hint
|
answer
|
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
|
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
|