Assoc conditions w. polyhydramnios

Answer 11

maternal DM
anencephaly, hydrocephalus
tracheoesophageal fistula
duodenal atresia

Question 12

clinical features of polyhydramnios

Answer 12

uterus large for dates

difficulty palpating fetal parts and hearing FHR

Question 13

Stage1

Answer 13

start: onset of labor
end: full dilation 10cm
descent of fetal head

Question 14

stage 2

Answer 14

start: 10cm dilation
end: delivery of baby
30min-3hrs - 1st time
5-30mins - multiparous

Question 15

stage 3

Answer 15

start: delivery of baby
end: delivery placenta

Question 16

stage 4

Answer 16

postpartum period

Question 17

intraplacental villous lakes

Answer 17

placenta accreta

Question 18

increased AFP

Answer 18

open neural tube defects
abd wall defect
multiple gestation

Question 19

decreased AFP

Answer 19

Downs

missed abortion

Question 20

L:S >2 indicates

Answer 20

maturity

Question 21

L:S <2

Answer 21

administer cortisol to increase lecithin

Question 22

screening test done at 11-16wk

Answer 22

urine culture - UTI

Question 23

screening test done at 24-28

Answer 23

GDM- 1hr glucola

Question 24

screening test done at 35-37

Answer 24

Group B strep - tx w/ PCN if pos

Question 25

Rh- mom carries Rh+ fetus Dx and Rx

Answer 25

Rh disease Rhogam Rh IgG @28wk

Question 26

leading cause of maternal death in T1 hx of PID amenorrhea abnormal vag bleeding abdominal pain

Answer 26

ectopic pregnancy

Question 27

Hyperemesis Gravidarum

Answer 27

ketonemia hypochloremic metabolic alkalosis hypokalemia

Question 28

Risk factors for Vasa Previa

Answer 28

IVF pregnancy | multiple gestation

Question 29

Risk factors for abruptio placenta (At least 4)

Answer 29

``` abdominal trauma Maternal HTN Multiparity >35 maternal age prior placental abruption uterine anomaly rapid decompression ```

Question 30

risk factor for uterine rupture

Answer 30

uterine scarring

Question 31

prolonged abnormal FHR acute onset of severe constant abdominal pain hypotonic uterine contractions

Answer 31

Uterine rupture

Question 32

Pre eclampsia features

Answer 32

hyperreflexia clonus pulmonary edema facial/ bipedal edema cerebral or visual disturbances

Question 33

preeclampsia + tonic clonic seizures

Answer 33

Eclampsia

Answer 34

Oligohydramnios

Question 35

>1.5 to 2L of amniotic fluid

Answer 35

polyhydramnios

Question 36

Oligohydramnios obstetric complications

Answer 36

IUGR Pulmonary hypoplasia cord compression

Question 37

Risk factors for macrosomia (>P90)

Answer 37

maternal obesity GDM prolong gestation multiparity

Answer 38

IUGR | intrautereine growth retardation

Question 39

risk factors for IGUR

Answer 39

``` maternal: malnutrition smoking drug abuse alcoholism ```

Question 40

most common cause of abnormal progression of labor

Answer 40

inadequate pushing