Postterm
Prenatal Labs
Preterm
Ultrasound
Wild Card
100
This acquired syndrome is more common in neonates from postterm pregnancies and can manifest with profound respiratory difficulty and chemical pneumonitis
What is meconium aspiration syndrome
100
These are the abnormal Carpenter-Coustan cutoff values for a 3 hour glucose tolerance test
What are 95, 180, 155 and 140 for the fasting, 1 hour, 2 hour and 3 hour values respectively
100
This tocolytic should be used with caution with magnesium sulfate because it can hypothetically cause profound cardiopulmonary compromise due to a synergistic mechanism
What is nifedipine
100
This abdominal wall defect is associated with a high rate of aneuploidy
What is omphalocele
100
This acid-base "disturbance" is actually physiologic in pregnant women
What is a respiratory alkalosis
200
This syndrome has been described in postterm babies who have decreased subcutaneous fat, lanugo and vernix
What is postmaturity syndrome
200
This is the most common mode of acquisition that explains a positive hepatitis B surface antigen in an asymptomatic patient
What is vertical transmission
200
One of the criteria for this intervention, in the strictest sense, is gestational age before 33 weeks
What are rescue dose steroids
200
Gastroschisis is an abdominal wall defect that generally protrudes from this part of the abdominal wall
What is the right side of the umbilicus
200
Acyclovir and valacyclovir taken in the third trimester in selected patients have been shown to decrease the rate of this outcome
What is Cesarean delivery
300
This is the most likely explanation for an otherwise normal pregnancy being postterm if there was no early ultrasound
What is inaccurate dating
300
This is the first line treatment for syphilis in a penicillin allergic patient
What is Penicillin
300
These two complications can arise from prolonged indomethacin tocolysis
What are oligohydramnios and premature closure of the ductus arteriosus
300
These two signs are the most sensitive findings on ultrasound for a myelomeningocele or open neural tube defect (please describe them)
What are the banana (abnormally curved cerebellum) and lemon signs (scalloping of the frontal bones in the cranium)
300
Fetal anemia from this maternal antibody cannot be screened for with delta OD 450 on amniocentesis
What are anti-Kell antibodies
400
This fetal anomaly has been associated with significantly postterm pregnancies and can be prevented with adequate folic acid consumption prior to and early in pregnancy
What is anencephaly
400
This antibiotic can be used for GBS coverage in a penicillin allergic patient when the isolate is sensitive to clindamycin and erythromycin, but should generally not be used if it is sensitive to clindamycin but resistant to erythromycin
What is clindamycin
400
This is the only severe feature of preeclampsia for which expectant management may be warranted when extremely premature
What is severe range hypertension (>160/110)
400
This doppler measurement on this blood vessel is used to screen for fetal anemia
What is the peak systolic velocity of the Middle Cerebral Artery
400
This is the one type of bacterial chorioamnionitis for which delivery is not routinely recommended in all cases
What is Listeria monocytogenes
500
This condition, which can result in postterm delivery, can be detected by very low estriol on a multiple marker screen
What is steroid sulfatase deficiency or X-linked ichthyosis
500
These three common prenatal tests, when abnormal, can all be appropriately followed up with some form of paternal testing as the next step
What is cystic fibrosis testing, hemoglobin electrophoresis and an abnormal antibody screen
500
This is the gestational age which is most commonly recommended for delivery of monoamniotic twins
What is 32 weeks gestation
500
These are 3 soft markers for Down syndrome and 1 soft marker for Trisomy 18 that can be identified on ultrasound
What are thickened nuchal fold, shortened long bones, absent nasal bone, echogenic intracardiac focus or pyelectasis for Down syndrome and what are choroid plexus cysts for Trisomy 18.
500
This Hungarian obstetrician was the first to clearly describe decreased rates of "childbed" fever (endometritis) and maternal death with hand washing, but was dismissed by the medical community of the time and committed to an insane asylum in which he died of sepsis after being beaten by the guards
Who is Ignaz Semmelweis
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