Obstets Flashcards

(44 cards)

1
Q

Paragard

A

Non-hormonal IUD

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2
Q

Epulis

A

“Pregnancy tumor” of the mouth

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3
Q

PUPP

A

Pruritic urticarial papules and plaques of pregnancy

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4
Q

etonogestrel

A

Progesterone in implant

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5
Q

How long can paragard stay in place for?

A

10 yrs

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6
Q

How long after event can emergency contraception be taken?

A

5 days

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7
Q

When should quickening occur?

A

18-20 wks

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8
Q

DOC to induce uterine contractions for spontaneous abortion

A

Misoprostol

prostaglandin analog

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9
Q

Tocolytics generally not used past which week gestation?

A

34

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10
Q

DOC to delay labor from 24 - 32 wks

A

Indomethican

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11
Q

2nd line therapy to stop labor

A

Nifedipine

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12
Q

DOC at 32 - 34 wks to stop labor

A

Nifedipine

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13
Q

2nd line for preterm labor btw 34 and 34 wks

A

Beta andregenic receptor agonist (Terbutaline)

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14
Q

3rd line to prevent preterm labor

A

Magnesium sulfate

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15
Q

Preferred steroid for fetal development

A

Betamethasone is prefered
or
Non-sulfite dex

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16
Q

Prolonged rupture of membranes for >18 hrs =

A

B strep tx

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17
Q

Should abx be given to B-strep+ mothers if undergoing c-section?

A

No, unless membranes rupture

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18
Q

B strep prophylaxis meds

A
PCN G or Ampicillin
or if allergic
Ancef
or if anaphylactic
Clincamycin
19
Q

Abx prophylaxis for premature membrane rupture

A
1g azithro upon admission
then
ampicillin 2g IV
then
Amoxacillin PO
20
Q

uterotonic DOC for bleeding

21
Q

Oxytocin dosage

A

40 units in 1L saline
10-40 ml/m
Should respond in 1 m if IV

22
Q

Order of drug administration of postpartum hemorrhage

A

Oxytocin then
Misoprostol then
Methyrogonovine
Carboprost tromethamine (hemabate)

23
Q

Severe HTN during labor drug

A

IV lebatalol
or Hydralazine
or Nifedipine

24
Q

Seizure prophylaxis

25
What treats magnesium toxicity?
Calcium gluconate
26
Preferred laxative in pregnancy
Bulk forming - not absorbed | Metamucil
27
2nd line laxatives for refractory cases
Dulcolax | MOM
28
GERD tx in order
``` Lifestyle mod Antacids Sucralafate Zantac (H2) Prevacid (PPI) ```
29
DOC for maternal pain and fever
Tylenol
30
NSAIDS and pregnancy
Don't use, especially after 30 wks
31
preg cough suppressant
Mucinex (C) | Robitussin (C)
32
Rhinorrhea tx
Ipatropium bormie
33
Which days of the cycle are women most fertile?
btw 11 and 21
34
How long does it take to start ovulating after stopping the pill?
2 wks
35
Medical mgmt of stable ectopic pregnancy
Methotrexate
36
Snowy uterus
Hydatidiform mole
37
Abdominal pain, contraction and bleeding =
Placental abruption
38
Retroplacental hematoma =
Placental abruption
39
Which vitamin can tx hyperemesis?
B6 then Promethazine or zofran
40
HTN tx for mild preeclampsia
Hydralazine or Methyldopa and ASA
41
HTN, RUQ tenderness, abnormal liver enzymes =
HELLP
42
if fFN in present in 2nd or 3rd tri what does it indicate?
High risk of pre-term labor
43
Group B strep screening occurs when?
35-37 wks
44
Meds to deliver placenta
IV Nitro | Umbillican pitocin