OB I

Card Set Information

Author:
shosh114
ID:
152668
Filename:
OB I
Updated:
2012-05-08 00:26:43
Tags:
OB GYN
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Description:
OB/GYN notes
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  1. Chadwick's sign
    Bluish discoloration of the cervix and vagina due to pelvic vasculature engorgement (6weeks)
  2. Beta hCG rule of tens
    • 10 IU at time of missed menses
    • 100,000 IU at 10 weeks (peak)
    • 10,000 IU at delivery
  3. When is the gestational sac visible?
    5 weeks
  4. When are fetal heart tones visible?
    7-8 weeks
  5. Antenatal infectious disease screening should include_____
    • rubella
    • HBsAg
    • VDRL
    • Pap smear
    • gonorhea/chlamydia
    • HIV
    • toxo
    • CMV
    • TB
    • varicella
  6. Symphysis fundal height
    • 12 weeks at pubic symphysis
    • 20 weeks at umbilicus
    • 37 weeks at sternum
  7. Explanations for small uterus
    • date miscalculation
    • IUGR
    • fetal demise
    • oligohydramnios
  8. Explanations for large uterus
    • date miscalculation
    • multiple gestations
    • polyhydramnios
  9. DD for decreased fetal movements
    • death of fetus
    • amniotic fluid decreased
    • sleep cycle of fetus
    • hunger/thirst
    • (DASH)
  10. Normal NST results
    • At least two accelerations
    • At least 15 bmp over baseline
    • Lasting at least 15 seconds

    In 20 minutes
  11. Parameters evaluated in BPP
    • Amniotic fluid--at least 2 cm pockets in 2 axes
    • Breathing--one 30 sec episode
    • Limb movement--three movements
    • Fetal tone--1 episode of extension followed by flexion
  12. When is the first dating US performed?
    Weeks 8-12
  13. When is nuchal translucency screened for?
    Weeks 11-14
  14. Options for abortion
    • Medical
    • Before week 9--methotrexate + misoprostol
    • After week 12--prostaglandins or misoprostol
    • Surgical
    • Before week 12-16--D and C
    • After week 16--dilatation and evacuation

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