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Women's Health EOR > Pregnancy Complications > Flashcards

Pregnancy Complications Flashcards

(49 cards)

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1
Q

Complete abortion

A

Complete expulsion of all products of conception before 20 weeks

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2
Q

Complete abortion tx

A

None

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3
Q

Incomplete abortion

A

Partial expulsion of some but not all POC before 20 weeks

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4
Q

Incomplete abortion tx

A

D&C
Prostaglandins

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5
Q

Inevitable abortion

A

No expulsion of products but vaginal bleeding and dilation of cervix

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6
Q

Inevitable abortion tx

A

Prostaglandins

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7
Q

Missed abortion

A

Death of embryo or fetus before 20 weeks with complete retention of all POC

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8
Q

Missed abortion tx

A

Prostaglandins
D&C

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9
Q

Threatened abortion

A

Any vaginal bleeding before 20 weeks without dilation of cervix

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10
Q

Threatened abortion tx

A

Monitor closely

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11
Q

MC location for ectopic

A

Ampulla

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12
Q

S/S of ectopic pregnancy

A

Amenorrhea
Vaginal bleeding
Lower abdominal pain
Adnexal mass

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13
Q

HCG of ectopic

A

Does not double every 48 hours as it should

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14
Q

Diagnosis of ectopic pregnancy

A

US

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15
Q

Tx of ectopic pregnancy

A

Methotrexate
Surgical removal

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16
Q

Complete mole

A

46, XX, or XY
Both sets of chromosomes are paternal

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17
Q

S/S of complete mole

A

Vaginal bleeding
Large for date
HCG over 100,000

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18
Q

Diagnosis of complete mole

A

Snowstorm on US

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19
Q

Incomplete mole

A

69, XXX, or XXY
Two paternal haploid sets and one maternal

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20
Q

Diagnosis of incomplete mole

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A

Thickened multicystic placenta

21
Q

S/S of incomplete mole

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A

Missed abortion
Small for date

22
Q

Management of molar pregnancy

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A

D&C
Pitocin and Rhogam should be given

23
Q

Goals for glucose control in gestational diabetes

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A

Preprandial 70-100
Postprandial 100-129
A1C < 7

24
Q

Glucose challenge test

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A

1 hour test between 24-28 weeks
Then 3 hour if positive

25
Treatment of gestational DM
First diet modification and exercise Metformin Insulin
26
When is elective c-section considered for gestational DM?
Weight > 4500g
27
Risks of gestational DM
Stillbirth Macrosomia Obesity
28
Risk factors for cervical insufficiency
D&C Conization LEEP
29
US of cervical insufficiency
Cervix shorter than 2.5 cm
30
When is cerclage placed?
Rescue: up until 24 weeks Elective: 12-14 weeks
31
MCC of third trimester bleeding
Placental abruption
32
S/S of placental abruption
Painful vaginal bleeding
33
S/S of placenta previa
Painless vaginal bleeding
34
Diagnosis of placenta previa
TV US
35
Preeclampsia
Onset of hypertension and proteinuria after 20 weeks SBP > 140 OR DBP > 90 Proteinuria of >/= 0.3 g in 24 hour urine specimen
36
Eclampsia
Occurrence of generalized convulsion in the setting of preeclampsia
37
HELLP syndrome
Hemolysis Elevated liver enzymes Low platelets
38
Definitive treatment of preeclampsia
Delivery
39
Primary prevention for preeclampsia
Magnesium sulfate
40
When are steroids given for preterm infants?
Before 28 weeks
41
Gestational HTN
HTN after 20 weeks
42
Treatment of gestational HTN
Labetalol Methyldopa Nifedipine
43
Reduce risk of preeclampsia
Low dose ASA
44
Rh incompatibility
Rh- mom and Rh+ baby
45
Result of Rh incompatibility
Hemolysis of fetal RBC leading to hydrops fetalis
46
Administration of Rhogam
28 weeks Within 72 hours of delivery
47
S/S of choriocarcinoma
Irregular bleeding Pelvic pain Hx of molar pregnancy
48
Diagnosis of choriocarcinoma
US Elevated HCG CT
49
Treatment of choriocarcinoma
Chemo + hysterectomy

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