Flashcards in Obstetric/Gynecologic Disorders Deck (154)
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1
hypertension in pregnancy prior to 20 weeks gestation
essential hypertension or molar pregnancy
2
conditions associated with increased nuchal translucency
down's syndrome, turner syndrome, neural tube defects, congenital heart defects
3
decreased AFP, decreased unconjugated estriol, elevated inhibin A, elevated beta-hCG
down's syndrome or turner's syndrome
4
at what hemoglobin level should physiologic anemia of pregnancy be treated as iron deficiency anemia
first trimester: hemoglobin < 11
second trimester: hemoglobin < 10.5
5
what supplements should be given to women on anticonvulsants during pregnancy
folate and vitamin K (last month)
6
what supplements should be given to complete vegetarians during pregnancy
vitamin B12, iron, vitamin D
7
lab findings characteristic of HELLP syndrome
hemolysis, elevated liver enzymes, and low platelets
8
difference between preeclampsia and gestational hypertension
proteinuria, gestational hypertension is usually third trimester only
9
how long is magnesium sulfate continued after delivery in preeclampsia
24 hours
10
how long is magnesium sulfate continued after delivery in eclampsia
48 hours
11
what gestational age is maternal triple or quad screen offered to women?
16-18 weeks
12
when is 1 hour OGTT performed?
24-28 weeks
13
how does TSH change during pregnancy?
TSH stays the same, free T3/T4 stay the same
total T3/T4 increase because of increased thyroxine binding globulin
14
how much folate is needed in pregnancy
400 micrograms/day
15
how much iron is needed in pregnancy
30 mg/day
16
how much calcium is needed in pregnancy
1200 mg/day
17
when can amniocentesis be performed
after 16 weeks gestation
18
when can chorionic villous sampling be performed
after 9 weeks gestation
19
mccune-albright syndrome
females, pseudo-precocious puberty, cafe-au-lait macules, fibrous dysplasia of the bone
20
estrogen generated by ovaries
estradiol
21
estrogen generated by placenta
estriol
22
estrogen generated by fat tissue
estrone
23
nonhormonal options for menopausal hot flashes
desvenlafaxine, venlafaxine, clinidine, gabapentin, placebo, or just wait (most hot flashes resolve within 4-5 years)
24
what lab findings distinguish true precocious puberty from pseudoprecocious puberty
elevations of LH, FSH in central/true precocious puberty, further increased by GnRH stimulation
25
definition of precocious puberty
< 8 in girls
< 9 in boys
26
some causes of pseudoprecocious puberty
exogenous hormones, adrenal tumor, congenital adrenal hyperplasia, ovarian tumor, mccune-albright syndrome
27
definition of premature ovarian failure
> 1 year amenorrhea in women < 40
28
hormone associated with increase in basal body temperature
progesterone
29
how is body basal temperature increase associated with ovulation
1 degree increase occurs 1 day before ovulation
30
