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51 Cards in this Set
- Front
- Back
Q600. Dx:; Vaginal bleeding, painful contractions, firm and tender uterus; Tx?
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A600. Placental Abruption; Tx – Delivery (by C-section if mother or baby is unstable)
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Q601. Dx:; sudden onset of intense abdominal pain assoc with pregnancy; Tx?
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A601. Uterine rupture; Tx - immediate laparotomy
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Q602. Dx:; Vaginal bleeding and sinusoidal FHR pattern; MCC?; Tx?
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A602. Fetal Vessel Rupture; MCC - Velamentous cord insertion; Tx - emergency C-section
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Q603. Dx:; contractions and changes in cervix at < 37 weeks gestation
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A603. Preterm Labor
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Q604. The only Tocolytic approved by the FDA; MOA?
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A604. Ritrodrine; MOA: Beta-agonist
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Q605. Tocolytic that acts as a calcium antagonist
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A605. Magnesium sulfate
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Q606. what is the test to determine if patient is near a Magnesium sulfate toxicity?
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A606. check DTRs continuously. they are depressed less then the toxic level of 10 mg/dL
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Q607. what Calcium channel blocker is used as a Tocolytic?
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A607. Nifedipine
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Q608. what NSAID is used as a Tocolytic?
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A608. Indomethacin
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Q609. MC concern with PROM?
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A609. Chorioamnionitis
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Q610. when is it common to see maternal hypotension?; what can it cause in child?; what is Tx for maternal hypotension?
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A610. After epidural; causes - Fetal bradycardia; Tx - IV hydration and Ephedrine
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Q611. Tx for fetal bradycardia lasting for longer then 4 - 5 minutes?
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A611. C-section
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Q612. Monozygotic Twins:; separation before the differentiation of trophoblasts
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A612. Dichorionic-Diamnionic
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Q613. Monozygotic Twins:; separation after trophoblast differentiation and before amnion formation
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A613. Monochorionic-Diamnionic
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Q614. what type of twins can develop Twin-to-Twin Transfusion Syndrome?
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A614. Mono-Di (one big baby and one small)
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Q615. Twin type:; division of fertilized ovum
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A615. Monozygotic
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Q616. Twin type:; fertilization of two ova by two sperm
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A616. Dizygotic
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Q617. Monozygotic Twins:; separation after amnion formation
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A617. Monochorionic-Monoamnionic (highest mortality rate)
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Q618. Dx:; pregnant woman with HTN, edema, proteinuria
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A618. Preeclampsia
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Q619. (3) risk factors for onset of Preeclampsia
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A619. Nulliparity,; Multiple gestation,; Chronic HTN
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Q620. Tx for Preeclampsia near term and preterm
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A620. Near term: Delivery; Preterm (and Eclampsia Tx): Mag sulfate - against seizures, Hydralazine - HTN
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Q621. with Eclampsia, what percentage of patients have seizures before labor, during labor and after labor?
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A621. Before: 25%; During: 50%; After: 25%
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Q622. what anti-hypertensives are given to mothers with chronic HTN during birth?; (2)
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A622. Nifedipine; Labetolol
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Q623. what tests should be performed if patient has chronic HTN with pregnancy?; (2); why?
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A623. Baseline ECG,; 24-hr urine collection; helps differentiate superimposed preeclampsia
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Q624. How common is gestational diabetes?
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A624. approx 15% of pregnancies
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Q625. (3) fetal complications of Gestational Diabetes
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A625. Macrosomia,; Shoulder dystocia,; neonatal Hypoglycemia
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Q626. when is a C-section indicated in gestational diabetes?
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A626. if fetal weight > 4500g
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Q627. How is the DM-1 patient managed during pregnancy?; Delivery?
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A627. Pregnancy - insulin pump; Delivery - insulin drip
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Q628. What gestational age of onset would you stop considering using a tocolytic agent?; A steroid agent?; What is done after that?
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A628. Tocolytic: >34 weeks; Steroid: >36 weeks; then: Expectant management
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Q629. how are lower UTIs treated versus pyelonephritis in pregnancy?
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A629. Lower UTI - oral Antibiotics; Pyelonephritis - IV Antibiotics
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Q630. (2) complications of pyelonephritis during pregnancy for mother
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A630. Septic shock; ARDS
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Q631. what can Bacterial Vaginosis cause during pregnancy?
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A631. Preterm delivery
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Q632. Leading cause of Neonatal sepsis; Tx?
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A632. Group B strep; Tx: Ampicillin
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Q633. Dx:; maternal fever, uterine tenderness, high WBC, fetal tachycardia; Tx? (2)
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A633. Chorioamnionitis; Tx: Delivery, IV Antibiotics
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Q634. Dx:; nausea and vomiting in pregnancy to the extent where the patient cannot maintain adequate hydration and nutrition; (3) Tx?
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A634. Hyperemesis Gravidarum; Tx: IV hydration, Electrolyte repletion, Antiemetics
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Q635. Management of women with Epilepsy during pregnancy; (3)
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A635. check antiepileptic drug levels monthly,; Level 2 Ultrasound at 19 - 20 weeks,; supplement with Vitamin K from 37 weeks to delivery
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Q636. what do women with mild renal disease have a risk of getting during pregnancy?; (2 pregnancy problems)
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A636. Preeclampsia,; IUGR
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Q637. Leading cause of maternal death
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A637. Pulmonary emboli
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Q638. Tx for pregnancy-related DVT and PE
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A638. Heparin
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Q639. Management for Hyperthyroidism in pregnant woman; (3)
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A639. Thyroid-stimulating immunoglobulins (TSI) should be screened. if elevated, screen for fetal goiter and IUGR; continue with PTU medication
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Q640. Management for Hypothyroidism in pregnant woman
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A640. Synthroid (Increased Synthroid requirements during preg for somone already on meds)
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Q641. (3) common problems that can occur in the pregnant SLE patient. what (3) meds can be used in these patients as prophylaxis?
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A641. Risk for: Pregnancy loss, IUGR, Preeclampsia; Meds: Low-dose aspirin, Heparin, Corticosteroids
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Q642. how are Lupus flares and Preeclampsia differentiated in pregnancy?
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A642. Complement levels
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Q643. SLE and Sjogren mothers with anti-Ro and Anti-La antibodies have risk of developing what fetal problem?
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A643. Fetus with Congenital Heart Block
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Q644. Dx:; infant is delivered and has growth restriction, CNS problems, cardiac defects and abnormal facies
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A644. Alcohol abuse during pregnancy; (FAS)
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Q645. Pregnancy Risk:; Caffeine > 150 mg/day
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A645. Spontaneous abortions
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Q646. Pregnancy Risk:; Cigarette smoking; (4)
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A646. Growth restriction,; Abruptions,; Preterm delivery,; Fetal death
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Q647. Pregnancy Risk:; Cocaine; (2)
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A647. Placental Abruption,; CNS defects in children
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Q648. what is best for the pregnant woman on Heroin during pregnancy?
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A648. Quitting outright will endanger fetus--need to be enrolled in a methadone clinic, then quit after delivery
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Q649. (2) central issues in the immediate postpartum period for the patient
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A649. Pain management,; Wound care
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Q650. when do diaphragms and cervical caps need to be refitted postpartum?
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A650. 6 weeks
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