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78 Cards in this Set
- Front
- Back
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In the ovulatory phase the mucus of cervix
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profuse clear and thin, the pH of this mucous is also more basic than any other phase this cervical mucous will also stretch 6 cm when spread vertically on a slide (i.e. spinnbarkerit)
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In the ovulatory phase the mucus of cervix
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profuse clear and thin, the pH of this mucous is also more basic than any other phase this cervical mucous will also stretch 6 cm when spread vertically on a slide (i.e. spinnbarkerit)
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fetal growth restriction can be both
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- symmetrical and asymmetrical
- if it is symetrical (usually resulting from TORCH or genetic anomolies) then the restriction occurs before - - - 28 weeks. asymetric FGR is characterized by - normal head circumference (spared) and reduced abdominal curcumference |
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the most reliable indicator of calculating fetal size is
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is abdominal circumference since it is reduced in both symmetric and asymetric FGR
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occurs in postmenopausal females as a result of decreased estrogen levels
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atrophic vaginitis
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Does vaginal candidiasis have a bad smell?
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- no
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Prolactin production is inhibitied by
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- dopamine
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Prolactin production is stimulated by?
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- serotonin and TRH (i.e. hypothyroidism)
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They have a male XY phenotype, female external genitalia and show virilization at puberty
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androgen insensitivity
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RPR should be avoided in cases of suspected primary syphillis due to the high frequency of false negative instead one should either combine this or only use dark field microscopy to make the diagnosis
- can syphilis be cultured in the laboratory? |
- fuck no
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repetitive late decellerations indiactes what my firend?
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fetal distress
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the primary pathophysiologic cause of preeclampsia is what?
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- vasospasm
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hat is the definition of preterm labor?
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after 20 weeks and before 37
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name some other complications of preterm birth besides RDS?
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- kernicterus, intraventricular hemorrhage, nec. entercolitis...
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Describe the management of acute preterm labor in an otherwise normal pregnancy?
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- systemic corticosteroids are administered when the gestational age is between 24-34 weeks (this decreases the risk of RDS) next tocolysis should be attempted with the goal being to maintain pregnancy for at least 48 hours in order to realize maximum benefit from the steroids...bed rest and tocolysis are continued as long as possible with a long term goal of reaching 34 - 36 weeks
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Describe the management of acute preterm labor in an otherwise normal pregnancy?
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- systemic corticosteroids are administered when the gestational age is between 24-34 weeks (this decreases the risk of RDS) next tocolysis should be attempted with the goal being to maintain pregnancy for at least 48 hours in order to realize maximum benefit from the steroids...bed rest and tocolysis are continued as long as possible with a long term goal of reaching 34 - 36 weeks
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- cervical cerclage is used for
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cervical incompetence and it is used to prevent first trimester abortions.
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- cervical cerclage is used for
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cervical incompetence and it is used to prevent first trimester abortions.
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what are three uterotonic agents given to treat uterine atony?
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oxytocin, methylergonovine, carboprost
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what are three uterotonic agents given to treat uterine atony?
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oxytocin, methylergonovine, carboprost
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what is the definition of IUFD?
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intrauterine fetal demise is characterized by death of a fetus in utero that occurs after 20 weeks gestation and before the induction of labor, IFUD can cause a cogulopathy
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risks for endometritis are
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prolonged labor > 12 hours, prolonged rupture of membranes > 24 hours, c-section and the use of electrodes
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treatment of endometritis entails
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clinda and gent
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in ovarian failure the elevation of FSH is
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greater than LH because FSH takes longer to be cleared from the blood.
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Definition of premature ovarian failure is
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elevation in the setting of three months of amenorrhea in a woman below the age of 40
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- that does the NST measure?
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mesasures increases in FHR, over a span of 20 minutes
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what is a CST?
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measures the response of the fetal heart rate to contractions, if no contractions occur they are induced by oxytocin (and its called an OCT), a NEGATIVE result is normal, i.e. a normal fetus should be able to compensate for UPI which occurs in the setting of a contraction
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f an OCT is postive what is next?
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- a BPP must be performed
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what are the variable is a BPP and how are they scored?
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scores are given either 0 (absent) or 2 (present the five variables are a NST, Normal Fetal breathin (one positive breathing movement of 30 seconds or more in 30 minutes), fetal movement (three or more discrete movements in 30 minutes), Fetal tone (extension with return to flexion or opening or closing of the hand)), Quantification of amniotic fluid (at least a 2cm pocket seen on two planes) must have a score of 8/10 to be considered a success. A score of 6 is equivocal and should lead to delivery if at term.
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what is a modified BPP?
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combines the use of a NST with a AFI (amniotic fluid index)
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flagyl has no teratogenic effcts when given during the first trimester
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flagyl has no teratogenic effcts when given during the first trimester
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flagyl has no teratogenic effcts when given during the first trimester
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flagyl has no teratogenic effcts when given during the first trimester
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what is warfarin embryopathy and when are women at risjk?
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weeks 6-9, causes nasal and midface hypoplasia, with vertebral and stippled epiphyses
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weeks 6-9, causes nasal and midface hypoplasia, with vertebral and stippled epiphyses
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what is warfarin embryopathy and when are women at risjk?
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hypoplastic nails and distal phalanges is associated with use of what?
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- dilantin.
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- dilantin.
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hypoplastic nails and distal phalanges is associated with use of what?
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- spina bifida and NTDs.
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valproic acid and carbemazipine are associated with what?
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paroxetine increases risk for?
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- VSD, ASD
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hiazides
- when given near delivery the fetus may experience |
hrombocytopenia
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tylenol is not associated with an increased risk of defect
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tylenol is not associated with an increased risk of defect
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espective study found an increase risk for gastroschisis when this drug is given.
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pseudophedrine in the 1st trimester
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espective study found an increase risk for gastroschisis when this drug is given.
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pseudophedrine in the 1st trimester
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how does one treat headache in pregnancy?
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- tylenol
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most mild cases of nausea in pregancy can be treated with?
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consuming more proteins, B6 with doxylamine
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What are some other safe and effective drugs for Nausea?
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- H1 receptor blockers
- phenothiazine |
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Consitpation is physiologic in pregnancy? what are some acceptable therapeutics?
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- docusate, psyllium
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Consitpation is physiologic in pregnancy? what are some acceptable therapeutics?
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- docusate, psyllium
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When are apgars repeated multiple times for 30 minutes out?
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if the 5 minute APGAR os less than 7
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When are apgars repeated multiple times for 30 minutes out?
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if the 5 minute APGAR os less than 7
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what are the variables of the APGAR?
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color, heart rate, reflex, muscle tone, respirations
- scores can be 0,1,2 - heart rate is 2 if it is greater than 100 - muscle tone is 2 if there is active motion - respirations are 2 if there is good crying, a weak cry is a 1, |
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WHat is the beginning of routine care?
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- dyr the infant
- after the umbilical cord is clamped and cut it is left exposed to air to facilitate drying and separation |
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WHat is the beginning of routine care?
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- dyr the infant
- after the umbilical cord is clamped and cut it is left exposed to air to facilitate drying and separation |
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what meds are used and when to prevent the development of ghonnococal opthamolia (can be delayed up to 1 hour)
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- .5% erythromycin
- 1% doxy |
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what meds are used and when to prevent the development of ghonnococal opthamolia (can be delayed up to 1 hour)
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- .5% erythromycin
- 1% doxy |
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everynewborn should recieve parenteral doses of what vitamin?
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- K1oxide aka .5 - 1mg
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everynewborn should recieve parenteral doses of what vitamin?
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- K1oxide aka .5 - 1mg
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What percentage of newborns have a BM within 24 hours after birth?
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- 90% if this does not occur a congenital abnomality such as imperforate anus should be be considered
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What is the amount of IVNS that should be?
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- 10ml/Kg
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What is the amount of IVNS that should be?
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- 10ml/Kg
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What is the amount of IVNS that should be?
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- 10ml/Kg
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What is the amount of IVNS that should be?
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- 10ml/Kg
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What maneuvers can be utilized to help the infant want to brieth?
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place it in a snmiffing position
- rubbing the back or soles of the feel or flicking the soles of the feet. |
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What maneuvers can be utilized to help the infant want to brieth?
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place it in a snmiffing position
- rubbing the back or soles of the feel or flicking the soles of the feet. |
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Acidemia in a newborn is characterized by a pH of?
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- less than 7.2
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CO2/O2 of Umbilicar artery?
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- 50/20
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CO2/O2 of Umbilicar artery?
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- 50/20
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define the peurperium?
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- it is the 6-8 week period following birth in which the reproductive tract as well as the rest of the body, returns to the nonpregnant state
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define the peurperium?
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- it is the 6-8 week period following birth in which the reproductive tract as well as the rest of the body, returns to the nonpregnant state
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What are the three types of lochia?
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- rubra: which is menses like bleeding within the first several days
- serosa: a lighter discharge with considerablyh less blood - alba: a whitish d/c |
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What are the three types of lochia?
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- rubra: which is menses like bleeding within the first several days
- serosa: a lighter discharge with considerablyh less blood - alba: a whitish d/c |
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this results in transitory urinary retention after pregancyc?
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considerable edema around the urethra after vaginal delivery
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Ureter and renal pelvis dilation regress by?
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6 - 8 weeks
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define the peurperium?
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it is the 6-8 week period following birth in which the reproductive tract as well as the rest of the body, returns to the nonpregnant state
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define the peurperium?
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it is the 6-8 week period following birth in which the reproductive tract as well as the rest of the body, returns to the nonpregnant state
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What are the three types of lochia?
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rubra: which is menses like bleeding within the first several days
- serosa: a lighter discharge with considerablyh less blood - alba: a whitish d/c |
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most likely associated with separation and passage of the placental eschar?
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- increased vaginal bleeding between 8 - 14 days
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How much rhogam is given to a woman who is no issoimmunized and gives birth to a Rh+ baby?
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300 mcgs given within the first 72 hours
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How much rhogam is given to a woman who is no issoimmunized and gives birth to a Rh+ baby?
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300 mcgs given within the first 72 hours
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