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Flashcards in Test 2 Deck (306):
1

caused by Treponema pallidum

syphilis

2

primary infection with syphilis

painless chancre that heals spontaneously

3

secondary infection with syphilis

nonpruritic rash on palms and soles

4

condylomata lata

gray colored genital warts that occur in syphilis

5

tertiary infection with syphilis

cardiac, neuro, ophthalmic disease

6

diagnostic for syphilis

screening with nontreponemal tests (VDRL and RPR); confirmed with treponemal test

7

trx for syphilis

Benzathine PCN G 2.4 million units IM x1

8

trx for syphilis if allergic to PCN

doxycycline 100 mg bid x 14 days

9

Do not give tetracyclines during

pregnancy

10

f/u for syphilis treatment

serology titers in 3, 6, 9, 12 months. avoid sex until titer has a 4-fold decrease

11

risk factors for PID

age less than 25, multiple sex partners, IUD

12

risk for PID is decreased if

taking oral contraception

13

Most common cause of PID

chlamydia and gonorrhea

14

s/s of PID

abnormal vaginal bleeding, low back/abd pain for less than 2 weeks, CMT and adnexal tenderness, fever greater than 101

15

diagnostics for PID

- pregnancy test to r/o ectopic pregnancy
- WBC on vaginal secretion
- elevated ESR or CRP
- endometrial biopsy

16

treatment for PID

ceftriaxone 250 mg IM and doxycycline 100 mg PO bid x 14 days with or without metronidazole 500 mg PO bid x 14 days

17

important with PID to

treat sexual partners in last 60 days

18

f/u with PID

f/u in 48-72 hours, then test for cure in 7-10 days and then 4-6 week after trx

19

HPV genital warts caused by

HPV 6 and 11

20

condylomata acuminate

HPV genital warts

21

painless, smooth, flat, skin-colored warts to fleshy papules that may become cauliflower-like growths.

condylomata acuminate in HPV warts

22

all women with HPV genital warts should undergo

pap smear for cervical HPV, gonorrhea/chlamydia, and HIV

23

treatment for HPV warts

Podofilox 0.5% gel; cryotherapy every 1-2 weeks

24

Mucopurulent cervicitis is caused by

chlamydia

25

risk factors for mucopurulent cervicitis

women less than 21 years old

26

Diagnostic for mucopurulent cervicitis

pap smear (make sure to remove discharge prior to specimen collection), NAAT

27

treatment for mucopurulent cervicitis

azithromycin 1 g PO x 1 or doxycycline 100 mg PO bid x 7 days

28

Characterized by clear/mucoid discharge and burning on urination.

nongonococcal urethritis

29

usually asymptomatic in women that can progress to PID

gonorrhea

30

Diagnostic for gonorrhea

NAAT

31

treatment for nongonoccoal urethritis

azithromycin 1 g PO x 1 or doxycycline 100 mg PO bid x 7 days

32

incidence of gonorrhea is highest in

women 15-19 years old

33

s/s of gonorrhea in men

purulent urethral discharge, dysuria

34

s/s of gonorrhea in female

often asymptomatic

35

treatment for gonorrhea

ceftriaxone 250 mg IM x 1 plus azithromycin 1 g PO x1 or doxycycline 100 mg PO bid x 7 days

36

Characterized by visible, painful genital or anal lesions or grouped vesicles at the site of inoculation and regional lymphadenopathy.

HSV

37

difference between HSV 1 and HSV 2

HSV1- oral herpes
HSV2- genital herpes

38

spread of HSV

asymptomatic shedding for up to 3 months

39

latency of HSV

establishes latency within sensory fibers for life

40

s/s of HSV

painful vesicles that ulcerate and resolve within 21 days

41

recurrent infection of HSV

prodrome phase of pain and burning over area prior to vesicle formation

42

Diagnostic of HSV

culture

43

treatment for HSV

acyclovir 400 mg PO tid x 7 days

44

treatment for recurrent HSV

acyclovir 400 mg PO tid x 5 days, start during prodrome or within one day of onset of lesion

45

transmission of HIV

sexually, injected drug use, blood transfusion, mother-to-baby

46

when should HIV testing be done

should be offered at least once in all people 13-64 years regardless of risk;
those with high risk should be screened annually

47

AIDS is diagnosed when CD4 is

below 200

48

is the best predictor of viral transmission in homosexuals. with HIV

viral load

49

s/s of early HIV

influenza-like symptoms that is self-limiting followed by an asymptomatic period.

50

s/s of late HIV/AIDS

anemia, thrombocytopenia, leukopenia, weight loss, TB

51

diagnostic of HIV

ELISA that is confirmed with Western blot

52

Management of HIV

- CD4, viral load, and CBC every 3 months
- TB test annually

53

immunizations for HIV

Pneumovax every 5 years;
inactivated influenza annually

54

The role of oral contraceptives

suppress the release of FSH and LH, preventing ovulation

55

progestin role in contraception

thickens cervical mucus, prevents ovulation

56

provide a a constant dose of estrogen and progestin in each of the 21 active tablets.

monophasic OCP

57

phasic OCPs have

altering doses of progestin

58

women who miss one or two OCP tablets should

take 2 tablets for each missed day

59

s/s of too much estrogen in OCP

bloating, edema, nausea, breast tenderness

60

s/s of too little estrogen in OCP

breakthrough bleeding, increased spotting

61

s/s of too little progestin in OCP

breakthrough bleeding, amenorrhea

62

s/s of too much progestin in OCP

increased appetite, weight gain

63

OCPs result in a reduced risk of

ovarian and endometrial cancer, PID, and rheumatoid arthritis

64

OCPs are contraindicated in women who have

- hx of thrombophlebitis, CVA, CAD, breast cancer;
- active liver disease,
- 20-year hx of DM,
- gallbladder disease,
- older than 25 who smoke

65

warning sign for OCP (ACHES)

- Abd pain
- Chest pain, SOB
- Headaches, dizziness
- Eye problems
- Severe leg pain

66

Ortho Evra patch

estradiol and progestin

67

ortho evra patch application

lower abd, buttocks, upper arm or torso once a week for 3 weeks. 4th week is for bleeding.

68

Nuvaring contains d

estradiol and progestin

69

Nuvaring application

inserted into the vagina for 3 weeks, removed on week 4 for bleeding

70

teaching for Nuvaring

if it's out for more than 3 hours, use backup contraception for 7 days

71

When to take emergency contraception

within 72 hours and then repeated 12 hours later

72

Side effects of emergency contraception

nausea/vomiting, bleeding and spotting

73

Nonhormonal IUD (Paraguard and Copper T) prevent fertilization by

creating a spermicidal enviornment

74

IUD can be changed every

5 years

75

advantage of hormonal vs nonhormonal IUD

hormonal can decrease bleeding whereas nonhormonal can increase bleeding

76

Mirena contraindications

hx of thromboembolism, acute liver disease, hx of breast cancer.

77

These women do not tolerate IUDs as well

nulliparous women

78

Mini pills are

progestin only

79

Mini pills administration

must be taken everyday

80

minipills are good option for those women who are

breasfeeding

81

OCP not associated with thromboembolic events or gallbladder disease

minipills d/t no estrogen

82

Depo Provera injection is

progestin

83

Dep Provera administration

IM every 12 weeks

84

side effects of Depo Provera

irregular period, weight gain, headache

85

Average return of fertility after d/c Depo Provera

5-7 months

86

Implanon/Nexplannon is

progestin

87

Implanon/Nexplannon administration

changed every 3 years

88

both diaphragms and cervical caps must be used with

spermicidal jelly

89

teaching with diaphragms

must be in place for 6 hours after intercourse but no more than 24 hours

90

risk with diaphragms and cervical caps

TSS, UTI

91

teaching for cervical cap

can be in place for 24 hours

92

mucus that is produced during fertile periods is

clear, slippery, and stretches

93

mucus that is produced during periods of infertility is

cloudy, sticky, and breaks when stretched.

94

Low temps are recorded ___ ovulation and higher temps recorded ____ ovulation.

before; after

95

dysparenuria involves

vaginismus, vulvar vestibulitis, and vulvodyna.

96

involuntary spasm of the muscles surrounding the outer third of the vagina brought on by real, imagined, or anticipated attempts at vaginal penetration.

vagismus

97

chronic vulvar discomfort that may involve complaints of rawness, burning, stinging, or irritation.

vulvodynia

98

Touching the vestibule and the hymen with a moistened cotton swab may elicit the pain of

vestibulitis

99

Bartholin glands are usually

not palpable

100

diagnostics for dysparenuina

Pap smear and pelvic exam, wet mount, KOH, culture of vaginal discharge, testing for gonorrhea/chlamydia, HCG to r/o ectopic pregnancy

101

treatment for vulvar vestibulitis and vulvodynia

TCA or gabapentin

102

causes of bartholin gland abscess

tight fitting panties, STDs, infection

103

s/s of bartholin abscess

unilateral, swollen, red mass that is tender and painful

104

nonpharm trx of bartholin abscess

moist heat, warm sitz bath, I&D

105

diagnostics for bartholin gland abscess

C&S, test for STDs

106

medical trx for bartholin abscess

metronidazole, erythromycin, doxycycline.

107

diagnostic for atrophic vaginitis

increased pH, FSH to confirm menopause, estradiol level.

108

pharm trx for atrophic vaginitis

low dose estrogen if hysterectomy; estrogen+progesterone if uterus present

109

estrogen therapy for atrophic vaginitis should be for no more than

3 months

110

risk factors for candida vulvovaginitis

recent atbx therapy, steroids, pregnancy, DM, hypothyroidism, iron deficiency anemia, oral contraceptives, obesity

111

s/s of candida vulvovaginitis

thick, white vaginal discharge, itching, no odor

112

diagnostic for candida vulvovaginitis

KOH- look for hyphae and budding yeast

113

in candida vulvovaginitis, the vaginal pH is

less than 4.5

114

prevention of candida vulvovaginitis

cotton underwear, avoid tight clothing, weight loss, unscented soap

115

treatment for candida vulvovaginitis

fluconzazole 150 mg x1;
Miconazole nitrate (Monistat) cream

116

education for candida vulvovaginitis

avoid sex until symptoms resolve

117

caused by replacement of the normal, hydrogen-peroxide producing Lactobacillus in the vagina with high concentrations of anaerobic bacteria

bacterial vaginosis

118

risk factors for BV

multiple sex partners, black

119

s/s of bacterial vaginosis

odorous thin, white/gray vaginal discharge that is adherent to vaginal walls

120

Amsel criteria for bacterial vaginosis

pH is greater than 4.5;
"clue cells" on wet mount;
positive whiff test;
milky-white discharge adherent to vaginal walls.

121

pH in bacterial vaginosis is

greater than 4.5

122

Treatment for bacterial vaginosis

Metronidazole 500 mg Po bid x 7 days (avoid alcohol); OR
clindamycin cream x 7 days

123

bacterial vaginosis during pregnancy

can cause low birth weight and preterm delivery

124

F/U with bacterial vaginosis

f/u in 2-3 weeks and test vaginal pH, whiff test, and wet mount.

125

normal vaginal pH is

3.8-4.2

126

avoid prescribing fluconazole for candida vulvovaginitis in

pregnancy and those with Dm who take oral hypoglycemics

127

s/s of trichomoniasis

yellow-green, frothy discharge; strawberry cervix

128

the pH in trichomoniasis is

greater than 4.5

129

trx for trichomoniasis

metronidazole 2 g orally x 1

130

trichomoniasis in pregnancy

can cause low birth weight and preterm

131

education in trichomoniasis

treat sexual partners

132

continuous, or episodic, non-menstrual pain of at least 6 months duration that occurs below the umbilicus, is severe enough to interrupt normal activities of daily life

chronic pelvic pain

133

risk factors for chronic pelvic pain

sexually abused, PID, ectopic pregnancy, endometriosis, irritable bowel syndrome

134

Treatment for chronic pelvic pain

NSAIDs, TCA, anticonvulsants, gabapentin

135

median age of menopause

51

136

diagnostic for menopause

FSH greater than 40, LH greater than 30.

137

hormone therapy has been approved for

osteoporosis prevention but NOT treatment

138

Estrogen therapy increases risk of

endometrial cancer and heart disease

139

Hormone replacement therapy is approved for

vasomotor symptoms, vaginal atrophy, and prevention of osteoporosis

140

absolute contraindications of hormone therapy are

vaginal bleeding, liver disease, thromboembolic disorders

141

medications for menopause symptoms

clonidine, gabapentin, effexor, paxil

142

this doubles the risk of developing ovarian cysts

smoking

143

these decrease the risk of developing ovarian cysts

OCPs

144

function or physiologic ovarian cysts are often asymptomatic and resolve in

60-90 days

145

s/s of worsening ovarian cysts

unilateral pelvic pain

146

diagnostic for ovarian cysts

r/o ectopic pregnancy, CBC, trasvaginal US, cervical cultures

147

treatment for simple ovarian cysts

NSAIDs, rest

148

pathophys of PCOS

high insulin levels cause ovarian cells to produce more androgens/testosterone. The liver compensates by decreasing secretion of sex hormone binding globulin (SHBG) that bind and excrete free testosterone.

149

s/s of PCOS

hirsutism (acne, alopecia);
irregular menstrual cycles;
infertility

150

diagnostics for PCOS

LH/FSH ratio greater than 2.5:1;
high testosterone;
high prolactin;
high insuiln

151

treatment for PCOS

oral contraceptives- suppress LH to reduce testosterone secretion ;
Metformin, Clomid
Spironolactone

152

ovarian cancer is more common in women

greater than 60 years old

153

risk factors for ovarian cancer

hx of breast cancer or BRCA gene; nulliparity; pregnancy after 30, family hx; estrogen

154

s/s of ovarian cancer

bloating, dyspepsia, abd pressure/pain, irregular vaginal bleeding

155

Diagnostics for ovarian cancer

transvaginal US

156

Treatment for ovarian cancer

total hysterectomy, radiation/chemo

157

median age of endometrial cancer

61

158

Type I endometrial cancer is associated with

excess estrogen that is unopposed by progesterone

159

common presenting sign of endometrial cancer

perimenopausal woman has more frequent and heavier periods

160

diagnostic of endometrial cancer

endometrial thickening greater than 5 mm; endometrial biopsy

161

treatment for endometrial cancer

total hysterectomy, chemo

162

high correlation of endometrial cancer with

breast and colon cancer

163

Pap smear guidelines

21-29 every 3 years;
30-65 Pap + HPV every 5 years or Pap alone every 3 years.

164

next step for ASC-US

HPV DNA testing or repeat pap in 1 year

165

next step for ASC-H

colposcopy and biopsy

166

next step for LSIL and HSIL

colposcopy and biopsy, with LEEP for abnormal findings

167

Paps may be stopped at age 65 if

prior 3 normal paps, no hx of genital tract cancer

168

cervical cancer is associated with

HPV 16 and 18

169

the normal endocervix is covered with

columnar epithelium

170

cervix in cervical cancer

enlarged (barrel cervix), friable tumor on cervix

171

risk factors for breast cancer

age greater than 50, first degree relative, early menarche, late menopause, nulliparity, obesity

172

s/s of breast cancer

painless, firm, fixed mass;
clear nipple discharge;
Peau d'orange appearance;
nipple retraction

173

mammogram guidelines

every 1-2 years starting at 40, annual screening at 50

174

s/s of fibrocystic breasts

smooth, moveable rope-like masses; breast tenderness that goes away after menses

175

treatment for fibrocystic breasts

cold compresses, wear bra 24 hours a day, sodium and caffeine restriction.

176

fibroadenoma most common in

women 20-30

177

s/s of fibroadenoma

single, nontender, moveable mass

178

diagnostics for fibroadenoma

US for women less than 35, mammogram for women older than 35

179

intraductal papilloma mostly occurs at

age 40-50

180

s/s of intraductal papilloma

bloody or serous nipple discharge

181

treatment for intraductal papilloma

surgical excision

182

causes of mastitis

Staph aureus or strep

183

s/s of mastitis

breast tenderness, fever, erythema

184

treatment for mastitis

warm compress, frequent nursing

185

Meds for mastitis

Bactrim or clindamycin

186

important teaching with mastitis

don't stop breastfeeding

187

for those who don't respond to atbx for mastitis, consider

mammogram to r/o inflammatory breast cancer

188

causes of amenorrhea

lactation induced; hypothyroidism, eating disorders, hyperprolactinemia

189

management for amenorrhea

prevent bone loss, education that pregnancy can still occur

190

s/s of dysmenorrhea

crampy, pelvic pain, back/thigh pain, N/V

191

secondary dysmenorrhea occurs

women 30-40 years old

192

causes of secondary dysmenorrhea

endometriosis, uterine fibroids, PID, ovarian cysts

193

diagnostics for dysmenorrhea

pregnancy test, STD testing, pelvic US

194

treatment for dysmenorrhea

NSAIDS (Cox-2) and oral contraceptives

195

PMS and PMDD occurs mostly during the

luteal phase (5-11 days before menses)

196

Treatment for PMS and PMDD

Vitamin B6, vitamin E, calcium, and Mg;
NSAIDs;
OCP

197

Breast MRI is done to

localize staging of breast cancer

198

MRI is not a screening tool for breast cancer because

it is expensive and labor intensive

199

BRCA gene is

autosomal dominant, so only one defected gene is needed

200

if BRCA gene present, then this should be done

annual mammograms and transvaginal ultrasound;
semiannual breast MRI and CA-125 starting at age 25

201

Important teaching for endometrial biopsy

notify for any temp elevation as it may activate PID

202

endometrial biopsy can be used to diagnose for

uterine cancer

203

essential for a pelvic ultrasound

full bladder

204

This is state mandated, but patient can opt out

HIV testing for prenatal visit

205

Pregnancy should not be attempted for __ days after rubella vaccine.

28

206

vaccines not recommended during pregnancy

MMR, varicella, smallpox, herpes zoster, live attenuated influenza, HPV

207

Category C, D, and X

fluoroquinolones, lithium, tetracycline, warfarin, methotrexate

208

softening of the isthmus of the uterus

Hegar's sign

209

softening of the cervix

Goodell's sign

210

dark blue to purplish-red color of vaginal mucosa

Chadwick's sign

211

painless uterine contractions that occur every 10-20 min after the 3rd month of pregnancy and do not represent true labor.

braxton hicks

212

soft blowing systolic murmur heard down at the sides of the uterus.

uterine souffle

213

the number of pregnancies (including the current one)

gravida

214

Number of births (regardless if living) after 20 weeks gestation.

para

215

GTPAL

Gravida, Term, Preterm, Abortion, Living

216

Born at term is after

37 weeks

217

Nagele's rule

LMP minus 3 months + 7 days = EDC

218

The BP is lowest in the

second trimester

219

GI effects from pregnancy

increased acidity of gastric contents, relaxation of LES, prolonged emptying of gallbladder

220

endocrine changes from pregnancy

TSH decreases, T4 increases, increased cortisol

221

testing for Rh blood type

If mother is Rh negative, then check father. If he is Rh+, then an indirect coomb's test is done to look for Rh antibodies

222

If indirect coomb's test is negative, then

recheck in 28-30 weeks and at 36 weeks

223

If indirect coomb's test is positive

then RHOGAM is given to mother at 28 weeks and then 72 hours after delivery or abortion.

224

HBsAg generally indicates active

active Hep B infection.

225

If a woman's rubella titer is _____, she has immunity to rubella

greater than 1:10 to 1:20

226

If a woman's rubella titer is ___ she has no immunity to rubella

less than 1:8

227

If woman's rubella titer is low, then

she should get immunization before pregnant or after delivery

228

Qualitative beta hCG testing is

rapid pregnancy test

229

Quantitative hCG testing is

more accurate pregnancy test

230

This pregnancy test is more accurate because hCG levels are higher

serum hCG

231

Cystic fibrosis screening should be done in

there is a family hx, caucasian or jewish descent

232

Tay Sachs and Cystic fibrosis is

autosomal recessive (baby would need to receive both genes)

233

Normal weight gain in pregnancy is

25-35 lbs

234

follow up visits for prenatal care

every 4 weeks until 28 weeks;
every 2 weeks between 28 and 36 weeks
every week after 36 weeks

235

folic acid requirements

0.8-1.0 mg

236

first ultrasound/sonogram at

20 weeks

237

should be done in 15-21 weeks

screen for neural tube defects and down syndrome

238

should be done in 24-28 weeks

1 hour glucose screen, repeat CBC and RPR; draw indirect Coombs or administer Rhogam

239

should be done at 36 weeks

repeat CBC, chlamydia, RPR

240

Group B beta strep should be done at

35-37 weeks

241

Leopold's maneuver to determine fetal position is usually done at

36 weeks

242

In true labor, discomfort begins in this area

back and radiates around abd

243

Breastfeeding should be done for the first

6 months to 1 year

244

Breastfeeding has been associated with a decreased risk of

SIDS

245

A newborn should have up to this many feedings in 24 hours

8-12

246

The stool in a newborn will start off ____, then become ____

dark and tarry; yellow and milky

247

For the first week of life, the number of stools and the number of voids should approximately match ____

the infants age in days.

248

Infants may lose up to ___ of the body weight in the first week of life.

8-10%

249

For irritated nipples, breastfeeding should be held for ____; and the mother should pump every ____.

24 hours; 3 hours

250

Breast engorgement can be minimized by

frequent feedings

251

nonpharm options for nausea during pregnancy

vitamin B6, increase intake of nuts and protein

252

pharm option for nausea during pregnancy

doxylamine or H1 blockers + vitamin B6; zofran

253

pharm options for constipation during pregnancy

psyllium, MOM, prune juice.
Avoid PEG

254

pharm options for GERD during pregnancy

antacids

255

Increased mucus formation by the cervix in response to elevated estrogen levels in the 1st trimester causes

leukorrhea

256

Nasal congestion and epistaxis during pregnancy results from

increased estrogen

257

trx for round ligament pain during pregnancy

heating pad to abd, knee-chest position

258

if mother c/o decreased fetal movement, then

order a non-stress test

259

When the patient presses a button that marks the tracing of fetal monitor every time she feels fetal movement.

non-stress test

260

Reassuring or reactive non-stress test shows at least ___ accelerations in fetal heart rate lasting at least ____ in a ____ period

15 beats per min; 15 seconds; 20 min

261

common indications for non-stress test

decreased fetal movement, PIH, DM, post-date after 40 weeks, IUGR

262

elements of biophysical profile

1. fetal tone
2. gross body movements
3. breathing
4. amniotic fluid volume

263

Scoring in biophysical profile

each is worth 2 points.
8-10 is reassuring

264

anemia in pregnancy is Hgb less than

11

265

Premature separation fo the placenta form the uterine wall.

placenta abruptio

266

s/s of placenta abruptio

board like uterus, uterine tenderness

267

management of placenta aburptio

emergency

268

characterized as abnormal development of placenta that causes severe N/V at 12-16 weeks gestation with brown discharge

molar pregnancy (gestational trophoblastic disease)

269

mangaement for molar pregnancy

immediate evacuation of uterus

270

incompetent cervix management

refer to have cerclage placed by 12 weeks

271

management for prolapsed umbilical cord

emergency-- place pt in knee chest position or trendelenberg, apply oxygen

272

spontaneous abortion occurs

before 20 weeks gestation

273

Treatment for preeclampsia is

methyldopa with or without hydralazine or labetalol

274

PIH/preeclampia is BP

greater than 150-160/90-100

275

HELLP syndrome

hemolysis
elevated liver enzymes
low platelet count

276

neonates of gestational diabetes can have

hypoglycemia, hypocalcemia, polycythemia, jaundice

277

diagnostics of gestation diabetes

done at 24-48 weeks;
50-g glucose tolerance test;
1 hour glucose > 130

278

treatment of gestational diabetes

insulin, glyburide

279

common sign in ruptured ectopic pregnancy

pain radiating to shoulder

280

trx for ectopic pregnancy

if not ruptured, methotrexate.
if ruptured, laparoscopy

281

caused by implantation of the placenta near or across the cervical os. It

placenta previa

282

s/s of placenta previa

painless bleeding at end of 2nd trimester

283

This should not be done if placenta previa suspected

vaginal exam

284

risk factors for placenta previa

age > 35, multiparity, previous c-section

285

Defined as uterine contractions that cause cervical change and dilation before 37 weeks gestation.

preterm labor

286

injectable steroids for preterm labor is given at

24-32 weeks

287

When does the mother feel "quickening"?

20 weeks

288

More common in primigravidas, with age extremes (teen or >35), and Blacks

PIH or preeclampsia

289

A variant of PIH with abnormal LFTs and poor clotting

HELLP

290

Caused by chronic uteroplacental insufficiency (UPI)

IUGR

291

Characterized by PAINLESS bright bleeding, associated with prior C/S and multipartiy

Previa

292

these can lead to preterm labor

BV, trich, and UTI

293

In OCT or contraction stress test, a positive result is ____ with ___ contractions.

more than 2 fetal heart rate decelerations; 3

294

the "rule of thumb" is that number of _____ = the number of ______ plus or minus 3 cm.

weeks gestation; centimeters of fundal height

295

the rule of thumb only applies during weeks

20-36

296

if the uterus is too large, then consider that the

EDC is wrong and get a sonogram

297

FHTs are best heard from

the fetus's back

298

it is normal for this lab value to be elevated during pregnancy

WBC

299

a non-stress test can be done after

28 weeks

300

After a progestin challenge, a woman with PCOS will

bleed since they have a lot of estrogen

301

potential effect in Yaz and Yasmin

hyperkalemia

302

IUD care with PID

do not have to remove IUD, atbx

303

most common sign of chlamydia

post-coital spotting

304

most common s/s in HSv

dysuria, pain/tenderness

305

when does woman need to have c-section with HSV?

active lesions

306

Involution of the uterus postpartum should be at

6 weeks