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101 Cards in this Set

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What is the interval for administration of the Influenza vaccine?
Every 10 years b/t 19-64 when at risk, then yearly after age 65
How often should a Pap smear be performed?
Every 2 – 3 years after age 35 if 3 consecutive tests are negative
How often should a sigmoidoscopy be performed?
Every other year from age 40 then every year after age 50
What is a significant cause of morbidity in patients 19 – 39 years?
Acute Urinary conditions
What is a significant cause of morbidity on women ages 40 – 64?
Upper Respiratory conditions
How is the last normal menstrual period measured?
First day of the last normal menstrual period
How often should a mammography to detect breast cancer be performed?
Every other year from age 40, then yearly after age 50
How often should a TSH screen be done?
Every 3 – 5 years after age 40
What ethical principle best relates to the issue of quality of life?
Nonmaleficence
What ethical principle relates to contextual issues?
Justice
“What are the needs of the society?” is a question of what ethical principle?
Justice
“The patient should be given what is due” matches which ethical principle?
Justice
What type of epithelium in Skene ducts?
Transitional
Cause of Teratogenic effect:

IUGR, renal tubular hypoplasia, lack of ossification, fetal hypotension, pulmonary hypoplasia
ACEi
Cause of Teratogenic effect:

skeletal defects, cleft palate
Antiepileptics
Cause of Teratogenic effect:

CNS and ear defects, cleft lip/palate, cardiac and great vessel defects
(2)
1. Cyclophosphamide

2. Accutane
Cause of Teratogenic effect:

nasal hypoplasia, vertebral abnormalities, CNS malformations
Warfarin
Cause of Teratogenic effect:

limb reduction, VSD, GI atresia
Thalidomide
Cause of Teratogenic effect:

vaginal and cervical cancer, genital tract abnormalities
DES (Diethylstilbestrol)
Cause of Teratogenic effect:

staining of primary teeth
Tetracycline
When is the developing brain most susceptible to teratogens?
2 – 16 weeks
None
What during development results in vaginal atresia?
Vaginal plate does not canalize
What does the Urethra arise from in embryo?
Urogenital sinus
What during development results in vaginal absence?
Vaginal plate does not develop
What type of epithelium is in Bartholian ducts?
Transitional
What part of the ovary contains the developing follicles?
Cortex
What is the first indication of the sex of the embryo?
Formation of the tunica albugina
The developing neural tube is most susceptible to teratogens during what period?
2 – 4 weeks
Where are primordial germ cells in the fourth week of development?
Yolk sac
What portion of the fallopian tube boarders the ovary?
Infundibulum
What percent of total CO is channeled to the uterus during pregnancy?
20%
The fetal kidney forms urine at what rate?
400 – 1200 mL/day
During pregnancy what is the normal effect of progesterone on the ureters?
More dilation of the right ureter then the left
How much does maternal blood volume increase during pregnancy?
45%
What does a lack of maternal iron ingestion cause?
Maternal anemia (only)
When does “morning sickness” begin?
4 – 8 weeks
Screening for treponema is required following a positive in what test?
Rapid Plasma Reagin
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?
If < 36 weeks, give steroids
What is the direct result of “Lightening”?
Decreased fundal height
What does PRF-B mean?
Human controlled studies do not exist
Heart tones in a normal pregnancy are heard by auscultation at or beyond how many weeks gestation?
18 – 20 weeks
“Quickening” is felt at how many weeks gestation?
20 weeks
What does PRF-D mean?
Positive evidence for human fetal risk
When should alpha-fetoprotein testing be done?
15 – 18 weeks
Because of fetal positioning, where is round ligament pain more pronounced?
On the Right side
Definition:

Relationship of the fetal presenting part to the right and left side of the maternal pelvis
Position
Decent of the presenting part is identified by which Leopold maneuver?
Third
Time for the Latent phase of stage one labor in multiparas
5 hours
Definition:

Movement of the fetal head as it reaches the introitus
Extension of the fetal head
Time for the second stage of labor in multiparas
30 minutes
What is the effacement if the cervix is 1cm length and 1cm dilated?
50%
What is the most common Fetal Lie during early labor?
Longitudinal
Time for the second stage of labor in Nulliparas
1 hour
Definition:

Movement of the presenting part through the birth canal
Descent
How is Presentation determined?
Portion of fetus lowest in birth canal
Most common fetal Presentation?
Vertex
Definition:

Relationship of the long axis of the fetus with the maternal long axis
Fetal Lie
Definition:

Turning of the fetal head toward the sacrum
Anterior Asynclitism
Identifying the cephalic prominence is accomplished in what Leopold maneuver?
Fourth
Time of the Latent phase of stage one labor in the Nulliparas?
6.5 hours
Definition:

Extrusion of the endocervical gland mucous
Bloody show
Definition:

Movement of labor that allows the smaller diameter of the fetal head to present to the maternal pelvis
Flexion
When is the Midforceps used?
Above the +2 station
No progress from latent to active phase of labor in nulliparas is defined as a prolonged latent phase of how many hours?
> 20 hours
In primigravid patient, the active phase is considered long at what time?
> 12 hours
Protraction disorder is an abnormal labor pattern related to what?
Prolonged Active phase
What main medication is used to augment labor?
Oxytocin
Cervical dilation that proceeds at less then 1.2 cm/hr is classified as what?
Protraction disorder
When are Low forceps used?
At the +2 station
In multiparas, when is the active phase considered prolonged?
> 6 hours
What is Arrest disorder related to?
Secondary Arrest of cervical Dilation
There has been secondary arrest of dilation when the active phase of labor stops for at least how long?
2 hours
Delivery of fetal head in breech uses which forceps?
Kielland
Significant likelihood the induction will fail if Bishop score is less then what?
< 4
What is a sinusoidal FHR pattern usually assoc with?
(2)
Umbilical cord complications

Rh isoimmunization
Fetal compromise is strongly expected w/ a fetal scalp pH of less then what?
< 7.20
Accelerations are considered to be present before 32 weeks gestation if they have what beat and duration?
10 bmp and Duration of >15 sec for < 2 min
What medication is most useful in an attempted intrauterine resuscitation?
Terbutaline
If the monitor shows late decelerations and beat-to-beat variability, what is the next step?
Direct measurement of fetal Acid-Base status
Baseline fetal tachycardia is greater then how many bpms?
160
Transient loss of sino-atrial nodal function is noted if the FHR falls below what?
60
Accelerations are considered to be present at or after 32 weeks when the acceleration has what beat and duration?
15 bmp and Duration of >15 sec but < 2 min
With intrauterine compromise, what drug relaxes the uterine tone and slows contraction rate?
Terbutaline
“Long-term fetal HR variability” is assoc w/ what amplitude?
5 – 16 bpm
MCC of fetal tachycardia?
Maternal hyperthermia
What causes Ioterus neonatorum?
Reabsorption of the free Bilirubin from the fetal intestine
What is placed in the newborn’s eyes to prevent conjunctivitis from gonorrhea and Chlamydia?
Silver nitrate
Most useful arterial cord blood value to manage the acidotic newborn
Base deficit
Jaundice is apparent in newborn if Bilirubin levels reach what amount?
5 mg/dL
What does suckling release that causes uterine contractile pain?
Oxytocin
What percent of medication is seen in breast milk?
1%
Woman first attempts sex 6 weeks post partum, but has pain on penetration. What is the best Tx?
Topical Estrogen
How much does a normal uterus weigh immediately after delivery?
1000g
How long does secretion of the colostrum usually last?
5 days
50% of women ovulate how many days after delivery?
90 days
How soon does a patient normally get her weight back to a prepregnant level?
6 months
How many weeks does it take the uterus to return to its prepregnancy position in the true pelvis?
2 weeks
What is the mean time to ovulate in the postpartum woman?
10 weeks
What main vitamin is not found in human breast milk?
Vitamin K
Heavy postpartum bleeding assoc w/ separation of the passage of the placenta eschar most commonly begins what days postpartum?
8 – 14 days
On what postpartum day does milk production begin?
the Third day