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27 Cards in this Set

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  • Back
When can bHCG be detected in the urine?
What substance can be detected in the urine as early as 7 days after fertilization, even before the day of the missed period?
What produces hCG? It should double every 48 hours.
The trophoblast produces hCG at what rate?
hCG is low in what type of pregnancy?
Ectopic pregnancy usually has what hCG finding?
hCG is high in what type of pregnancy?
Molar pregnancy usually has what hCG finding?
Where should the fundal height be at 12-15 weeks gestation? At 20-22? After that?
The fundal height reaches the symphysis pubis at ___ weeks gestation, the umbilicus at ____ weeks, and after that is approxiamately equal to the weeks of gestation.
Ossification of the distal femoral epiphysis suggests a fetal age of how old?
You estimate a fetus to be 32 weeks old when you see what on US?
Ossification of the proximal tibial and humeral epiphysis suggests a fetal age of how old?
You estimate a fetus to be 35 weeks old when you see what on US?
In a pregnant HIV patient, when should antiretroviral therapy be started? What about in an AIDS patient?
Antiretroviral therapy should be started at 10-12 weeks in an HIV positive pregnancy, but should be started immediately whenever the patient has AIDS.
When should you do a C-section in an HIV positive patient?
An HIV positive patient goes into labor. Her viral load is > 1000, what should you do?
Congenital Rubella Syndrome is associated with what heart defect?
PDA is associated with maternal infection by what virus?
When do you give Rhogam to Rh (-) mothers?
28 weeks gestation
within 72 hours of delivery
after miscarriages
during amniocentesis/villous sampling

Who do you give Rhogam to?
If you prescribe INH during pregnancy, what must you add?
Give additional Vit B6 (pyroxidine) to expectant mother's getting treated with what medication?
A Hep B positive mother gets pregnant. What do you do to prevent vertical transmission to the baby?
Give Immunoglobulin and Hep B vaccine to the baby within 12 hours of birth to prevent what?
aFP low
PAPPA low
UE3 low
hCG high
Inhibin A high

what do you suspect?
Down syndrome has what results of the quadruple screen?
Pregnant women taking valproate or carbemazepine should also take what?
Supplemental folate X10 should be given to women trying to conceive and taking what medications?
Maternal serum aFP and/or amniotic fluid acetyl choline esterase is elevated in what condition?
Neural tube defects often have what lab value in the mom?
When do you treat GBS with PCN?
Strep status unk before 37 weeks
Culture of vagina at 35-37 wks (+)
Mom's temp is >38
ROM > 18 hours

What do you give mom and baby?
What is the treatment for Hyperemesis Gravidarum?
Pyridoxin/Doxylamine Succinate
If that doesn't work, then try Promethazine to treat what condition?
Patient has just lost a hyaditiform molar pregnancy- what test should you order? What are you ruling out?
Order a CXR for patients with what type of non-viable pregnancy to rule out metastatic choriocarcinoma to the lung.
Variable decelerations in fetal heart rate are associated with what condition?
What does the fetal heart tracing show during cord compressions? Change positions and consider CS.
Late decelerations in fetal heart rate are associated with what condition?
What does the fetal heart tracing show during uteroplacental insufficiency? Do a CS.
The non-stress test is positive. What should you do?
What result of the non-stress test would cause you to proceed with a normal delivery?
A flat fetal heart tracing or no beat-to-beat variablity should lead you to what decision?
You should think C-section when you see what type of fetal heart tracing?
A lecithin/sphingomyelin ratio > 2 indicates what?
Fetal lung maturity is indicated by what value on what test?
Betamethazone or Dexamethazone should be given as antenatal corticosteroid therapy to who?
A pregnant woman at risk for preterm labor within 7 days should be given what to delay labor?
How do you stop hyperstimulation?
Stop oxytocin or add terbutaline to stop what phenomenon?
Misoprostol PGE1/DinoprostonePGE2
Oxytocin

Have what effect on labor?
What substances can be given to induce labor?