UWorld 2 Flashcards
(47 cards)
What should the target fasting glucose level be for pregnant women with GDM?
Less than or equal to 95
What should the target 1-hour postprandial glucose level be for pregnant women with GDM?
Less than or equal to 140
What should the target 2-hour postprandial glucose level be for pregnant women with GDM?
Less than or equal to 120
What are the first and second line treatments for GDM?
- Diet & exercise
2. Insulin
Does insulin cross the placenta?
No
What does the “BECALM” acronym stand for in management of shoulder dystocia (shoulder can’t be delivered)?
Breathe, do not push Elevate legs & flex hips Call for help Apply suprapubic pressure Larger with episiotomy Maneuvers
What’s the definition of chronic HTN?
Systolic 140+ and/or diastolic 90+ prior to conception or up to 20 weeks gestation
What’s the definition of gestational HTN?
New onset elevated BP at 20+ weeks gestation; no proteinuria or end organ damage though
What’s the definition of preeclampsia?
New onset elevated BP at 20+ weeks gestation and proteinuria or signs of end-organ damage
What’s the definition of eclampsia?
Preeclampsia and new-onset grand mal seizures
What’s the definition of chronic HTN with superimposed preeclampsia?
Chronic HTN and 1 of the following:
- New onset proteinuria or worsening of proteinuria at 20+ weeks
- Sudden worsening of HTN
- Signs of end organ damage
Is preterm labor a risk of HTN?
Yes
What is preterm rupture of membranes associated with?
Genital tract infection
What placental condition is caused when the placental villi attach to the myometrium rather than the uterine decidua?
Placenta accreta “My, this accret really sucks without deciduous trees”
What vitamin deficiency is associated with neural tube defects?
Folate
What condition presents with painless vaginal bleeding after 20 weeks gestation?
Placenta previa
What is the cause of placenta previa?
The placenta is covering the cervix
What condition causes vaginal bleeding and contractions, and is caused by the separation of the placenta from the uterus prior to fetal delivery?
Placental abruption
What’s the definition of preterm labor?
Cervical dilation 3+cm or effacement with regular painful uterine contractions, at <37 weeks gestation
What is the common pathogen for asymptomatic bacteriuria during pregnancy?
E. Coli
What are the 3 best abx for asymptomatic bacteriuria during pregnancy?
- Cephalexin
- Amox-clav
- Nitrofurantoin
What fetal defects do fluoroquinolones cause?
Bone
“fluoro-ide on your tooth bones”
What fetal defects do tetracyclines cause?
Grey teeth
Why is TMP-SMX contraindicated during the first and third but not second trimester?
It can interfere with folic acid metabolism in the first trimester, and it can cause kernicterus in the third trimester
