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Flashcards in Suspected Test Questions Deck (13)
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1

Clinical and/or lab findings that suggest gestational trophoblastic d/z?
A. decr risk of hyperemesis gravidarum
B. fetal bradycardia
C. preeclampsia prior to 20w gestation
D. hypothyroidism w/ decr TSH
E. hCG less than expected for gestation

C. preeclampsia prior to 20w gestation

2

How to plan for multiple gestation delivery?

- experienced obstetrician
- blood available
- IV access
- anesthesia and pedi available
- OR notified

3

What are the 4 causes of maternal death?

- preeclampsia/eclampsia
- hemorrhage
- CV conditions
- thromboembolism

4

What constitutes a cure for preeclampsia?
A. anticonvulants
B. magnesium sulfate
C. antiHTN
D. tocolytics
E. delivery of fetus

E. delivery of fetus

5

Rh incompatability during pregnancy is a/w which of the following?
A. direct hyperbilirubinemia in the infant
B. affects fetus typically in 1st trimester
C. Rh+ mother, Rh- fetus
D. anemia leading to fetal hydrops
E. can only occur if husband is RH-

D. anemia leading to fetal hydrops

6

Which of the following factors are NOT a/w gestational DM?
A. fasting serum glucose >95 during gestation
B. fetal demise prior to term in GDM requiring insulin therapy
C. shoulder dystocia w/ fetal macrosomia
D. more likely to require an operative delivery
E. all require insulin tx for hyperglycemia

E. all require insulin tx for hyperglycemia

7

Which of the following is NOT a/w PROM?
A. singleton pregnancy
B. previous PROM
C. genital tract infx
D. antepartum bleeding
E. smoking

A. singleton pregnancy

8

Placenta previa is ddx'd from placental abruption by which of the following?
A. bright red vaginal bleeding
B. painless vaginal bleeding

B. painless vaginal bleeding

9

Most common reason for c-section is?
A. cephalopelvic disproportion
B. fetal distress
C. chorioamnionitis
D. uterine rupture
E. placenta previa

A. cephalopelvic disproportion

10

FHR monitoring shows which of the following?
A. excellent intra-observer concordance in interpretation
B. need for emergent delivery for early FHR decelerations
C. expectant care w/ any bradycardia that eventually returns to baseline
D. sinusoidal FHR patterns are reassuring for fetal outcomes
E. emergent delivery is recommended for severe late FHR decelerations

E. emergent delivery is recommended for severe late FHR decelerations

11

What is a risk in subsequent pregnancy where the women had a classical c-section d/t low lying fibroid?

rupture of uterus even prior to onset of labor

12

VBAC requirements

- vertex
- only 1 prior c-sec
- previous c-sec >18m
- full consent of pt
- available OR for emergency c-sec
- blood available
- no pitocin, no prostaglandins

13

Major cause of maternal M&M?
A. postpartum hemorrhage
B. cervical lacerations
C. chorioamnionitis
D. placental abrutpion
E. uterine rupture

A. postpartum hemorrhage