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101 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is the interval for administration of the Influenza vaccine?
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Every 10 years b/t 19-64 when at risk, then yearly after age 65
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How often should a Pap smear be performed?
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Every 2 – 3 years after age 35 if 3 consecutive tests are negative
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How often should a sigmoidoscopy be performed?
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Every other year from age 40 then every year after age 50
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What is a significant cause of morbidity in patients 19 – 39 years?
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Acute Urinary conditions
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What is a significant cause of morbidity on women ages 40 – 64?
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Upper Respiratory conditions
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How is the last normal menstrual period measured?
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First day of the last normal menstrual period
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How often should a mammography to detect breast cancer be performed?
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Every other year from age 40, then yearly after age 50
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How often should a TSH screen be done?
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Every 3 – 5 years after age 40
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What ethical principle best relates to the issue of quality of life?
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Nonmaleficence
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What ethical principle relates to contextual issues?
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Justice
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“What are the needs of the society?” is a question of what ethical principle?
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Justice
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“The patient should be given what is due” matches which ethical principle?
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Justice
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What type of epithelium in Skene ducts?
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Transitional
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Cause of Teratogenic effect:
IUGR, renal tubular hypoplasia, lack of ossification, fetal hypotension, pulmonary hypoplasia |
ACEi
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Cause of Teratogenic effect:
skeletal defects, cleft palate |
Antiepileptics
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Cause of Teratogenic effect:
CNS and ear defects, cleft lip/palate, cardiac and great vessel defects (2) |
1. Cyclophosphamide
2. Accutane |
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Cause of Teratogenic effect:
nasal hypoplasia, vertebral abnormalities, CNS malformations |
Warfarin
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Cause of Teratogenic effect:
limb reduction, VSD, GI atresia |
Thalidomide
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Cause of Teratogenic effect:
vaginal and cervical cancer, genital tract abnormalities |
DES (Diethylstilbestrol)
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Cause of Teratogenic effect:
staining of primary teeth |
Tetracycline
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When is the developing brain most susceptible to teratogens?
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2 – 16 weeks
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None
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What during development results in vaginal atresia?
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Vaginal plate does not canalize
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What does the Urethra arise from in embryo?
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Urogenital sinus
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What during development results in vaginal absence?
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Vaginal plate does not develop
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What type of epithelium is in Bartholian ducts?
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Transitional
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What part of the ovary contains the developing follicles?
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Cortex
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What is the first indication of the sex of the embryo?
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Formation of the tunica albugina
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The developing neural tube is most susceptible to teratogens during what period?
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2 – 4 weeks
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Where are primordial germ cells in the fourth week of development?
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Yolk sac
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What portion of the fallopian tube boarders the ovary?
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Infundibulum
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What percent of total CO is channeled to the uterus during pregnancy?
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20%
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The fetal kidney forms urine at what rate?
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400 – 1200 mL/day
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During pregnancy what is the normal effect of progesterone on the ureters?
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More dilation of the right ureter then the left
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How much does maternal blood volume increase during pregnancy?
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45%
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What does a lack of maternal iron ingestion cause?
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Maternal anemia (only)
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When does “morning sickness” begin?
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4 – 8 weeks
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Screening for treponema is required following a positive in what test?
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Rapid Plasma Reagin
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Test of fetal lung maturity is used when the risk of the fetus is contemplated at a gestational age of less then how many weeks?
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If < 36 weeks, give steroids
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What is the direct result of “Lightening”?
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Decreased fundal height
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What does PRF-B mean?
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Human controlled studies do not exist
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Heart tones in a normal pregnancy are heard by auscultation at or beyond how many weeks gestation?
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18 – 20 weeks
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“Quickening” is felt at how many weeks gestation?
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20 weeks
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What does PRF-D mean?
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Positive evidence for human fetal risk
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When should alpha-fetoprotein testing be done?
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15 – 18 weeks
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Because of fetal positioning, where is round ligament pain more pronounced?
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On the Right side
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Definition:
Relationship of the fetal presenting part to the right and left side of the maternal pelvis |
Position
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Decent of the presenting part is identified by which Leopold maneuver?
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Third
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Time for the Latent phase of stage one labor in multiparas
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5 hours
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Definition:
Movement of the fetal head as it reaches the introitus |
Extension of the fetal head
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Time for the second stage of labor in multiparas
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30 minutes
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What is the effacement if the cervix is 1cm length and 1cm dilated?
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50%
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What is the most common Fetal Lie during early labor?
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Longitudinal
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Time for the second stage of labor in Nulliparas
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1 hour
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Definition:
Movement of the presenting part through the birth canal |
Descent
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How is Presentation determined?
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Portion of fetus lowest in birth canal
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Most common fetal Presentation?
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Vertex
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Definition:
Relationship of the long axis of the fetus with the maternal long axis |
Fetal Lie
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Definition:
Turning of the fetal head toward the sacrum |
Anterior Asynclitism
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Identifying the cephalic prominence is accomplished in what Leopold maneuver?
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Fourth
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Time of the Latent phase of stage one labor in the Nulliparas?
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6.5 hours
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Definition:
Extrusion of the endocervical gland mucous |
Bloody show
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Definition:
Movement of labor that allows the smaller diameter of the fetal head to present to the maternal pelvis |
Flexion
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When is the Midforceps used?
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Above the +2 station
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No progress from latent to active phase of labor in nulliparas is defined as a prolonged latent phase of how many hours?
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> 20 hours
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In primigravid patient, the active phase is considered long at what time?
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> 12 hours
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Protraction disorder is an abnormal labor pattern related to what?
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Prolonged Active phase
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What main medication is used to augment labor?
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Oxytocin
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Cervical dilation that proceeds at less then 1.2 cm/hr is classified as what?
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Protraction disorder
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When are Low forceps used?
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At the +2 station
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In multiparas, when is the active phase considered prolonged?
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> 6 hours
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What is Arrest disorder related to?
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Secondary Arrest of cervical Dilation
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There has been secondary arrest of dilation when the active phase of labor stops for at least how long?
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2 hours
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Delivery of fetal head in breech uses which forceps?
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Kielland
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Significant likelihood the induction will fail if Bishop score is less then what?
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< 4
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What is a sinusoidal FHR pattern usually assoc with?
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Umbilical cord complications
Rh isoimmunization |
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Fetal compromise is strongly expected w/ a fetal scalp pH of less then what?
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< 7.20
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Accelerations are considered to be present before 32 weeks gestation if they have what beat and duration?
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10 bmp and Duration of >15 sec for < 2 min
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What medication is most useful in an attempted intrauterine resuscitation?
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Terbutaline
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If the monitor shows late decelerations and beat-to-beat variability, what is the next step?
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Direct measurement of fetal Acid-Base status
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Baseline fetal tachycardia is greater then how many bpms?
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160
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Transient loss of sino-atrial nodal function is noted if the FHR falls below what?
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60
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Accelerations are considered to be present at or after 32 weeks when the acceleration has what beat and duration?
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15 bmp and Duration of >15 sec but < 2 min
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With intrauterine compromise, what drug relaxes the uterine tone and slows contraction rate?
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Terbutaline
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“Long-term fetal HR variability” is assoc w/ what amplitude?
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5 – 16 bpm
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MCC of fetal tachycardia?
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Maternal hyperthermia
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What causes Ioterus neonatorum?
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Reabsorption of the free Bilirubin from the fetal intestine
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What is placed in the newborn’s eyes to prevent conjunctivitis from gonorrhea and Chlamydia?
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Silver nitrate
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Most useful arterial cord blood value to manage the acidotic newborn
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Base deficit
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Jaundice is apparent in newborn if Bilirubin levels reach what amount?
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5 mg/dL
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What does suckling release that causes uterine contractile pain?
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Oxytocin
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What percent of medication is seen in breast milk?
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1%
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Woman first attempts sex 6 weeks post partum, but has pain on penetration. What is the best Tx?
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Topical Estrogen
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How much does a normal uterus weigh immediately after delivery?
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1000g
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How long does secretion of the colostrum usually last?
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5 days
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50% of women ovulate how many days after delivery?
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90 days
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How soon does a patient normally get her weight back to a prepregnant level?
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6 months
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How many weeks does it take the uterus to return to its prepregnancy position in the true pelvis?
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2 weeks
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What is the mean time to ovulate in the postpartum woman?
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10 weeks
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What main vitamin is not found in human breast milk?
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Vitamin K
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Heavy postpartum bleeding assoc w/ separation of the passage of the placenta eschar most commonly begins what days postpartum?
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8 – 14 days
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On what postpartum day does milk production begin?
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the Third day
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