Term
| Unconjugated bilirubinemia tx |
|
Definition
phototherapy until levels falls to threshold
exchange transfusion if levels >20-25 |
|
|
Term
|
Definition
1. weight loss
2. OCPs
3. Clomiphene citrate |
|
|
Term
focal pruritus with no rash
mildly elevated LFTs
Tx? |
|
Definition
Pregnancy induced skin changes
normal delivery expectations
oatmeal baths, UV light antihistamines |
|
|
Term
generalized pruritus with no rash of the hand/feet
incr in bile acids and LFTs |
|
Definition
Intrahepatic cholestasis of pregnancy
deliver at 37 weeks |
|
|
Term
itching that precedes a truncal rash
periumbililical urticarial papules and plaques |
|
Definition
Pemphigus gestations
treat with high potency steroids and antihistamine
resolves after delivery |
|
|
Term
bacterial vaginosis in pregnancy
Assoc?
Risk? |
|
Definition
Metro OR Clindamycin
PROM, preterm labor, postpartum endometritis
incr risk of getting HIV, HSV-2, gonorrhea |
|
|
Term
| Abnx AFP levels next step |
|
Definition
1. repeat test first
2. U/S for anatomic survey
3. amniocentesis |
|
|
Term
Genital warts in pregnancy tx?
c sect or vag delivery |
|
Definition
Podophyllin, trichloroacetic acid, imiquimod
Vaginal delivery |
|
|
Term
| scalp swelling MC developing after prolonged labor or vacuum assisted delivery |
|
Definition
|
|
Term
| when is GBS prophylaxis given? |
|
Definition
>4h b4 delivery
>37wks and ROM<18hr Yes-->Observe 48 hr
No--> CBC BCx, observe |
|
|
Term
|
Definition
| surgery in second trimester or chemo |
|
|
Term
|
Definition
Haldol
2. Lithium + 2 deg antipsychotic |
|
|
Term
| pre eclampsia prevention >20 wks |
|
Definition
| low dose ASA at 12 wks gestation |
|
|
Term
| how to handle maternal alloimmunization after fetomaternal hemorrhage |
|
Definition
if loss >30ml, give extra amount
remember, time frame is 28wks and <72h postpartum |
|
|
Term
| screening test for maternal alloimmunization |
|
Definition
rosette test
if (+) kleiballer betke test |
|
|
Term
| tx of cerebral venous sinus thrombosis |
|
Definition
|
|
Term
| tx of post partum endometritis |
|
Definition
|
|
Term
| second. labor arrest def? tx? |
|
Definition
no fetal descent after push >3 hr w/o epidural
C section |
|
|
Term
| spontaneous abortion <20 wk causes |
|
Definition
advanced maternal age, prior loss, subs abuse
MCC is fetal chromosome abnx |
|
|
Term
|
Definition
|
|
Term
|
Definition
| 3rd trimester with INCR LFTs |
|
|
Term
| fever, n/v, RUQ pain and incr LFTs in a sickle cell pt |
|
Definition
| Acute sickle hepatic crisis |
|
|
Term
| Medical contraindications to pregnancy |
|
Definition
LVEF <40
class 3/4 HF
prior peripartum CM
severe pulm HTN
aortic dilatation >40cm |
|
|
Term
>2 painless 2nd trimester losses
painless advanced cervical dilation in 2nd trimester |
|
Definition
cervical insufficiency
place cervical cerclage at 12-14 wks |
|
|
