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OB 1 (NL pregnancy)

Step-2

QuestionAnswer
What are the general tx strategies for squamous cell cancer of the vagina? Stage 1 (<2cm): internal caviatry radiation, surgical excision. Stage 1(>2cm): external beam radiation. Stage 2,3,4: external beam radiation, +/- adjuvant therapy.
What term describes heavy bleeding during and between mentrual periods? menometrorrhagia
What is the mc type of tracheoesophageal fistula? esophageal atresia, distal esophagus connected to trachea
What is Naegele's rule for estimating delivery date? LMP + 7 days - 3months + 1 year= estimated delivery date
Treat anemia in pregnancy with iron replacement when hgb falls below ____g/dL in the first or third trimesters or when less than ____g/dL in the second trimester. 11, 10.5
______sign refers to the softening and cyanosis of the cervix at 6 weeks gestation. Goodell's sign
______sign refers to the bluish discoloration of the vagina due to vascular congestion at 8-12 weeks gestation. Chadwick's sign
______sign refers to the softening of the lower uterine segment at 6 weeks gestation. Hegar's sign
How do b-hCG levels change during early pregnancy? doubles every 48 hours
During pregnancy, an additional _____kcal/day is needed in the second trimester and _____kcal/day is needed in the third trimester. 340 and 452
Between what weeks gestation is a fetus most susceptible to teratogens and why? 5-10 weeks gestation, during organogenesis.
What effect does pregnancy have on blood pH? What benefits does this have for the fetus? causes mild respiratory alkalosis (with metabolic compensation). O2 trasnfered more readily from mom to fetus
How does the following parameter change during pregnancy: TSH drops slightly
How does the following parameter change during pregnancy: BP drops, then normalizes to pre-pregnancy levels by term
How does the following parameter change during pregnancy: cardiac output increases by 40%
How does the following parameter change during pregnancy: ventilation increases
What hormone contributes to glucose intolerance often seen in pregnancy? Human placental lactogen (HPL)
How much iron is needed in prenancy? 30mg/day
How much calcium is needed in pregnancy? 1200mg/day
What minimum dose of folate is recommended to women of childbearing years to prevent NTD? 400mcg/day
What is the recommendation for folate in women who have previously had a child with NTDs? 4mg/day
What additional supplements should be given to complete vegetarians during pregnancy? Vit D 400IU/day, Vit B12 2mcg/day
What supplements should be given to women on anticonvulsants during pregnancy? folic acid, vit K (during the last month of pregnancy)
Where would you expect to find the uterus on physical exam at the following stage in pregnancy: 12 weeks pubic symphysis
Where would you expect to find the uterus on physical exam at the following stage in pregnancy: 16 weeks 1/2 way between pubic symphysis and umbilicus
Where would you expect to find the uterus on physical exam at the following stage in pregnancy: 20 weeks umbilicus
Where would you expect to find the uterus on physical exam at the following stage in pregnancy: 20-36 weeks weight in cm is equal to gestational age
What are the indications for percutaneous umbilical blood sampling (PUBS)? In most cases fetal amniocentesis is sufficient and safer the PUBS. PUBS is preferred only for confirmation of anemia with possible trasnfusion.
Which vaccines are currently indicated in pregnancy? tetanus q10 yrs, influenza annually, pneumococcal, meningococcal, and hep A & B.
Which vaccines are contraindicated in pregnancy? MMR, Varicella, oral pollio
A fetus with trisomy 18 confirmed with the quadscreen will have changes in the following, describe those changes: AFP, hCG, Estriol, Inhibin A decreased AFP, hCG, Estriol, and normal inhibin A
A fetus with trisomy 21 confirmed with the quadscreen will have changes in the following, describe those changes: AFP, hCG, Estriol, Inhibin A Decreased AFP, increased hCG, decreased estriol, increased inhibin A.
How much weight should a woman with normal pre-pregnancy BMI gain during pregnancy? ~25 pounds
What disorders can an increased nuchal trasnlucency indicate? down syndrome, turner syndrome, congentital heart defects
When can amniocentesis for karyotype be performed? Amnio can be performed after 16 weeks gestation
When can chorionic villus sampling be performed? after 9 weeks gestation
Quad screen shows decreased AFP, decreased unconjugated estriol, elevated inhibin A and elevated b-hcg. WHat diagnosis do you suspect? Downs syndrome or turner syndrome
Created by: shelybel