OB goes on

Question 1

The normal and predictable sequence of sexual maturation proceeds with

Answer 1

breast budding–>
adrenarche (hair growth)–>
a growth spurt–>
then menarche.

Question 2

menarche is usually at age

Answer 2

~12

Question 3

body weight of __________- pounds is needed before menses begins

Answer 3

85 to 106

Question 4

There are two weird critical elements for secondary sexual characteristics:

Answer 4

sleep and optic exposure to sunlight.

Question 5

______________– is characterized by premature menses before breast and pubic hair development.

Answer 5

McCune Albright Syndrome

Question 6

______________ occur in 25-35% of females with Mullerian agenesis.

Answer 6

Renal anomalies

Question 7

Lady who cant pee after labor w/ ab pain

Answer 7

epidural–> bladder not working–> urine dribble

Bladder atony- over full

Temporary and reversible

Question 8

When do you give rhogam

Answer 8

28- 32 weeks in Rh- mom

After delivery if baby is Rh +

Question 9

When cant you dilate and evacuate a baby

Answer 9

over 24 weeks

do a vaginal delivery instead

Question 10

Compare complete vs incomplete abortion

Answer 10

complete: whole baby out
incomplete: bleeding, open os, some fetal parts remain

Question 11

What do you call pulling a baby out by his feet

Answer 11

internal podalic version

Breech baby

Question 12

Placenta location where you have to do a c-section

Answer 12

less than 2 cm from os

Question 13

___________` is the most common abnormal karyotype encountered in spontaneous abortuses,

Answer 13

Autosomal trisomy

accounting for approximately 40-50% of cases.

Question 14

The risk of developing microcephaly and severe intellectual disability is greatest between ?

Answer 14

eight and 15 weeks gestation.

never seen with doses even exceeding 50 rad at less than eight weeks or greater than 25 weeks gestation.

Question 15

. The FVL mutation is associated with obstetric complications including ?

Answer 15

stillbirth, preeclampsia, placental abruption and IUGR

Question 16

Ultrasound criteria for a missed abortion are

Answer 16

a CRL of > 7 mm with no cardiac activity

Question 17

benign ovarian tumor with ascites and pleural effusion that resolves after resection of the tumor.

Answer 17

meigs syndrome

Question 18

________________- is the most common risk factor for protraction and/or arrest disorders in the first stage of labor.

Answer 18

Hypocontractile uterine activity

Question 19

Hypocontractile uterine activity is the most common risk factor for protraction and/or arrest disorders in the ______________

Answer 19

first stage of labor.

Question 20

Arrest of labor is diagnosed at cervical dilation ≥6 cm in a patient with ruptured membranes and

Answer 20

No cervical change for ≥4 hours despite adequate contractions

No cervical change for ≥6 hours with inadequate contractions

Question 21

Arrest of the second stage of labor was defined as no progress (descent or rotation) for:

Answer 21

●Nulliparous women with an epidural: ≥4 hours
●Nulliparous women without an epidural: ≥3 hours
●Multiparous women with an epidural: ≥3 hours
●Multiparous women without an epidural: ≥2 hours

Question 22

Time from onset of labor to complete cervical dilation.

Answer 22

First stage normal labor

Question 23

Time from complete cervical dilation to fetal delivery

Answer 23

second stage of labor

• can also be viewed in terms of fetal rather than maternal changes, ie, changes in fetal station and descent.

Question 24

Time between fetal delivery and placental delivery.

Answer 24

third stage of labor

Question 25

For management of slow labor progression over 2 hours, in the active phase (cervix ≥6 cm), we administer

Answer 25

oxytocin increase the frequency and strength of this patient’s contractions. If the patient does not have cervical change once she is having more frequent contractions on oxytocin, it would be reasonable to place an IUPC (intrauterine pressure catheter) to assess the strength of the contractions.

Question 26

_____________ is typically used for cervical ripening and labor induction

Answer 26

Misoprostol

Question 27

women with cervical dilation <6 cm are considered to be

Answer 27

in latent phase cervical dilation above 6 cm = the active phase

Question 28

We manage second stage arrest with ?

Answer 28

an operative delivery

Question 29

Avoid operative delivery in the second stage as long as?

Answer 29

the fetus continues to descend and/or rotate to a more favorable position for vaginal delivery and the fetal heart rate pattern is not concerning.

Question 30

cytotec is

Answer 30

misoprostol

Question 31

______________ are all associated with breech presentation.

Answer 31

``` Prematurity multiple gestation genetic disorders polyhydramnios hydrocephaly anencephaly placenta previa uterine anomalies uterine fibroids ```

Question 32

A prolonged latent phase is defined as

Answer 32

>20 hours for nulliparas and >14 hours for multiparas, and may be treated with rest or augmentation of labor not yet reached the active phase (more than 4-6? cm)

Question 33

What size baby is likely to have shoulder dystocia

Answer 33

4500 g

Question 34

Optimal position for delivery

Answer 34

OA | back of baby's head against front of moms body

Question 35

can you push the baby head back in

Answer 35

yes- its called zavenoli procedure

Question 36

________________ are all associated with an increased incidence of shoulder dystocia.

Answer 36

``` Fetal macrosomia maternal obesity diabetes mellitus postterm pregnancy hx of shoulder dystocia prolonged second stage of labor ```

Question 37

In secondary arrest of dilation, no further cervical change in the active phase for over four hours. _________ is often recommended in this situation.

Answer 37

Amniotomy

Question 38

How does a vesicovaginal fistula present?

Answer 38

painless loss of urine into the vagina often after pelvic surgery

Question 39

What is one situation where you cannot use OCPs

Answer 39

In migraine

Question 40

Aside from OCPs, what can treat PMS

Answer 40

SSRI- daily or only in luteal phase

Question 41

What symptoms are present in bladder cancer

Answer 41

hematuria ↑ ua frequency urge incontinence

Question 42

When can you give prenatal steroids

Answer 42

23-34 weeks

Question 43

obstetric complication in which fetal blood vessels cross or run near the os

Answer 43

Vasa praevia- umbilical cord inserts into the membranes. | rare

Question 44

Fresh frozen plasma contains :

Answer 44

fibrinogen, clotting factors V and VIII.

Question 45

Cryoprecipitate contains

Answer 45

fibrinogen, factor VIII and von Willebrand’s factor.

Question 46

Common presenting signs of an abruption include

Answer 46

abdominal pain, bleeding, uterine hypertonus and fetal distress.

Question 47

Common Risk factors of an abruption include

Answer 47

Risk factors include smoking, cocaine use, chronic hypertension, trauma, prolonged premature rupture of membranes, and history of prior abruption.

Question 48

Smoking increases the risk of several serious complications of pregnancy, including

Answer 48

placental abruption, placenta previa, fetal growth restriction, preeclampsia and infection.

Question 49

Threatened abortion occurs during?

Answer 49

the first trimester.