OB/GYN COMAT Flashcards Preview

COMLEX Level 2 > OB/GYN COMAT > Flashcards

Flashcards in OB/GYN COMAT Deck (210)
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1

If fluids are given to a mom w/ chorioamnionitis, she may develop __________

Pulmonary Edema

2

Maternal CO will increase up to ____ d/t HR and SV

33%

3

Maternal SVR is ______ than PVR

greater

4

95% of pregnant women will have _______

systolic murmur

5

Uncontrolled DM mothers have an increased chance of having a child w/ ______, ______ and _______ deformaties.

Midline, Cardiac, CNS

6

Most effective screen test for Trisomy 21:

Cell Free DNA

7

___ g of protein is recommended during pregnancy

70

8

6 defects associated w/ valproic acid

2 CHAPS
1. Spina bifida
2. Atrial septal defect
3. Cleft palate
4. Hypospadias
5. Polydactyly
6. Craniosynostosis

9

Woman presents for labor w/ no complication, next step?

PmHx, Targeted PE

10

Late fetal decelerations are d/t

Uteroplacental insufficiency

11

PPV is used on a neonate, place the head in the

Sniff position

12

Supress breast milk by

binding, ice, NSAIDs

13

#1 RF for developing postpartum depression

Hx of Depression

14

Who needs to be treated in a case of BV

just mom

15

Cancer tx that is least likely to be recommended in a pregnant cancer pt.

Radiation

16

Mom BMI is elevated, most likely complication to develop is

HTN

17

Rq for pre-eclampsia

> 20 wksHTNProteinuriaEdema

18

Pre-eclampsia + Bleeding =

Placental abruption

19

RF for preeclampsia

PH FOAM
1. Age
2. Multiple Gestations
3. History of chronic high blood pressure, diabetes, kidney disease or organ transplant.
4. First pregnancy.
5. Obesity, particularly with Body Mass Index (BMI) of 30 or greater.

6. Previous history of preeclampsia.

20

Mom is Dx w/ hemolytic Dz, severity indicated by measuring _____ in the amniotic fluid

Bilirubin

21

MOA of Mg Sulfate as a tocolytic

Competes w/ Ca into cells

22

Amniocentesis shows low glucose, Cz?

Amnion Fluid infection

23

Pt w/ nl appearing anatomy and repeated pregnancy loss. First r/o ...

Intra uterine abnormality (Septate Uterus)

24

____ myxomas may interfere w/ carrying a child to term

Submucosal

25

Pt presents w/ high grade squamous intraepithelial cytology but negative colposcopy. Next step?

Bx by Loop electrosurgical excision procedure (LEEP)

26

Continuous Fetal Heart monitor decreases the chance of ....

Neonatal Seizures

27

Pt w/ high Hcg, heavy cycles, pelvic pressure, vomiting.Consider ...

Molar Pregnancy

28

45 yo pt has cycle day 3 FSH > 30. Why can't she conceive?

Late maternal age and low follicle availability.

29

Define the types of incontinence:OverflowStressUrgeMixedFunctional

Overflow -- can't fully empty (>200mL), weak detrusor muscle, obstruction
Stress -- leak during valsalva maneuvers
Urge -- Hyper/Overactive bladder
Mixed -- Urge + StressFunctional -- can't get to the bathroom

30

Twin A Vertex + Twin B BreechBirth Plan?

Twin A VD
Twin B Reposition VD or CS