Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
35 Cards in this Set
- Front
- Back
|
What is Gravity?
|
The number of times a woman has been pregnant.
|
|
|
What is Parity?
|
The number of pregnancies that led to a birth beyond 20 weeks gestational age of an infant weighing > 500g.
|
|
|
What is Developmental Age?
|
The number of weeks and days since fertilization.
|
|
|
What is Gestational Age?
|
The number of weeks and days measure from the last menstrual period.
|
|
|
How can you determine Gestational Age?
|
LMP, Fundal height, Quickening, Fetal heart tone, Ultrasound.
|
|
|
What is Nägele's rule?
|
The estimation of delivery date by adding 9 months + 7 days to the last missed period.
|
|
|
What can be the causes of an elevated MSAFP level?
|
Open neural tube defect, abdominal wall defect, multiple gestation, incorrect gestational dating, fetal death, and placental abnormalities.
|
|
|
When do you perform MSAFP test?
|
15-20 weeks of gestation.
|
|
|
What is a Quad Screen?
|
Inhibin A, estriol, ß-hCG, and MSAFP.
|
|
|
How would trisomy 21 appear on a Quad test?
|
AFP and estriol would be decreased; ß-hCG and inhibin A would be increased.
|
|
|
How would trisomy 18 appear on a Quad screen?
|
AFP, estriol, ß-hCG, and inhibin A would all be decreased.
|
|
|
When can amniocentesis be performed?
|
Weeks 15-17
|
|
|
When is amniocentesis indicated?
|
-In women who will be >35 at time of delivery.
-Women with an abnormal quad screen. -Rh-sensitized pregnancy. -To evaluate lung maturity (done in the 3rd trimester) |
|
|
When can a chorionic villus sampling be performed?
|
Weeks 10-12.
|
|
|
What defects can alcohol cause?
|
Growth restriction before and after birth, mental retardation, midfacial hypoplasia, renal and cardiac defects.
|
|
|
What defects can androgens and testosterone derivatives cause?
|
Virilization of females; advanced genital development in males.
|
|
|
What defects can ACEIs cause?
|
Fetal renal tubular dysplasia and neonatal renal failure, oligohydramios, intrauterine growth restriction, lack of cranial ossification.
|
|
|
What defects can Coumadin derivatives cause?
|
Nasal hypoplasia and stippled bone epiphyses, developmental delay, IUGR.
|
|
|
What defects can Carbamazepine cause?
|
Neural tube defects, fingernail hypoplasia, microcephaly, developmental delay, IUGR.
|
|
|
What can Folic antagonists cause? (e.g. methotrexate, aminopterin).
|
Increased spontaneous abortion rate.
|
|
|
What is Oligohydraminos and what is the most common cause?
|
- Amniotic fluid index <5
-Rupture of membranes. |
|
|
What is Polyhydramnios?
|
> 20 amniotic fluid index, or 2 L.
|
|
|
What is the Gynecoid inlet shape?
|
Round
|
|
|
What is the Android inlet shape?
|
Heart shaped
|
|
|
What is the Anthropoid inlet shape?
|
Vertically oriented oval
|
|
|
What is the Platypelloid inlet shape?
|
Horizontally oriented oval
|
|
|
What are reversible causes of urinary incontinence?
|
Delerium, Infection, Atrophic vaginitis, Pharmacologic causes, Psychiatric causes, Excessive urine production, Restricted mobility, Stool impaction. (DIAPPERS)
|
|
|
What is the treatment for Mastitis?
|
Continued breast-feeding and PO penicillinase-resistant antibiotics (e.g. dicloxacillin). Incision and drainage of breast abscess if present.
|
|
|
What are the tumor markers for recurrent breast cancer?
|
CEA, CA 15-3 or CA 27-29.
|
|
|
What pharmacologic treatment should be used in all hormone receptor + patients?
|
Tamoxifen
|
|
|
What pharmacological agent should be used in HER2/neu-expressive cancers?
|
Trastuzumab
|
|
|
What are absolute contraindications to OCPs?
|
Pregnancy; A history of stroke, CAD, or DVT; Breat cancer; Undiagnosed abonormal vaginal bleeding; Estrogen-dependent cancer; a benighn or malignant tumor of the liver; cigarette smoking and age > 35.
|
|
|
What are absolute contraindications to IUD use?
|
Pregnancy; a history of PID; acute cervical, uterine, or salpingeal infection; suspected gynecologic malignancy; undiagnosed abnormal vaginal bleeding; more than one sexual partner; prior ectopic pregnancy.
|
|
|
What is primary amenorrhea?
|
No menses by age 16 with secondary sexual development present; no sexual characteristics by age 14.
|
|
|
What is secondary amenorrhea?
|
Absence of menses for six consecutive months in women who have passed menarche.
|
