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hint
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answer
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the turtle sign during childbirth might indicate
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shoulder dystocia
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maneuver used to facilitate passage of the shoulder through the pelvis during childbirth complicated by shoulder dystocia
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mcroberts
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antihypertensive meds should be prescribed for preeclampsia when BP exceeds
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160/110
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antihypertensives commonly used in pregnancy
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labetalol, nifedipine, hydralazine
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in patients w/ new onset hypertension before 20weeks gestation, suspected
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hydatiform mole
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anti-D immune globulin should be given at this many weeks gestation
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28
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in cases of suspected RhD incompatibility, this diagnostic test should be used to assess the flow of the middle cerebral artery of the fetus, which can suggest critical fetal anemia
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doppler velocimetry
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spontaneous abortion (miscarriage) is defined as pregnancy loss before this many weeks gestation
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20
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appropriate management of spontaneous miscarriage before 14 weeks gestation
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expectant management
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true or false: Rh negative mothers do not need anti-D IG if they have a spontaneous abortion < 13weeks
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FALSE
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pharmacologic management of spontaneous abortion
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mifepristone then misoprostol
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new onset hypertension and proteinuria (or evidence of end organ damage) is also know as this gestational condition occuring after 20 weeks
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preeclampsia
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24h urine protein exceeding this many grams indicates proteinuria
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3g
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gestational diabetes should be screened for at this gestational age
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24-28weeks
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first line pharmacologic therapy for gestational diabetes
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insulin
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MCC of painless third trimester bleeding
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placenta previa
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normal fetal HR
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110-160bpm
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above what urine protein to creatinine ratio indicates proteinuria
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0.3mg
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this subtype of preeclampsia may not present with hypertension or proteinuria, instead physical exam includes hemolysis, elevated liver enzymes, and low platelets
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HELLP syndrome
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full term is how many weeks gestation
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37
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preterm labor is defined as regular, painful contractions ≤ this many minutes apart for at least an hour, accompanied by cervical changes
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5m
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cervix length < this many mm on US indicates cervical changes consistent with preterm labor
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20
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cervical dilation beyond this (≥) value indicates cervical changes consistent with preterm labor
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3cm
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first line treatment for preterm labor < 34 weeks
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tocolytics
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daily medication given to women w/ RF for preeclampsia, to reduce their risk
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aspirin
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only cure for preeclampsia
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|
delivery
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labor is induced at this gestational age in women w/ stable preeclampsia
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37w
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seizure prophylaxis in preeclamptic/hypertensive patients during labor
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magnesium sulfate
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Antenatal steroid therapy should be given prophylactically to women < 34w gestation w/ this condition
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preeclampsia
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gestational diabetes increases your risk for this amniotic abnormality
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polyhydramnios
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|
during fetal heart monitoring, this type of HRV is considered normal
|
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moderate (6-25bpm)
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|
max score on the biophysical profile reactive nonstress test
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10
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form of hydatiform mole (complete, partial) w/ high risk of malignancy
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complete
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complete hydatiform mole karyotype
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46XX
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incomplate hydatiform mole karyotype
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69XX(X/Y)
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hCG levels in trophoblastic disease are usually much (higher/lower) than normal
|
|
higher
|
|
cervical cerclage is recommended at this gestational age in women w/ a history of cervical insufficiency
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12-14w
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cervical cerclage is recommended at this gestational age in women w/ cervical shortening and suspected cervical insufficiency
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|
14-16w
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|
cervix < this many mm is an indication for cervical cerclage
|
|
25mm
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|
all patients w/ preeclampsia should be delivered at
|
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37w
|
|
preterm rupture of membranes is rupture of membranes prior to labor (contractions) in women beyond what gestational age
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37w
|
|
treatment for preterm rupture of membranes
|
|
oxytocin
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|
hCG shoulder double this often
|
|
2d
|
|
Gestational sac should be visible when hcg reaches what level
|
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2,000miU/mL
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|
fetal station when baby reaches ischial spine
|
|
0
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|
MC breech position
|
|
Frank
|
|
Vitamin most likely to cause fetatoxicity
|
|
A
|
|
Softening of the cervix is known as
|
|
goodell sign
|
|
Bluish discoloration of the cervix is known as
|
|
chadwick sign
|
|
Softening of the uterus is known as
|
|
hegars sign
|
|
Maneuvers used in 35-37 weeks geststion to determine fetal presentation and lie
|
|
leopold maneuvers
|
|
term meaning lower than level amount of amniotic fluid
|
|
oligohydramnios
|
|
Amniotic fluid index < X cm is considered oligohydramnios
|
|
5cm
|
|
Fetal heart tones are detectable by doppler US at this gestational age
|
|
10w
|
|
GBS testing occurs late in pregnancy at this many weeks gestational
|
|
35-37w
|
|
Antirheumatic drug acceptable for pregnancy
|
|
hydroxychloroquine
|
|
Slow rising hCG levels may indicate
|
|
Ectopic pregnancy
|
|
hCG can be detectable in pregnancy this many days after implantation
|
|
8-10d
|
|
the uterine fundus can be palpated at the umbilicus at this many week gestation
|
|
20w
|
|
amount of weight that should be gained over the entire pregnancy in women w/ a normal (18.5-24.9) BMI
|
|
25-35lbs
|
|
Alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin A
|
|
quadruple test
|
|
treatment for postdural puncture headache
|
|
epidural blood patch
|
|
vertebral level at which most epidurals are placed for labor
|
|
L3-L4
|
|
examples of live vaccines that should be avoided during pregnancy
|
|
live attenuated influenza, MMR, live zoster, varicella
|
|
vaccines that should be given during pregnancy
|
|
Tdap
|
|
GA at which Tdap booster is given to the mother
|
|
27-36w
|
|
preferred incision for c-section delivery
|
|
Pfannenstiel (low transverse)
|
|
active labor begins at this ≥ Xcm cervical dilation
|
|
6
|
|
fetal movement is felt in primiparous mothers at this GA
|
|
18-20w
|
|
fetal movement may be felt this early in multiparous women
|
|
14w
|
|
placenta acreta is invasion of the placenta into the
|
|
myometrium
|
|
hormone responsible for breast milk production
|
|
prolactin
|
|
hormone responsible for lactation
|
|
oxytocin
|
|
breastfeeding decreases risk of these three cancers
|
|
breast, endometrial, ovarian
|
|
ACOG and APA recommend exclusive breastfeeding for at least this many months
|
|
6mo
|
|
Postpartum hemorrhage is described as fluid loss above
|
|
1,000mL
|
|
MCC of postpartum hemorrhage
|
|
uterine atony
|
|
MC direction of surgical incision if episiotomy is necessary due to decreased risk of anal sphincter tear
|
|
mediolateral
|
|
antibiotic regimen for endometritis
|
|
gentamicin + clindamycin
|
|
perineal tear reaching the anal sphincter is this degree tear
|
|
3rd
|
|
the lochia that follows pregnancy lasts for this many weeks
|
|
5
|
|
women not breastfeeding will begin menstruating around this many weeks postpartum
|
|
7-9w
|
|
greatest RF for endometritis
|
|
c-section
|
|
classic triad for this condition is dyspareunia, dysmenorrhea, and dyschezia
|
|
endometriosis
|
|
MC complication of multiple gestations pregnancy
|
|
preterm birth
|
|
Maternal quad screen can be performed between this gestational age range
|
|
16-20w
|
|
MC RF for developing placental abruption
|
|
hypertension
|
|
MC RF for placenta previa
|
|
multiparity
|
|
most spontaneous abortion occur before this gestational age
|
|
8w
|
|
complication arising from postpartum hemorrhage causing panhypopituitarism
|
|
sheehan syndrome
|
|
this disorder occurs as a result of intrauterine adhesions s/p postpartum hemorrhage which ultimately cause amenorrhea
|
|
asherman syndrome
|
