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Flashcards in Obstets Deck (44):
1

Paragard

Non-hormonal IUD

2

Epulis

"Pregnancy tumor" of the mouth

3

PUPP

Pruritic urticarial papules and plaques of pregnancy

4

etonogestrel

Progesterone in implant

5

How long can paragard stay in place for?

10 yrs

6

How long after event can emergency contraception be taken?

5 days

7

When should quickening occur?

18-20 wks

8

DOC to induce uterine contractions for spontaneous abortion

Misoprostol
(prostaglandin analog)

9

Tocolytics generally not used past which week gestation?

34

10

DOC to delay labor from 24 - 32 wks

Indomethican

11

2nd line therapy to stop labor

Nifedipine

12

DOC at 32 - 34 wks to stop labor

Nifedipine

13

2nd line for preterm labor btw 34 and 34 wks

Beta andregenic receptor agonist (Terbutaline)

14

3rd line to prevent preterm labor

Magnesium sulfate

15

Preferred steroid for fetal development

Betamethasone is prefered
or
Non-sulfite dex

16

Prolonged rupture of membranes for >18 hrs =

B strep tx

17

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

No, unless membranes rupture

18

B strep prophylaxis meds

PCN G or Ampicillin
or if allergic
Ancef
or if anaphylactic
Clincamycin

19

Abx prophylaxis for premature membrane rupture

1g azithro upon admission
then
ampicillin 2g IV
then
Amoxacillin PO

20

uterotonic DOC for bleeding

Oxytocin

21

Oxytocin dosage

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

22

Order of drug administration of postpartum hemorrhage

Oxytocin then
Misoprostol then
Methyrogonovine
Carboprost tromethamine (hemabate)

23

Severe HTN during labor drug

IV lebatalol
or Hydralazine
or Nifedipine

24

Seizure prophylaxis

Mag sulfate

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