When will it end!

Question 1

Postterm pregnancies should be followed with antepartum fetal surveillance because ?

Answer 1

perinatal morbidity and mortality increases beginning at 41 weeks of gestation

Question 2

Postterm pregnancies are associated with?

Answer 2

macrosomia, oligohydramnios, meconium aspiration, uteroplacental insufficiency and dysmaturity.

Question 3

In a patient with irregular menses, it is important to obtain an ultrasound prior to________ to accurately date the pregnancy.

Answer 3

20 weeks

Question 4

Induction of labor in a patient with ___________ increases the risk of Cesarean section significantly

Answer 4

an unfavorable cervix- closed, long, non-effaced

Question 5

Ablative therapy is an effective treatment for women with

Answer 5

high-grade or persistent low-grade cervical intraepithelial neoplasia (CIN)
no suspicion of glandular or invasive squamous disease

Question 6

In growth-restricted pregnancies, oligohydramnios is frequently found because?

Answer 6

This finding is presumably due to reduced fetal blood volume, renal blood flow and urinary output

Chronic hypoxia is responsible for diverting blood flow from the kidney to organs that are more critical during fetal life.

Question 7

An increase in the S/D ratio reflects increased vascular resistance, commonly found in

Answer 7

It is a common finding in IUGR fetuses.

As vascular resistance increases, the S/D ratio increases.

Question 8

Tests indicated in monitoring fetuses with IUGR.

Answer 8

twice weekly NST with AFI and weekly umbilical artery Doppler studies- check for increased S/D ratio

Question 9

before birth; during or relating to pregnancy; prenatal.

Answer 9

Antenatal

Question 10

ultrasound measurement of the crown-rump length is preformed at?

Answer 10

obtained at six to twelve weeks

The crown-rump length can reliably date a pregnancy within five to seven days.

Question 11

Fetal size w/ IUGR

Answer 11

• the fetal abdomen measures below normal and the head remains very close to normal
• weight is below normal

Question 12

Symmetric fetal growth restriction indicates

Answer 12

all fetal measurements are below normal

indicates an intrinsic growth failure or an “early event” secondary to one or more organ system anomalies, fetal aneuploidy or chronic intrauterine infection.

Question 13

a growth disorder that causes large body size, large organs, and other symptoms. It is a congenital condition

Answer 13

Beckwith-Wiedemann syndrome

Question 14

When do you do a C section in macrosomia

Answer 14

baby over 5000 g

Question 15

IUGR definition

Answer 15

less than 10th percentile

Question 16

Prostaglandins are used for cervical ripening and are contraindicated in patients with ?

Answer 16

history of previous Cesarean section

Question 17

Checking ___________ would rule out late onset 21-hydroxylase deficiency

Answer 17

17-hydroxyprogesterone

Question 18

A diagnosis of choriocarcinoma is made once the presence of _________ is confirmed

Answer 18

Beta-hCG

Question 19

__________ is a common complication for the plethoric twin.

Answer 19

Polycythemia

Question 20

he acronym PALM-COEIN

Answer 20

This term can encompass both structural causes (polyp, adenomyosis. Leiomyoma, or malignancy [or hyperplasia]) as well as non-structural causes (coagulopathies, ovulatory dysfunction, endometrial, iatrogenic or not classified).

Question 21

Cesarean section. Prior to establishing a diagnosis of surgical site infection, evaluation requires

Answer 21

opening the wound, checking for fascial dehiscence, drainage and assessment of the fluid.

Question 22

___________ are findings seen with septic abortion

Answer 22

She has fever and bleeding with a dilated cervix

Question 23

adding Gentamicin, you are covering the spectrum of ____________

Answer 23

gram-negative organisms

Question 24

Breast mass normal mamo?

Answer 24

needle aspiration

Question 25

besides lungs why else are steroids in fetus good

Answer 25

Decreased incidence of intracerebral hemorrhage

Question 26

what imaging for advanced 1st time ovarian cncer

Answer 26

CT Scan

Question 27

There is no associated risk for _______ in postterm gestations.

Answer 27

preeclampsia

Question 28

__________ has been found to occur more frequently in vacuum-assisted deliveries, but resolves spontaneously and unlikely to be of clinical importance.

Answer 28

Transient neonatal lateral rectus paralysis

Question 29

GnRH agonist therapy is recommended for only a short period of time: ?

Answer 29

3-6 months

Question 30

Pregnancy, or the possibility of pregnancy, within four weeks is a contraindication to the_______ vaccinations

Answer 30

MMR and varicella

Question 31

intrinsic sphincteric deficiency rx

Answer 31

Urethral bulking procedures are minimally invasive and have a success rate of 80% in these specific patients.

Question 32

Progestins should be used with caution in women with a history of ?

Answer 32

depression.

Question 33

w/ intra-amniotic infection can you have vaginal delivery

Answer 33

yes- if reassuring baby heart tones

Question 34

____________ is the most common explanation for an elevated MSAFP

Answer 34

under-estimation of gestational age

Question 35

Women with chorioamnionitis are also more likely to develop ___________ vs healthy prego

Answer 35

pulmonary edema

usually chorio is not main cause tho- mult tocolticis

Question 36

_________ is the indication for at least 40% of all gynecologic laparoscopies

Answer 36

Chronic pelvic pain

Question 37

Division at or after _______ results in conjoined twins.

Answer 37

day 13

Question 38

Diamniotic monochorionic placentation occurs with division between days______ post-fertilizatio

Answer 38

four and eight

Question 39

Monoamniotic, monochorionic placentation occurs with division between days _______ post fertilization.

Answer 39

8 and 12

Question 40

If meconium is present and the newborn is depressed, the clinician should

Answer 40

intubate the trachea and suction meconium or other aspirated material from beneath the glottis.

If the newborn is vigorous= strong RR, good muscle tone, and HR > 100, no evidence that tracheal suctioning is necessary.

Question 41

Ibuprofen is safe to take until around____ weeks gestation,

Answer 41

32 weeks