PIH
List three HIGH RISK factors for PES
high-risk factors for preeclampsia previous pregnancy with preeclampsia, multifetal gestation, renal disease, autoimmune disease, type 1 or type 2 diabetes mellitus, and chronic hypertension
How many mm is a short cervix? (not the 10mm number)
less than 25 mm
If you suspect PMS/PMDD how many cycles should you get a diary for?
TWO
Induction of labor after _ weeks and by _ weeks of gestation is recommended, given evidence of an increase in perinatal morbidity and mortality.
Induction of labor after 42 0/7 weeks and by 42 6/7 weeks of gestation is recommended, given evidence of an increase in perinatal morbidity and mortality.
SINGLE UMBILICAL ARTERY is associated with increased risk of what three things
Associated with increased risk of additional congenital malformations (25-30%), IUGR (10-20%) and preterm delivery
When to deliver gHTN or PES without SF?
37wk
At what weeks DO YOU REMOVEe mcdonald cerclage?
In patients with no complications, transvaginal McDonald cerclage removal is recommended at 36–37 weeks of gestation.
First line pharm for premenstrual disorders?
SSRI
T/F Membrane sweeping is associated with a decreased risk of late-term and postterm pregnancies
TRUE
define velamentous cord insertion
Umbilical cord insertion into the membrane rather than into the placenta
What antenatal testing should you do for PIH while awaiting time to delivery?
Fetal monitoring consists of ultrasonography to determine fetal growth every 3–4 weeks of gestation, and amniotic fluid volume assessment at least once weekly. In addition, an antenatal test one-to-two times per week for patients with gestational hypertension or preeclampsia without severe features is recommended.
List an indication for a TAC (Transabdominal cervicoisthmic cerclage)
Transabdominal cervicoisthmic cerclage generally is reserved for patients in whom a cerclage is indicated based on the diagnosis of cervical insufficiency but cannot be placed because of anatomical limitations (eg, after a trachelectomy), or in the case of failed transvaginal cervical cerclage procedures that resulted in second-trimester pregnancy loss.
What can you do if a pt taking an SSRI during the luteal phase is not managing the pt PMS/PMDD symptoms? (will accept any of the 4 answers)
Make continuous, increase dose, try other SSRI, refer to psych
Can post dates tolac?
TOLAC remains an option for women with postterm pregnancies who have not had a prior vaginal delivery, but these women should be counseled regarding their individual risks such as failure of TOLAC and of uterine rupture.
Define marginal cord insertion
Umbilical cord insertion <2 cm from the placental edge
Per the **PB** risk of epidural hematoma is exceptionally low in patients with platelet counts higher than ___
70 × 10 9/L
What is the timing for ultrasonography in managing women with a history of cervical insufficiency
Duration of surveillance should begin at 16 weeks and end at 24 weeks of gestation
What is the preferred medical management of OVERALL premenstrual symptoms (not just mood)
ACOG recommends combined oral contraceptives (COCs) for the management of overall premenstrual symptoms
Neonatal risks of late term and post term pregnancy
increased risks of operative vaginal delivery, cesarean delivery, and shoulder dystocia observed in postterm pregnancies
What MFM US do you need to do for umbilcal vein varix?
MFM ultrasound to evaluate for varix size and flow and fetal hydrops every 1-2 weeks
List ALL the severe features (all or nothing) there are SEVEN
following severe features: thrombocytopenia (platelet count less than 100 ,000 × 10 9/L); impaired liver function as indicated by abnormally elevated blood concentrations of liver enzymes (to twice the upper limit of normal concentration); severe persistent right upper quadrant or epigastric pain and not accounted for by alternative diagnoses; renal insufficiency (serum creatinine concentration more than 1.1 mg/dL or a doubling of the serum creatinine concentration in the absence of other renal disease); pulmonary edema, or new-onset headache unresponsive to acetaminophen and not accounted for by alternative diagnoses, or visual disturbances.
Plz tell me the indications for Cervical Cerclage in Women With Singleton Pregnancies
History of one or more second-trimester pregnancy losses related to painless cervical dilation and in the absence of labor or abruptio placentae
Prior cerclage due to painless cervical dilation in the second trimester
What is the overall Diagnostic dx of PMDD
In the majority of menstrual cycles, at least five symptoms must be present in the final week before the onset of menses, start to improve within a few days after the onset of menses, and become minimal or absent in the week postmenses.
Define late term and post term
Postterm pregnancy refers to a pregnancy that has reached or extended beyond 42 0/7 weeks of gestation from the last menstrual period (LMP), whereas a late-term pregnancy is defined as one that has reached between 41 0/7 weeks and 41 6/7 weeks of gestation
Define umbilical vein varix
Focal dilation of the intraabdominal umbilical vein measuring >9 mm diameter or intraabdominal umbilical vein diameter that is 50% larger than intrahepatic umbilical vein