OBGYN - OB Fast Facts

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Last updated: December 26, 2023
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First submittedDecember 23, 2023
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the turtle sign during childbirth might indicate
shoulder dystocia
maneuver used to facilitate passage of the shoulder through the pelvis during childbirth complicated by shoulder dystocia
mcroberts
antihypertensive meds should be prescribed for preeclampsia when BP exceeds
160/110
antihypertensives commonly used in pregnancy
labetalol, nifedipine, hydralazine
in patients w/ new onset hypertension before 20weeks gestation, suspected
hydatiform mole
anti-D immune globulin should be given at this many weeks gestation
28
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
doppler velocimetry
spontaneous abortion (miscarriage) is defined as pregnancy loss before this many weeks gestation
20
appropriate management of spontaneous miscarriage before 14 weeks gestation
expectant management
true or false: Rh negative mothers do not need anti-D IG if they have a spontaneous abortion < 13weeks
FALSE
pharmacologic management of spontaneous abortion
mifepristone then misoprostol
new onset hypertension and proteinuria (or evidence of end organ damage) is also know as this gestational condition occuring after 20 weeks
preeclampsia
24h urine protein exceeding this many grams indicates proteinuria
3g
gestational diabetes should be screened for at this gestational age
24-28weeks
first line pharmacologic therapy for gestational diabetes
insulin
MCC of painless third trimester bleeding
placenta previa
normal fetal HR
110-160bpm
above what urine protein to creatinine ratio indicates proteinuria
0.3mg
this subtype of preeclampsia may not present with hypertension or proteinuria, instead physical exam includes hemolysis, elevated liver enzymes, and low platelets
HELLP syndrome
full term is how many weeks gestation
37
preterm labor is defined as regular, painful contractions ≤ this many minutes apart for at least an hour, accompanied by cervical changes
5m
cervix length < this many mm on US indicates cervical changes consistent with preterm labor
20
cervical dilation beyond this (≥) value indicates cervical changes consistent with preterm labor
3cm
first line treatment for preterm labor < 34 weeks
tocolytics
daily medication given to women w/ RF for preeclampsia, to reduce their risk
aspirin
only cure for preeclampsia
delivery
labor is induced at this gestational age in women w/ stable preeclampsia
37w
seizure prophylaxis in preeclamptic/hypertensive patients during labor
magnesium sulfate
Antenatal steroid therapy should be given prophylactically to women < 34w gestation w/ this condition
preeclampsia
gestational diabetes increases your risk for this amniotic abnormality
polyhydramnios
during fetal heart monitoring, this type of HRV is considered normal
moderate (6-25bpm)
max score on the biophysical profile reactive nonstress test
10
form of hydatiform mole (complete, partial) w/ high risk of malignancy
complete
complete hydatiform mole karyotype
46XX
incomplate hydatiform mole karyotype
69XX(X/Y)
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
12-14w
cervical cerclage is recommended at this gestational age in women w/ cervical shortening and suspected cervical insufficiency
14-16w
cervix < this many mm is an indication for cervical cerclage
25mm
all patients w/ preeclampsia should be delivered at
37w
preterm rupture of membranes is rupture of membranes prior to labor (contractions) in women beyond what gestational age
37w
treatment for preterm rupture of membranes
oxytocin
hCG shoulder double this often
2d
Gestational sac should be visible when hcg reaches what level
2,000miU/mL
fetal station when baby reaches ischial spine
0
MC breech position
Frank
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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
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