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51 Cards in this Set

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Q600. Dx:; Vaginal bleeding, painful contractions, firm and tender uterus; Tx?
A600. Placental Abruption; Tx – Delivery (by C-section if mother or baby is unstable)
Q601. Dx:; sudden onset of intense abdominal pain assoc with pregnancy; Tx?
A601. Uterine rupture; Tx - immediate laparotomy
Q602. Dx:; Vaginal bleeding and sinusoidal FHR pattern; MCC?; Tx?
A602. Fetal Vessel Rupture; MCC - Velamentous cord insertion; Tx - emergency C-section
Q603. Dx:; contractions and changes in cervix at < 37 weeks gestation
A603. Preterm Labor
Q604. The only Tocolytic approved by the FDA; MOA?
A604. Ritrodrine; MOA: Beta-agonist
Q605. Tocolytic that acts as a calcium antagonist
A605. Magnesium sulfate
Q606. what is the test to determine if patient is near a Magnesium sulfate toxicity?
A606. check DTRs continuously. they are depressed less then the toxic level of 10 mg/dL
Q607. what Calcium channel blocker is used as a Tocolytic?
A607. Nifedipine
Q608. what NSAID is used as a Tocolytic?
A608. Indomethacin
Q609. MC concern with PROM?
A609. Chorioamnionitis
Q610. when is it common to see maternal hypotension?; what can it cause in child?; what is Tx for maternal hypotension?
A610. After epidural; causes - Fetal bradycardia; Tx - IV hydration and Ephedrine
Q611. Tx for fetal bradycardia lasting for longer then 4 - 5 minutes?
A611. C-section
Q612. Monozygotic Twins:; separation before the differentiation of trophoblasts
A612. Dichorionic-Diamnionic
Q613. Monozygotic Twins:; separation after trophoblast differentiation and before amnion formation
A613. Monochorionic-Diamnionic
Q614. what type of twins can develop Twin-to-Twin Transfusion Syndrome?
A614. Mono-Di (one big baby and one small)
Q615. Twin type:; division of fertilized ovum
A615. Monozygotic
Q616. Twin type:; fertilization of two ova by two sperm
A616. Dizygotic
Q617. Monozygotic Twins:; separation after amnion formation
A617. Monochorionic-Monoamnionic (highest mortality rate)
Q618. Dx:; pregnant woman with HTN, edema, proteinuria
A618. Preeclampsia
Q619. (3) risk factors for onset of Preeclampsia
A619. Nulliparity,; Multiple gestation,; Chronic HTN
Q620. Tx for Preeclampsia near term and preterm
A620. Near term: Delivery; Preterm (and Eclampsia Tx): Mag sulfate - against seizures, Hydralazine - HTN
Q621. with Eclampsia, what percentage of patients have seizures before labor, during labor and after labor?
A621. Before: 25%; During: 50%; After: 25%
Q622. what anti-hypertensives are given to mothers with chronic HTN during birth?; (2)
A622. Nifedipine; Labetolol
Q623. what tests should be performed if patient has chronic HTN with pregnancy?; (2); why?
A623. Baseline ECG,; 24-hr urine collection; helps differentiate superimposed preeclampsia
Q624. How common is gestational diabetes?
A624. approx 15% of pregnancies
Q625. (3) fetal complications of Gestational Diabetes
A625. Macrosomia,; Shoulder dystocia,; neonatal Hypoglycemia
Q626. when is a C-section indicated in gestational diabetes?
A626. if fetal weight > 4500g
Q627. How is the DM-1 patient managed during pregnancy?; Delivery?
A627. Pregnancy - insulin pump; Delivery - insulin drip
Q628. What gestational age of onset would you stop considering using a tocolytic agent?; A steroid agent?; What is done after that?
A628. Tocolytic: >34 weeks; Steroid: >36 weeks; then: Expectant management
Q629. how are lower UTIs treated versus pyelonephritis in pregnancy?
A629. Lower UTI - oral Antibiotics; Pyelonephritis - IV Antibiotics
Q630. (2) complications of pyelonephritis during pregnancy for mother
A630. Septic shock; ARDS
Q631. what can Bacterial Vaginosis cause during pregnancy?
A631. Preterm delivery
Q632. Leading cause of Neonatal sepsis; Tx?
A632. Group B strep; Tx: Ampicillin
Q633. Dx:; maternal fever, uterine tenderness, high WBC, fetal tachycardia; Tx? (2)
A633. Chorioamnionitis; Tx: Delivery, IV Antibiotics
Q634. Dx:; nausea and vomiting in pregnancy to the extent where the patient cannot maintain adequate hydration and nutrition; (3) Tx?
A634. Hyperemesis Gravidarum; Tx: IV hydration, Electrolyte repletion, Antiemetics
Q635. Management of women with Epilepsy during pregnancy; (3)
A635. check antiepileptic drug levels monthly,; Level 2 Ultrasound at 19 - 20 weeks,; supplement with Vitamin K from 37 weeks to delivery
Q636. what do women with mild renal disease have a risk of getting during pregnancy?; (2 pregnancy problems)
A636. Preeclampsia,; IUGR
Q637. Leading cause of maternal death
A637. Pulmonary emboli
Q638. Tx for pregnancy-related DVT and PE
A638. Heparin
Q639. Management for Hyperthyroidism in pregnant woman; (3)
A639. Thyroid-stimulating immunoglobulins (TSI) should be screened. if elevated, screen for fetal goiter and IUGR; continue with PTU medication
Q640. Management for Hypothyroidism in pregnant woman
A640. Synthroid (Increased Synthroid requirements during preg for somone already on meds)
Q641. (3) common problems that can occur in the pregnant SLE patient. what (3) meds can be used in these patients as prophylaxis?
A641. Risk for: Pregnancy loss, IUGR, Preeclampsia; Meds: Low-dose aspirin, Heparin, Corticosteroids
Q642. how are Lupus flares and Preeclampsia differentiated in pregnancy?
A642. Complement levels
Q643. SLE and Sjogren mothers with anti-Ro and Anti-La antibodies have risk of developing what fetal problem?
A643. Fetus with Congenital Heart Block
Q644. Dx:; infant is delivered and has growth restriction, CNS problems, cardiac defects and abnormal facies
A644. Alcohol abuse during pregnancy; (FAS)
Q645. Pregnancy Risk:; Caffeine > 150 mg/day
A645. Spontaneous abortions
Q646. Pregnancy Risk:; Cigarette smoking; (4)
A646. Growth restriction,; Abruptions,; Preterm delivery,; Fetal death
Q647. Pregnancy Risk:; Cocaine; (2)
A647. Placental Abruption,; CNS defects in children
Q648. what is best for the pregnant woman on Heroin during pregnancy?
A648. Quitting outright will endanger fetus--need to be enrolled in a methadone clinic, then quit after delivery
Q649. (2) central issues in the immediate postpartum period for the patient
A649. Pain management,; Wound care
Q650. when do diaphragms and cervical caps need to be refitted postpartum?
A650. 6 weeks