Obsterics Miscellaneous Flashcards Preview

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Flashcards in Obsterics Miscellaneous Deck (26):
1

Effect of Factor V Leiden deficiency on expectant mother

Increases risk of VTE throughout life, compounds the normal increase in risk in puerperium.

2

Epilepsy in the pregnant

Increased f of episodes during pregnancy

3

What pre existing maternal condition has increased risk of fetal macrosomia if condition not well controlled?

Diabetes

4

What condition can cause maternal muscle fatigue in labour?

Myasthenia Gravis

5

What pre existing maternal condition requires prophylactic Abx for instrumental delivery?

Congenital heart valve problems due to infection risk

6

In describing twin pregnancies, how are they described?

Twins count as one pregnancy but two live births.

7

A woman currently pregnant who has had a previous term delivery.

G2P1

8

A woman not currently pregnant who has had one previous termination , one early miscarriage and one still birth at 36/40.

G3P1

9

A woman who attends for pre conception counselling, never having been pregnant.

G0P0

10

A woman currently pregnant with twins who has had one previous early miscarriage.

G2P0

11

A woman not currently pregnant who previously had a twin delivery at 28/40.

G1P2

12

Prolactin in pregnancy

Levels 15x higher in third trimester than in non pregnant state. Produced by ant pituitary gland and is essential for milk production.

13

Prostaglandins in pregnancy

Induces the process of cervical remodelling

14

Local collagenase in pregnancy

Aids in cervical softening

15

What regulates local uterine blood flow through endothelial effects in pregnancy

Cortisol

16

Triple test consists of

Bhcg, alpha-fetoprotein, oestriol

17

Oxytocin and ADH are released from?

Post pituitary gland

18

Antenatal care FBE taken at

At booking and 28/40

19

Screening test for pre-eclampsia

BP measurement and proteinuria

20

Fetal anomaly scan is scheduled for

18-22/40

21

In a normal pregnancy when is a membrane sweep offered?

At 41/40 to avoid induction in post- date pregnancy

22

Anti-D prophylaxis given

At 28/40 & 34/40

23

Effect of smoking during pregnancy...

Reduces intrauterine growth in a dose-dependant manner.

24

Ideal dating of pregnancy

US wk 10-14 using crown rump length.

25

14/40-20/40 US dating parameter?

Head circumference

26

Marker of asymmetric IUGR?

Hc/Ac ratio
Head bigger than abdo circumference due to brain sparing.