OB/GYN 2 Flashcards Preview

Step 2 > OB/GYN 2 > Flashcards

Flashcards in OB/GYN 2 Deck (42)
Loading flashcards...
1

Ca2+ supplementation in postmenopausal women

1200-1500mg/day (+vit d)

2

3 Tx for osteoporosis

exercise, SERMS (no effect on hot flashes) and bisphosphonates (improve BMD and prevent frx)

3

what amt of wt gain during pregnancy is recomnneded for those of:
normal wt
underwt
overwt
what is the kcal goal?

normal = 25-35lbs

underweight = 35-40lbs

overweight = 15lbs

i.e. 30-35kcal/kg of IDEAL body weight

4

3 MC meds during pregnancy

prenatal vitamin, anti-emetic (Zofran), ranitidine (GERD)

5

3 MC effects of maternal smoking during pregnancy

IUGR, preterm delivery, placental abruption

6

Braxton Hicks contractions

false labor (no physiologic changes)

7

4 stages of pregnancy

1. first stage: onset of labor--> full cervical dilation (10 cm)
    latent phase: cervical effacement--> early dilation
    active phase: 4 cm dilation and onward is active dilation
2. second stage: complete cervical dilation--> delivery of infant
3. third stage: delivery of infant--> delivery of placenta
4. fourth stage: 2 hrs after delivery of placenta (physiological adjustment)

8

7 cardinal movements of labor

engagement (zero station), flexion, descent, internal rotation, extension, external rotation, expulsion

9

2 causes of overestimating fetal descent/station

caput succedaneum, molding

10

extensive blood loss after delivering the placenta? Tx?

Uterine atony, tx= uterine massage, oxytocin, methergine and prostaglandins

11

2 meds for cervical ripening and CI, alternatives

Misoprostol and PGE2

CI if prior C-section, prior uterine srgy

alternatives = laminaria and 30ml foley catheter

12

6 etiologies of chronic HTN in pregnancy

essential HTN, aortic coarctation, CT d/s, hyperthyroidism, hyperaldosteronism, Cushing's d/s

13

5 maternal complications of chronic HTN during pregnancy

cerebrovascular accident, placental abruption, super-imposed pre-eclampsia, renal disease, retinopathy

14

3 tx for chronic HTN in pregnancy

methyldopa, labetolol, nifedipine

15

MCC death of pregnant mom

Pre-eclampsia

16

5 maternal complications of pre-eclampsia

CVA, ARF, pulmonary edema, eclampsia, death

17

5 fetal complications of pre-eclampsia

IUGR, anemia, neutropenia, thrombocytopenia, death

18

8 RF for placental abruption

age >35, multiparity/gestation, HTN, smoking, cocaine, uterine anomalies, prior hx

19

3 tx placental abruption

C-section, IVF/transfusions, FFP/platelets

20

MCC neonatal mortality

preterm delivery

21

define prolonged latent phase, 1st pregnancy vs multiparous

1st = >20hrs

2+ = >14hrs

22

arrest of dilation definition

no change in dilation for 2+ hrs in the ACTIVE phase of labor

23

protracted desecent of labor nullipara vs multipara

nullipara = >2hrs of 2nd stage of labor

multipara = >1hr of 2nd phase

24

3 tx for abnormal labor

abx if maternal infxn, amniotomy, oxytocin

25

5 MC indications for C-section

dystocia, prior CS, fetal distress, bleeding, malpresentation

26

MC complications of CS (5)

hemorrhage >> endometritis, UTI, bladder/bowel injury, wound infxn

27

MCC post-op complication of CS

endometritis

28

ml for post-partum hemorrhage vaginal vs. CS

vaginal = >500ml

CS = >1000ml

29

MCC post-partum hemorrhage

uterine atony

30

MCC emergency HYSTERECTOMY

placenta accreta