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Flashcards in Oh god make it stop- OB Deck (42):
1

_________ is a tocolytic used to delay the progression of labor to allow for the benefit of betamethasone to hasten pulmonary maturation.

Nifedipine

2

__________ are medications used to suppress premature labor.

Tocolytics

3


Intra-amniotic infection rx


Intra-amniotic infection cannot be cured without delivery

4

Indomethacin is contraindicated at ?

33 weeks due to risk of premature ductus arteriosus closure.

associated with oligohydramnios.

5

Magnesium sulfate works by ?

competing with calcium entry into cells.

6

Terbutaline is a ?

beta-adrenergic agent. Side effects include tachycardia, hypotension, anxiety and chest tightening or pain.

7

Terbutaline is bad when?

used over 48-72 hours.
mom is tachy cardiac
mom is diabetic

8

When is Mg sulfate great

under 32 weeks EGA when delivery is likely

9

Who gets progesterone therapy

hx of preterm birth
short cervix

10

High levels of magnesium sulfate may cause

respiratory depression (12-15 mg/dl) or cardiac depression (>15 mg/dl)

Prior to developing respiratory depression diminished or absent deep tendon reflexes (areflexia).

11

Fetal fibronectin is good because

has a negative predictive value of 99.2% in symptomatic women — 99 out of every 100 patients with a single negative test result will not deliver in the next 14 days

12

what ratio helps you ddx preeclampsia

protein/ creatinine >0.3
or 24 protein > 300

13

Can you ddx appendicitis w/ ultrasound

YES! esp helpful in a prego

if US fails, then MRI

14

When is Ca- 125 diagnostic

in a post menopausal lady.

15

Postmenopausal lady w/ ovarian cyst and negative Ca-125 managment

Observation

16

Chorioamnionitis rx

deliver the baby vaginaly (unless there was some other reason you were gonna do c-section)

17

Most common side effect to fluoxetine

insomnia

18

SSRIs and breast feeding

Current recommendations state that SSRI medications can be safely used during lactation.

19

Third trimester maternal use of SSRIs has been associated with what in baby

abnormal muscle movements (extrapyramidal signs or EPS)
withdrawal symptoms --> agitation
abnormal muscle tone
tremor
sleepiness
severe difficulty breathing
difficulty in feeding.

20

Premenstrual Dysphoric Disorder

severe form of PMS that includes physical and behavioral symptoms that usually resolve with the onset of menstruation.

occur in the luteal phase and are absent in the beginning of the follicular phase.

21

Post partum blues symptoms

insomnia
easy crying
depression,
poor concentration
irritability
labile affect and anxiety
Symptoms often last a few hours per day and are mild and transient.

22

The primary risk factor for preterm rupture of membranes is

genital tract infection, especially associated with bacterial vaginosis.

23

Variable decelerations are a result of ?

cord compression

24

Antibiotic therapy with _________ given to patients with PPROM has been found to prolong the latency period by 5-7 days, & ↓ incidence of maternal amnionitis and neonatal sepsis.

ampicillin and erythromycin

25

ampicillin and erythromycin for PPROM has been found to?

prolong the latency period by 5-7 days
↓ incidence of maternal amnionitis and neonatal sepsis.

26

Maternal signs of _____________ are indications for delivery vaginally (unless c/s for other reason)

chorioamnionitis or other evidence of intra-amniotic infection

27

A ___________ is an indication of intra-amniotic infection on amniocentesis

low amniotic fluid glucose

28

_______________- med has been shown to reduce the risk of premature labor.

17 alpha-hydroxyprogesterone

administered weekly (16-20 weeks) until 36 weeks gestation.

29

Vitamin deficiency of ________ have been associated with an increase in PMS.

A, E and B6

30

during the luteal phase of the menstrual cycle.
1-_____is characterized by mild to moderate symptoms,
2- ______is associated with severe symptoms that seriously impair usual daily functioning and personal relationships.

1- PMS
2- PMDD

31

Symptoms of __________ can mimic typical symptoms of PMS,

hypothyroidism

32

Psych drug Rx for PMS

SSRI effective in alleviating PMS and PMDD symptoms. Patients can take the medication either every day or for 10 days during the luteal phase.

33

Risk factors for PMS include

a family history of premenstrual syndrome (PMS) and Vitamin B6, calcium, or magnesium deficiency.

34

______________- are significant risk factors for developing premenstrual dysphoric disorder (PMDD).

Previous anxiety, depression or other mental health problems

35

Methylergonovine is an ergot alkaloid, which is a ?

potent smooth muscle constrictor.
vasoconstrictive agent a
should be withheld from women with hypertension and/or preeclampsia.

36

Postpartum hemorrhage is defined as bleeding in excess of

500 cc after a vaginal delivery or in excess of 1000 cc after a Cesarean delivery.

37

uterotonics and used to increase uterine contractions and decrease uterine bleeding are?

. Methylergonovine, prostaglandins and oxytocin

38

___________ has been shown to be effective in the management of unresponsive uterine atony.

A uterine compression suture such as a B-Lynch

39

Septic pelvic thrombophlebitis is diagnosed how?

exclusion
CT may also help

40

Septic pelvic thrombophlebitis rx

treatment requires addition of anticoagulation to antibiotics and resolution of fevers is generally rapid

41

Septic pelvic thrombophlebitis s/s

non specfic
high fever
all other causes ruled out

42

_________ are the most common source of fever on the first postpartum day

The lungs, esp if you had anesthesia for delivery