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Flashcards in When will it end! Deck (41):
1

Postterm pregnancies should be followed with antepartum fetal surveillance because ?

perinatal morbidity and mortality increases beginning at 41 weeks of gestation

2

Postterm pregnancies are associated with?

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

3

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

20 weeks

4

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

an unfavorable cervix- closed, long, non-effaced

5

Ablative therapy is an effective treatment for women with

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

6

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

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.

7

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

It is a common finding in IUGR fetuses.

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

8

Tests indicated in monitoring fetuses with IUGR.

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

9

before birth; during or relating to pregnancy; prenatal.

Antenatal

10

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

obtained at six to twelve weeks

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

11

Fetal size w/ IUGR

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

12

Symmetric fetal growth restriction indicates

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.

13

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

Beckwith-Wiedemann syndrome

14

When do you do a C section in macrosomia

baby over 5000 g

15

IUGR definition

less than 10th percentile

16

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

history of previous Cesarean section

17

Checking ___________ would rule out late onset 21-hydroxylase deficiency

17-hydroxyprogesterone

18

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

Beta-hCG

19

__________ is a common complication for the plethoric twin.

Polycythemia

20

he acronym PALM-COEIN

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).

21

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

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

22

___________ are findings seen with septic abortion

She has fever and bleeding with a dilated cervix

23

adding Gentamicin, you are covering the spectrum of ____________

gram-negative organisms

24

Breast mass normal mamo?

needle aspiration

25

besides lungs why else are steroids in fetus good

Decreased incidence of intracerebral hemorrhage

26

what imaging for advanced 1st time ovarian cncer

CT Scan

27

There is no associated risk for _______ in postterm gestations.

preeclampsia

28

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

Transient neonatal lateral rectus paralysis

29

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

3-6 months

30

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

MMR and varicella

31

intrinsic sphincteric deficiency rx

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

32

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

depression.

33

w/ intra-amniotic infection can you have vaginal delivery

yes- if reassuring baby heart tones

34

____________ is the most common explanation for an elevated MSAFP

under-estimation of gestational age

35

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

pulmonary edema

usually chorio is not main cause tho- mult tocolticis

36

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

Chronic pelvic pain

37

Division at or after _______ results in conjoined twins.

day 13

38

Diamniotic monochorionic placentation occurs with division between days______ post-fertilizatio

four and eight

39

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

8 and 12

40

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

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.

41

Ibuprofen is safe to take until around____ weeks gestation,

32 weeks