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Med Surg: OB/Gyn Test #2 - Lecture 1
Winter Semester 2011
66
Medical
Graduate
02/24/2011

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Term
Term meaning maternal condition of having a developing fetus in the body
Definition
Gestation
Term
Term meaning conception through 8th week
Definition
Embryo
Term
Term meaning 9th wk to delivery
Definition
Fetus
Term
Term meaning estimated age of the fetus calculated from 1st day of LNMP
Definition
Gestational age
Term
Term meaning 1st pregnancy
Definition
Primigravida
Term
Term meaning 2nd or more pregnancy
Definition
Multigravida
Term
Term meaning never pregant
Definition
Nulliparis
Term
Term meaning born before wk 37
Definition
Preterm infant
Term
Term meaning expulsion of the embryo or fetus
Definition
Abortion
Term
Term meaning fetus completed 20 wks - <28wks
Definition
Immature infant
Term
Term meaning fetus completed 28wks - <37wks
Definition
Premature infant
Term
What is considered LBW (Low Birth Weight)?
Definition
2500g (<5lb8oz)
Term
Term meaning fetus completed 37 wks
Definition
Mature (term) infant
Term
Term meaning fetus completed 42 wks
Definition
Post-mature infant (post dates)
Term
What is full term?
Definition
37-42wks
Term
What is Chadwick's sign?
Definition
blue discoloration of cervix - sign of pregnancy
Term
What is an increase in vaginal d/c seen during pregnancy called?
Definition
Leukorrhea
Term
What is Cholasma?
Definition
dark skin discoloration that appears on sun-exposed areas of the face, doesn’t always go away
Term
What is linea nigra?
Definition
vertical line in belly darkens
Term
What are some dermatologic signs of pregnancy?
Definition
Cholasma
Linea Nigra
Striae
Spider Telangiectasias
Term
What is Hegar's sign?
Definition
softening of the lower uterine segment (which is normally firm)
Term
What is Goodell's sign?
Definition
cyanosis & softening of the cervix (Chadwick’s + Hegar’s sign)
Term
What is Ladin's sign?
Definition
uterine softening in ant. midline along ureterocervical junction
Term
What is Von Fernwald's sign?
Definition
irregular softening of the fundus which develops over the site of implantation
Term
At what gestational week can U/S first detect a heartbeat? What is the rate?
Definition
5 - 6 wks of gestation (90 - 120bpm)
Term
When can a doppler detect fetal heart tones in a thin pt or a larger pt?
Definition
Thin - 10 wks
Larger - 12 - 14 wks
Term
At what week of gestation does the fundus become palpable, where can it be palpated?
Definition
8 wks at the pubic symphysis
Term
Where is the fundal ht palpable at 16 wks?
Definition
at midpt b/w pubis symphysis and umbilicus
Term
Where is the fundal ht palpable at 20 wks?
Definition
at umbilicus
Term
Where is the fundal ht palpable at 26 - 34 wks?
Definition
fundal ht correlate w/ gestational age
Term
At what gestational week does the fundal ht decrease?
Definition
36 - 40 wks
Term
What rule is helpful in calculating the EDC?
Definition
Nagele’s Rule
Term
If a women presents to the clinic with a pos home pregnancy test, and you confirm with a BhCG, if the women's LMP was Jan 13th, what is her EDC?
Definition
Nagele's Rule = Subtract 3 months and add 7 days.
EDC- Oct. 20
Term
What is the purpose of prenatal care?
Definition
ensure an uncomplicated pregnancy & delivery of live healthy infant
Term
What does GPFPAL stand for?
Definition
Gravida, Parity (outcome of all pregnancies), Full Term, Partial Term, Abortions/Miscarriages, Living Children
Term
If a pt is described as a G3P22012, what does this mean?
Definition
3 pregnancies (Gravida)
2 births (parity)
2 Full Terms
0 Premature births
1 Abortion/Miscarriage
2 Living Children
Term
If a pt is described as a G6P42223, what does this mean?
Definition
6 Pregnancies
4 Births (parity)
2 Full terms
2 Premature births
2 Abortions/Miscarriages
3 Living Children
Term
What are the labs for new pregnancy visits?
Definition
Normal Labs - Hgb/Hct, CBC w/diff, CMP, UA
Blood Stuff - Blood Group Type, Rh factor, Blood Glucose, Genetic Studies
Infectious Stuff - VDRL, Rubella Titer, HIV, Chlamydia/Gonorrhea, TB skin test, HBSAg
Other Stuff - CF x 1, PAP Smear, Triple/Quad Screen (BhCG, Estriol, AFP), +/- toxoplasmosis screen
Term
Tx for Syphillis in prego pt
Definition
PCN
Term
Tx for Chlamydia in prego pt
Definition
Azithromycin
Term
Tx for Gonorrhea in prego pt
Definition
Ceftriaxone
Term
Tx for Trich in prego pt
Definition
Metronidazole (flagyl)
Term
Tx for Candidiasis for prego pt
Definition
Miconazole Cream (OTC)
Term
Treatment for HSV in prego
Definition
Oral or topical (suppressive therapy at 35 weeks gestation)
C-section if active lesions
Term
What can dz that cross the placenta cause in the baby? (3 things)
Definition
Chorioretinitis
Microcephaly
Focal Cerebral Calcifications
Term
What are the dz that can cross the placenta?
Definition
T - Toxoplasmosis
O - Other (Hep B, HIV, Syphilis,Parvovirus B19, VZV, Listeria, E.Coli and Group B Strep)
R - Rubella
C - Cytomegalovirus
H - Herpes Simplex Virus
Term
What are the three MC causes of meningitis in a newborn?
Definition
Listeria, E.Coli and GBS
Term
What is combined in the integrated screening?
Definition
1st Trimester:
Maternal Age Risk
1st Trimester NT
Maternal Serum Pregnancy-associated plasma protein
2nd Trimester:
AFP
uE3 (unconjugated estradiol)
hCG
DIA (dimeric Inhibin A)
Term
What is the purpose of the Integrated screening?
Definition
Risk for Down syndrome (best test for this), spinal bifida screening, risk for trisomy 18,
Term
What is the screening for gestational diabetes?
Definition
Simple glucose challenge test -

Performed 24-28 wks (drink 50 g glucose soln then measures BS 1-hour later)
Term
What is a positive result for gestational diabetes? What is the f/u test?
Definition
Positive if >140 mg/dl; then do a 3 hour GTT
Term
When is a GBS culture screening done in gestation?
Definition
Routine culture 35-37 wks
Term
What are the complications of GBS infection to the mother? to the fetus?
Definition
Mother - Inc incidence of preterm labor, amnionitis, endometritis, maternal wound infx
Possible transmission during labor/delivery causing generalized sepsis of the newborn
Term
Treatment for GBS?
Definition
PCN
Term
What are some common complaints during pregnancy?
Definition
N/V
Edema
Constipation
Urinary Frequency
Varicosities & Hemorrhoids
Leg Cramps
Backache
Round Ligament Pain
HA
Term
What causes constipation during pregnancy?
Definition
progesterone induced relaxation of intestinal sm muscle slowing peristalsis & bowel transit time
Term
What is round ligament pain described as?
Definition
sharp, unilateral/ bilateral groin pain that inc w/ sudden mvmt or change in position
Term
During which trimester is a HA worrisome? Why?
Definition
2nd and 3rd; can be a sign of preeclampsia
Term
Term meaning intractable vomiting
Definition
hyperemesis gravidarum
Term
Fraternal twins means
Definition
Dizygotic meaning separately fertilized ova by sperm
Term
Identical twins means
Definition
Monozygotic meaning Division of a single fertilized ovum
Term
What condition is described as one placental w/ vascular anastomoses to each twin established early in embryonic life?
Definition
Twin-to-twin transfusion syndrome
Term
In Twin-to-twin transfusion syndrome, which twin is described as plethoric, edematous, HTN?
Definition
recipient twin
Term
In Twin-to-twin transfusion syndrome, which twin is described as small, pallid, & dehydrated?
Definition
donor twin
Term
Is AFP elevated in twins?
Definition
YES
Term
What is the goal of a contraction-stress-test? (what does it assess?) What is a perfect score?
Definition
Fetal well-being/size
fetal breathing mvmts
fine motor mvmts
amniotic volume
Perfect Score = 10/10
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