Pretest Ob/gyn Ii

Front 1

almost all abdominal pregnancies are caused by?

Back 1

early rupture or abortion of a tubal pregnancy

Front 2

tx for abdominal pregnancy?

Back 2

surgery - and cut cord close to placenta but leave placenta in abd to avoid risk of hemorrhage (but increases risk of infection)

Front 3

tx of placenta acreta , percreta, or increta?

Back 3

hysterectomy!! (if severe enough)

Front 4

tx of placenta previa?

Back 4

CSection

Front 5

why p previa tx'd by C-section cause hemorrhage? tx if unstoppable hemorrhage during CS?

Back 5

b/c in the lower uterus the muscles have low contractility -so if bleeding, hard to stop

tx would be hysterectomy for unstoppable hemorrhage in CS for p previa

Front 6

DIC other name?

Back 6

consumptive coagulopathy

Front 7

woman with 5 weeks past abortion who still has spotting at risk for what?

Back 7

DIC from retained pregnancy tissue

Front 8

ACUTE polyhydramnios occurs when and causes what?

Back 8

occurs in early pregnancy and causes labor before 28 weeks

Front 9

levels of AFI?

Back 9

An AFI < 5-6cm is considered as Oligohydramnios[2] and an AFI > 20-24cm is considered as Polyhydramnios.

Front 10

4 causes of polyhydramnios?

4 complics of polyhydramnios?

Back 10

20% = gest diabetes
20% = cong anomalies ie esoph atresia +/- te fistula, duod atresia (ie in DS)
Maternal cardiac/kidney failure
Chorioangioma of placenta
placental abruption
PPH
uterine dysfunction
cord prolapse

Front 11

dipstick finding indicating severe preeclampsia?

Back 11

3+

Front 12

indications of severe preeclampsia?

Back 12

preeclampsia PLUS ANY of:

- >5g / 24hrs proteinuria
- 3+ protein on random dipstick
- > 160syst or >110 diastolic bp
- oliguria <500ml / 24 hrs
- cerebral or visual disturbances
- RUQ px, or epigastric px
- impaired liver fxn
- TCP
- pulm edema or cyanosis
- fetal growth restriction

Front 13

is CS always necessary for ecclampsia?

Back 13

no, but some form of delivery asap is

Front 14

best drug for preeclampsia to prevent seizures?
for eclampsia?

Back 14

for both = MgSO4
= better than pheynytoin or diazepam!

Front 15

donor vs recipient in twin-twin transfusion?

Back 15

donor: anemic due to blood loss,
pale
recipient: polycythemic, may develop thromboses, or hydramnios from overloaded vasculature

Front 16

candidate for cerclage?

Back 16

pt with 3+ MIDtrimester (not first) pregnancy losses or early preterm deliverieswithout evidence of labor or abruption,

Front 17

what cerv os length or funneling amt is assoc with increased risk for preterm delivery?

Back 17

<25 mm or funneling of >25%

Front 18

bleeding occurs in what % human gestations? what % end in abortion?

Back 18

35%, 18% end in abortion

Front 19

missed abortion definition?

Back 19

fetal death occurring before 20 weeks without any expulsion of fetal or maternal tissue or bleeding for at least 8 weeks

Front 20

enlarged- for-date uterus and continued bleeding in the first 2 trimesters?

Back 20

dx: hydatidiform mole

Front 21

tx for hydatidiform mole in woman who has completed chldbearing?

Back 21

hysterectomy

Front 22

regrowth occur in what percent of molar pregnancies

Back 22

20% of COMPLETE molar
less common in partial molar (which is more common)

Front 23

tx for woman who had a molar pregnancy evacuated?

Back 23

weekly HCG levels
NOT prophylactic chemo b/c in 90% of cases, no regrowth

Front 24

when to initiate single- vs double agent chemo in pt with previous hydatidiform mole?

Back 24

single - if hCG remains high 8 wks after evac. or rises/plateaus 2-3 weeks after evac.
combo chemo therapy if mets to liver, brain

Front 25

pathology: villi seen in a tubular structure from path from laparotomy?

Back 25

= tubal ectopic pregnancy

Front 26

what would ruptured tubal pregnancy present as in ER? sx? NSiM?

Back 26

hemoperitoneum! = peritoneal signs, vag bleeding, hotn + tc, ETC.
do Culdocentesis

Front 27

what is culdocentesis?

Back 27

aspiration of fluid from culdesac (rectovaginal pouch of douglas) for blood caused by ruptured tubal preg

Front 28

laparotomy vs laparaoscopy for tubal pregnancy removal?

Back 28

laparotomy = longer stays, less ectopic tissue remainign
lapscopy = shorter stays, more ectopic preg tissue remains
both = same future fertility rates

Front 29

major factor causing ectopic preg's? other factors?

Back 29

PID. others = any tubal operation, previous ectopic preg, IUD, induction of ovulation DES exposure,

Front 30

PPROM + chorioamnionitis with normal FHR and no cerv changes...NSIM? if FHR is non-reactive?

Back 30

iv ab'S to prevent neonatla sepsis, induce labor if necessary ; dont' give steroids b/c labor is imminent AND b/c cant give in chorioamnionitis! if fhr is nonreactive do CS

Front 31

PPROM, when steroids indicated? in every other case?

Back 31

24-32 weeks otherwise, if no PPROM, give steroids 24-34 weeks

Front 32

1st step in managmeent for premature contractions

Back 32

give IV hydration, since dehyd can cause premature contractions

Front 33

vag bleeding in 25 weeks...order of management?

Back 33

do US first to check placenta location for p previa, then do digital exam for cervical dilation

Front 34

don't give indomethacin as a tocolytic in what condition?

Back 34

don't give if oligohydramnios or twin-twin tfusion causing oligohydramnios...
this drug itself causes oligoh

Front 35

is there vag bleeding assoc with subserous pedunculated fibroid

Back 35

no - it grows OUTWARD into abdominal cavity

Front 36

ANY pt with vag bleeding in 3rd trim should undergo what FIRST?

Back 36

US to r/o pprevia; (b/c if + can't do digital exam)

Front 37

hemorrhage from pprevia NSiM?

Back 37

CS emergency

Front 38

drugs given for uterine atony?

Back 38

Methylergonavine IM
Prostaglandin F suppository
Misoprostil suppository
Prost E suppository
NOT terbutaline = ut relaxant

Front 39

tx for placenta accreta

Back 39

hysterectomy!!

Front 40

placenta accreta is greater in women with what hx?

Back 40

previous CS's

Front 41

causes of over 3-4 cm smaller fundal ht than expected?

Back 41

1) dates incorrect
2) oligoh
3) fetal restriction,demise

Front 42

cause of assymetric vs symmetric fetal IUGR?

Back 42

assymetric = nutritional def's or hypertension
symmetric = fetal infections, chrom abnorms, congen anomalies

Front 43

IUGR fetuses may dev what after birth?

Back 43

they often get stressed = pass meconium = aspiration = hypoxia
also they often have hypoxia from placental insuff;
also may have mulitple organ thromboses due to PCV from poor placental o2 transfer

Front 44

after titers for anti-D found +, how often should be followed and at what pt administer IgG?

Back 44

follow every 4 weeks and when titers become over 1:16, do amnocentesis to check for fetal hemolysis that can be seen by bilirubin on spectrophotometric analysis OR PUBS to check for fetal blood Hct and fetal blood type

Front 45

hydrops fetalis def?

Back 45

condition in the fetus characterized by an accumulation of fluid, or edema, in at least two fetal compartments, including the subcutaneous tissue, pleura, pericardium, or in the abdomen, which is also known as ascites.

Front 46

causes of hydrops fetalis?

Back 46

m/c = Rh disease (immune type)
also iron def anemia, b thal, lysosomal storage dis, turner's, etc (non-immune)

these ALL cause fetal ANEMIA which causes heart to pump harder/more blood vol = fluid accum in body

Front 47

htn in pregnancy definition

Back 47

at or over 140/90 at least 2 separate measurements 6hrs apart or more

Front 48

when to give eclamptic woman also a antihypertensive? purpose? what give?

Back 48

if diast gets over 110...purpose is to avoid maternal stroke
GIVE nifedipine, hydraliazine, or labetolol

Front 49

in eclamptic pt at 36 weeks, what NSiM?

Back 49

Induce labor! amniotomy and pitocin
don't do CS b/c of maternal risks from surgery

Front 50

when and what changes occur in Mg toxicity

Back 50

4-7mg/dL = normal levels
8-12 = patellar reflexes lost
10-12 slurred speech, somnolence
15-17 muscle paralysis and resp diff
over 30 = cardiac arrest

Front 51

does shingles in mother cause VZV in kid?

Back 51

not likely b/c is a reactivation of vzv and mther already has IgG which she passes to kid

Front 52

hsmegaly, petechial rash, and cong heart disease, and rash and jaundice in newby?

Back 52

cong Rubella!!

Front 53

tx for pen-allergic motehr who has asx NG?

Back 53

give her spectinomycin / or erythromycin

Front 54

highest time of risk of dvt/ thromboembolism/ cva in preg pt with past pulm embol during first preg...? tx?

Back 54

give prophylactic heparin low dose, during post-partum period (highest risk)

Front 55

prego comes in with rocking, knees drawn up and trunk flexed in agony?

Back 55

classic sign of acute pcreatitis

Front 56

ratio of amylase cleraance to creatinine clearance in acute pancreatitis?

Back 56

always >5%

Front 57

rate of asx bacteriuria in pregos? what % becomes sx during preg? tx?

Back 57

2-12%;35% becomes sx during pregnancy;
for ASX BU: tx =amp or cephalasporins;

Front 58

Maternal DM causes what to fetus?

Back 58

MEPPPI
Macrosomia
Preeeclamps/
Eclampsia
PPH
Polyhydramnios
Infection

Front 59

highest time of risk of dvt/ thromboembolism/ cva in preg pt with past pulm embol during first preg...? tx?

Back 59

give prophylactic heparin low dose, during post-partum period (highest risk)

Front 60

prego comes in with rocking, knees drawn up and trunk flexed in agony?

Back 60

classic sign of acute pcreatitis

Front 61

ratio of amylase cleraance to creatinine clearance in acute pancreatitis?

Back 61

always >5%

Front 62

rate of asx bacteriuria in pregos? what % becomes sx during preg? tx?

Back 62

2-12%;35% becomes sx during pregnancy;
for ASX BU: tx =amp or cephalasporins;

Front 63

Maternal DM causes what to fetus?

Back 63

MEPPPI
Macrosomia
Preeeclamps/
Eclampsia
PPH
Polyhydramnios
Infection

Front 64

90% of pregos have what kind of murmur? 20% have what?

Back 64

syst ejection; diast murmur

Front 65

Rifampin S/E's

Back 65

Renal failure (acute)
Orange sweat, urine, tears
Flulike syndrome
Abd px

Front 66

INH S/E's

Back 66

Neuropathy (reversible w/pyridoxine)
Hepatitis
Lupus-like syndrome with + ANA's
Rash, fever

Front 67

Streptomycin S/E's?

Back 67

Ototoxicity in m and fetus

Front 68

Ethambutol S/E's?

Back 68

optic neuritis

Front 69

prego with chronic HepB inf ...what tx of fetus and her?

Back 69

fetus should be givne hep B IgG and Hep B vaccine at birth

Front 70

M/C derm condition in pregnancy? spread?

Back 70

PUPPP = pruritic and urticarial papules and plaques of pregnancy. starts in abd/trunk...spread to buttocks, thighs extremities sparing the face

Front 71

vesicles and bullae in 2nd/3rd trim all over body?

Back 71

gestational pemphigoid (herpes gestationis)

Front 72

excoriated , small, pruritic lesions appearing on trunk and forearms in prego, 25-30th week,

Back 72

prurigo gestationis

Front 73

pustular eruption along margins of erythematous patches; in late pregancy; lesions at points of flexure and extend peripherally; mucoous membranes involved; nausea, vomit, diarrhea, chills, fever, with no itching usually

Back 73

impetigo herpetiformis

Front 74

first line tx for prurigogestationis, or papular dermatitis (PUPPP)

Back 74

antihistamines + corticosteroids topical

Front 75

tx for prego with HSV outbreaks? how to deliver?

Back 75

acyclovir in weeks 36 and beyond; deliver vaginally if recurrent herpes, but no lesions present; if lesions, do CS. also do CS if mom's first time with HSV (b/c no ab's IgG's made yet to transmit to fetus)

Front 76

m/c malformation in fetus of mother with Dm?

Back 76

VSD

Front 77

gest DM predisposes to what?

Back 77

intrapartum complications

Front 78

main cause of gest DM?

Back 78

insulin resistance (preg hormones binding to ins receptor)

Front 79

rf's for gest DM?

Back 79

prev gest DM
prev hix of ins resistance/gluc tol/ impaired fasting glycemia
fam hx (1st deg relative(of dm II
ethnicity (afr., native am's, islanders
age of mother >35
obesity/overweight
past poor obstetric hx
smoking

Front 80

sx of gest dm?

Back 80

mostly asx, but may see:
thirst, increased urination, fatigue, nausea and vomiting, bladder infection, yeast infections and blurred vision

Front 81

positive GTT =?

Back 81

Fasting blood glucose level ≥95 mg/dl (5.33 mmol/L)
1 hour blood glucose level ≥180 mg/dl (10 mmol/L)
2 hour blood glucose level ≥155 mg/dl (8.6 mmol/L)
3 hour blood glucose level ≥140 mg/dl (7.8 mmol/L)

Front 82

is gest dm a arisk for birth defects?

Back 82

no, but DM II is: ie VSD, msk and cns malformations, sacral agenesis

Front 83

gest dm causes what in fetus?

Back 83

macrosomia / shoulder dystocia/ etc.
low blood glucose (hypoglycemia), jaundice, high red blood cell mass (polycythemia) and low blood calcium (hypocalcemia) and magnesium (hypomagnesemia).

MEPPP, and UTI's in mom, RDS

Front 84

what is they only complication in DM II people that when pregnant, may worsen?

Back 84

proliferative retinopathy

Front 85

ptu medications for Grave's in mom cause what in fetus?

Back 85

fetal hypothyroidism, goiter

Front 86

after gest dm confirmed and diet given, what are normal levels when gluc is rechecked?

Back 86

Normal ranges for blood sugars on diet therapy are:

1.) Fasting blood sugar of less than 105 mg%

2.) Blood sugar values two hours after meals of less than 120 mg%

If these not met, = A2 type, give INSULIN

Front 87

when should labor be induced for gest dm? when CS?

Back 87

AT term; if poorly controlled gest dm A2, consider delivery right at 37 weeks.
If baby is >4250 g, do CS

Front 88

tx for acute fatty liver of pregnancy?

Back 88

immediate delivery

Front 89

diff b/w gestational tcp and ITP?

Back 89

immune tcp = women have prior history of easy bruising, nose and gum bleeds, etc.
gest tcp = often asx, and have no prior hx of bleeding

Front 90

tx for severely low platelets in ITP?

Back 90

prednisone
IgG
platelet tfusion if <25000
splenectomy if necessary

Front 91

does influenza in mom cause effects in baby?

Back 91

no

Front 92

what fetal effects does VZV in mom cause? when occur?

Back 92

if in first half preg, causes:
hydroceph, cortical atrophy, bony defects, ydronephrosis, and chorioretinitis;
possible severe pneumonitis in mom

Front 93

neonatal CMV?

Back 93

periventricular calcifications; chorioretinitis, retard, s/n defects, hsm, jaundice, anemia, tcp

Front 94

neonatal toxo? when occur

Back 94

infection occurs when mom gets infected during 3rd trim usually; cortex calcifcations, lbw, jaundice, seizures, reatrd

Front 95

neonatal syphilis sx?

Back 95

hsm, edema, ascites, hdrops, petechia/purpuric skin lesions, osteochondrititis, lad, rhinitis, myocarditis, nephrosis

Front 96

parvovirus in mom can cause what in fetus?

Back 96

fetal anemia--> fetalis hydrops, abortion, sxtillbirth..
20% occurs during school outbreaks

Front 97

if it's pregant mom's FIRST herpes infection, what % fetal infection? if recurrent?

Back 97

first = 50%!!!
recurrent only 5%

Front 98

def of protracted active phase? tx?

Back 98

<1.2 cm/hr dilation of cervix
tx = either expectant OR pitocin

Front 99

what tx may decrease the need for CS in pts with variable decelerations seen?

Back 99

amnioinfusion

Front 100

most forceps deliveries are what type forceps? what type of forceps?

Back 100

"Low forceps" deliveries = station of at least +2 / 5, but head not on the pelvic floor yet...
use SIMPSON forceps for low, kielland forceps for mid

Front 101

m/c cause of anaesthetic deaths in obstetrics?

Back 101

aspiration pneumonia

Front 102

tx of protracted active phase OR arrested dilation OR hypotonic uterus (dilation w/ weak contractions)

Back 102

pitocin/oxytocin, as long as there's evidence of NO Cephalopelvic disproportion or fetal decline; if there is, do CS...also, if there are already significant regular contractions, oxytocin is not necessary(won't help) so just go straight to CS

Front 103

midline vs medio-lateral episiotomies?

Back 103

midline= easier to repair, less px, blood loss, or surg b/d, BUT higher chance to extend incision to rectum

Front 104

37 weeks prego, abd px with bleeding, tender uterus with frequent contractions....dx? immediate NSIM?

Back 104

abruption placenta!!
stabilize mom w/2 IV's and fluid
prepr for CS
int ut catheter for fetal status
fetal monitor

Front 105

give pt with acute abruption placenta oxytocin?

Back 105

no; b/c uterus is already contracting

Front 106

any deteriorating fetal condition...ie fall in scalp pH, late dec's ...NSIM?

Back 106

CS!!

Front 107

tx for protracted latent phase?

Back 107

meperidine to help pt go to sleep and then will probably wake up in active labor!!

Front 108

what may epidural lead to?

Back 108

abnormal labor patterns,
ie hypotonic uterus (ie only 40mmHg contractions)
delay of descent ( lengthened second stage of labor)
need for oxytocin
fetal BC caused by maternal hotn (tx with ephedrine to mom)

Front 109

tx for arrest of descent in active labor and adequate contractions?

Back 109

CS, b/c oxy wont do anything if contractions are adequate

Front 110

type of block assoc with fetal bc?

Back 110

paracervical block

Front 111

block taht can reach up to T10?

Back 111

spinal

Front 112

what may spinal block also do?

Back 112

cause maternal BC, and decr uteroplacental perfusion due to inhib of sympathetic system

Front 113

when may epidural provide relief?

Back 113

1st (l and a), 2nd stages of labor (delivery)

Front 114

false labor definition?

Back 114

IRREGULAR contractions (ie every 3-12 minutes),
UNCHANGED contraction intensity
NOchange in cerv dil or effacement
Lower back px and abd discomfort
relief with sedation

Front 115

full def of arrest of labor?

Back 115

arrested cerv dilation PLUS adequate uterine contractions (<200 Montevideo units = (#contrcts/10mins X intensitymmHg)

Front 116

what are indications for assisted delivery (vacuum/forceps)

Back 116

when :
when cervix is already FULLY dilated and
fetal head is engaged AND:
1)prolonged 2nd stage,
2)suspicion of pot fetal demise
3) need to shorten 2nd stage for maternal benefit (ie exhaustion)

Front 117

NSIM with shoulder dystocia during delivery?

Back 117

CALL FOR hELP
then...
mcrobert's maneuver(knees to chest to widen pelvis-->
suprapubic pressure-->
Wood's corkscrew (rotate post shoulder)
delivery of post shoulder

do NOT give fundal pressure

Front 118

c5-c6 vs c7-T1 injuries?

Back 118

5-6 = erb/duchenne's palsy
7-10 = Klumpke's =hand paralysis (due to interosseous (ulnar) and thenar/hypothenar (median) paralysis

Front 119

vacuum vs forceps S/E's

Back 119

forceps: ocular trauma and corneal abrasions
vacuum: cephhematoma +/- jaundice;
retinal hem's, intracranial hem's

Front 120

staion 0 is where anatomically?

Back 120

in b/w ischial spines

Front 121

degrees of episiotomies?

Back 121

1st = only vag muc or perineal skin
2nd = +subcut tissue
3rd = + rectal muscle
4th = + rectal mucosa

Front 122

tx for prolonged latent labor, OR for suspected false labor?

Back 122

prolonged latent = mepiridine (narcotic)
and suspected false = morphine...

piont is, sedate woman and if true labor, will wake up in active labor with energy to deliver. if false, sedation will cause contractions to cease

Front 123

when to do internal podalic version?

Back 123

in TWINS, not in single fetus births

Front 124

higher risk in breech positions? risk for what?

Back 124

footling = worst risk
complete = lesser risk
frank = least risk

risk is mainly for cord prolapse / fetal hypoxia, also for head entrapment and

Front 125

NSIM in ambiguous baby genitals?

Back 125

thorough physicalexam for signs of hirsutism (CAH = hyponat, hyperkal -> fetal death if not dx'd!)

Front 126

sx of sheehan's

Back 126

(anterior pituiatary necrosis)
agalactorrhea
amenorrhea
atrophy of breasts,
loss of thyroid fxn
loss of adrenal fxn

Front 127

M/C causes of puerperal fever? m/c bug?

Back 127

1) genital tract inf
2) uti
3) MASTITis - 15% of postpartum women..! less if given lact suppressants
4) lesion from intubation

m/c bug = GAS (s pyogenes)

Front 128

events in hypoth - pit caused by suckling?

Back 128

suckling --> decr dop release in hoth --> decr prol inh factor (PIF) from portal system to pit gland -->incr prod of prol by pit --> also release of oxy by pit-->milk release by lactif ducts
also --> suppresses LH-releasing factor so acts as contraceptive

Front 129

how common is postpartum PE? waht % has classic triad of hemoptysis, dyspnea, and pleuritic chest px?

Back 129

1/2700-1/7000
only 20%

Front 130

acute endometritis causes of?

Back 130

compromised abortions, delivery, medical instrumentation, and retention of placental fragments.

Front 131

septic thrombophlebitis post partum may effect which vessels? what may follow?

Back 131

ovarian vein or iliofemoral vn but rarely both;
IVC thphlebitis may follow

Front 132

postpartum pelvic infection iwth pain and fever with fever spikes,...
dx? how confirm?

Back 132

ovarian vein/ iliofemoral vein thrombophlebitis
confirm dx with CT

Front 133

signs of puerperal mastitis...fever, tc, chills etc with redness on breast..NSIM? most commonn bug?

Back 133

breastmilk culture; then if + initiate AB's = dicloxacillin (pen-ase resistant), since most bugs are s aureus

Front 134

% contraction of TB by baby in first year if + mother and no prophyl tx given to baby?

Back 134

up to 50%

Front 135

tb tx to baby with mom + for tb?

Back 135

BCG vaccine OR
INH prophylaxis

Front 136

BCG vaccine given, can do PPD test after?

Back 136

No; ability to perform PPD is lost

Front 137

postpartum ( with episiotomy done) inability to void dx? NSIM?

Back 137

consider vulvar hematoma,
urethral laceration pain
oxytocin (is a antidiuretic --> overdistended bladder, inability to void)

NSIM = indwelling catheter

Front 138

C/I's to breast feeding?

Back 138

Lithium, active TB or HIV, ACUTE Hep B, neoplastic drugs, Tetx. NOT mastitis, engorgement, cracked/bleeding nipples, other AB's, or URTI in baby

Front 139

NSIM for chorioamnionits during labor?

Back 139

tx with amp and gent and continue with labor

Front 140

which organism is resistant to pens, gent, and causes postpartum maternal infections often? tx?

Back 140

b fragilis
tx with CLINDAmycin (actually, wiki says cefoxitin or metronidazole b/c resistance to clinda in 30% is reported)

Front 141

vaginal bleeding >2weeks post partum with asx uterus but larger than expected...dx?

Back 141

subinvoluted uterus

Front 142

vaginal bleeding >2weeks post partum with excessive bleeding or uterine tenderness....ddx?

Back 142

retained plac fragments OR
endometritis (caused by retained plac fragments)
or
subinvol of uterus (is usually painless though)

Front 143

stimulants of uterine contractions?

Back 143

oxytocin/pitocin
methylergonovine maleate (methergine)
ergonovine maleate (ergotrate)
PG's

Front 144

NSIM for uterine inversion while delivering the placenta?

Back 144

CALL for HELP
IV's and blood available
Anasthesiologist to administer halothane
remove placenta
restore uterus
remove anasth and induce oxytocin to contract uterus

Front 145

clostridium found on cervical smear after vag delivery...nsim?

Back 145

CLOSE management for renal failure, hemolysis, or gas gangrene...
if gas gangrene, do total hysterectomy!!

Front 146

m/c ifnection post CS?

Back 146

endometritis!!

Front 147

predisposing rf's for endometritis?

Back 147

long labor, and prolonged ROM

Front 148

fever in atelectasis post surgery (ie CS)?

Back 148

occurs in FIRST 24 hrs!

Front 149

AFTER tx for metritis with AB's, still see fever spikes...dx?

Back 149

this is classic for ov vein thrombophlebitis (= fever spikes continue even after AB tx)
...
ovtp occurs 2ndary to pelvic infection

Front 150

endometritis vs Ov vein thrombophelbitis?

Back 150

e = uterine tenderness; occurs furst
ovtp = no px, fever spikes AFTER inf and tx for e or other pelvic infection

Front 151

tx for ovarina vein or iliofemoral vein thrombophlebitis?

Back 151

IV heparin

Front 152

tx of endometritis?

Back 152

cefotetan / cefoxitin for polymicrobial pelvic infection

Front 153

onset and durationof PP depression?

Back 153

onset = 2wks-12 months postpartum
dur = 3-14 mo

Front 154

PP or maternity blues onset? resolves in?

Back 154

3-6 days pp , resolves in 10 days

Front 155

does ACOG recommend routine circumcision on all males?

Back 155

no

Front 156

does ACOG recommend routine circumcision on all males?

Back 156

no

Front 157

types of analgesia acceptable for circumcision?

Back 157

topical lidocain cream, dorsal penile nerve block, subc ring block

Front 158

types of analgesia acceptable for circumcision?

Back 158

topical lidocain cream, dorsal penile nerve block, subc ring block

Front 159

aging of newborn based on phys findings?

Back 159

36 wks and less = one ant transverse sole crease, breast diam 2mm or less, scalp hair fine and fuzzy, lobes w/o cartilage
over 39 wks = creases on entire soles, cart in earlobe, breast nodule diam over 7mm, scalp hair coarse, silky

Front 160

aging of newborn based on phys findings?

Back 160

36 wks and less = one ant transverse sole crease, breast diam 2mm or less, scalp hair fine and fuzzy, lobes w/o cartilage
over 39 wks = creases on entire soles, cart in earlobe, breast nodule diam over 7mm, scalp hair coarse, silky

Front 161

apgars?

Back 161

0 - 1- 2

HR absent - below 100 - over
resp abs - slow, irreg -ok/cry
musc flac - some flex - motion
reflex irrit - none - grimce - cry
color blu/pale - ext blue-all pnk

Front 162

apgars?

Back 162

0 - 1- 2

HR absent - below 100 - over
resp abs - slow, irreg -ok/cry
musc flac - some flex - motion
reflex irrit - none - grimce - cry
color blu/pale - ext blue-all pnk

Front 163

NORMAL fetal blood gases? what is acidemia?

Back 163

pH 7.25-30,
pco2 50mmHg
pO2 20mmHg
bicarb 25mEq

acidemia = less than pH 7.0

Front 164

NORMAL fetal blood gases? what is acidemia?

Back 164

pH 7.25-30,
pco2 50mmHg
pO2 20mmHg
bicarb 25mEq

acidemia = less than pH 7.0

Front 165

br feeding decreases what conditions in babies?

Back 165

SIDS!!!, uti's, ear inf's, infant diarrhea

Front 166

br feeding decreases what conditions in babies?

Back 166

SIDS!!!, uti's, ear inf's, infant diarrhea

Front 167

tx for woman 3 d post birth who elects to stop br feeding but wants tx for engorgement?

Back 167

ice packs, breast binder, well fitting bra, and analgesics

Front 168

tx for woman 3 d post birth who elects to stop br feeding but wants tx for engorgement?

Back 168

ice packs, breast binder, well fitting bra, and analgesics

Front 169

what are types of OCP's that may decrease br milk prod in br feeding mom?

Back 169

OCP's containing estrogens. these inhibit lactation or milk supply. The rest ie those with just progesterone will not

Front 170

what are types of OCP's that may decrease br milk prod in br feeding mom?

Back 170

OCP's containing estrogens. these inhibit lactation or milk supply. The rest ie those with just progesterone will not

Front 171

ocp's w/ just progesterone?

Back 171

depo provera (IM)
IUD w/prog release
prog only pill

Front 172

ocp's w/ just progesterone?

Back 172

depo provera (IM)
IUD w/prog release
prog only pill

Front 173

when to give testosterone cream for vag dryness?

Back 173

in postmenopausal women with vulv atrophy or lichen sclerosis (but s/e's include clitoromegaly and increased pubic hair)

Front 174

when to give testosterone cream for vag dryness?

Back 174

in postmenopausal women with vulv atrophy or lichen sclerosis (but s/e's include clitoromegaly and increased pubic hair)

Front 175

what is adenomyosis?

Back 175

portions of the endom (secretory column cells) grow into the myometrium causing menorrhagia and dysmenorrhea = tender, boggy, and symmetrically enlarged uterus (vs fibroids = firm, irreg, enlarged; and vs subinvolution = bleeding, enlarged, otherwise asx)

Front 176

NSIM for wound infection?

Back 176

probe wound for fascia to r/o wound dehiscience (separation of wound's facial layer); then debride and leave open for healing by secondary intention