Hypertensive Disorders of Pregnancy
This is the only medication shown to decrease risk of pre-eclampsia
What is aspirin 81mg
Increased levels of this hormone can help confirm menopause diagnosis
What is FSH
This is the period of time postpartum to avoid estrogen containing contraception
What is 6 weeks?
VTE risk
Beyond 6 weeks - conflicting data on effect on milk supply
This is the most common cause of postpartum hemorrhage
What is uterine atony
Recommended frequency to check TSH in pregnant patients with thyroid disorders
What is at least every trimester
How does synthroid dosing usually change in pregnancy? Why?
These are the dosages of magnesium sulfate used to treat pre-eclampsia
What are a 4 to 6g bolus and 2g/ hr infusion
This is a non-hormonal option to treat menopausal vasomotor symptoms
Bonus if you know MOA
What is Fezolinetant (Veozah)
Neurokinin 3 receptor antagonist that modulates neuronal activity in the thermoregulatory center
These are the placement points for the teeth of the tenaculum during an IUD insertion
What are 10 and 2/ 11 and 1?
The most concerning risk of AROM
What is cord prolapse?
What would you do in this scenario
How to decrease risk
This is the recommended gestational age for delivery for patients with gestational hypertension
What is 37 weeks
This medication can be used to acutely lower BP in a patient without IV access
Nifedipine (procardia) 10mg PO
This the starting dose of PO estradiol for menopausal HRT
Titrate to symptom response
This is the type of contraception most likely to cause weight gain
What is depo provera
This PPH medication should be avoided in people with hypertensive disorders
What is methergine?
Dose = 0.2mg IM
Our institution's cut off for failing 1 hour GTT
What is 140?
Then what? Which tests require fasting? What if patients don't want to do GTT? What patients SHOULD NOT do GTT?
This is the primary lab value distinguishing gestational hypertension and pre-eclampsia WITHOUT severe features
What is urine protein to creatinine ratio (> 0.3)
These are absolute contraindications to use of estrogen (must name at least two)
What are:
History of breast cancer
History of stroke
History of VTE
Active liver disease
Relative CI: smoking
This medication can be used to help dilate the cervix prior to IUD insertions
Buccal or vaginal - PO more likely to have GI side effects
4 hours prior to procedure
The length of time without cervical change used to diagnose arrest of labor in the active phase with adequate contractions
How to determine adequate contractions
How to define active phase
What if contractions aren't adequate with pitocin titration?
6 hours
This is the first line pharmacologic treatment for nausea of pregnancy
These are the criteria to diagnose pre-eclamspia WITH severe features (must name at least 3)
What are:
SBP > 160 OR DBP > 110
New onset HA not responsive to tylenol
Pulmonary edema
Vision changes
AST or ALT 2x upper limit of normal
RUQ pain
Creatinine > 1.1 or 2x baseline
Platelets < 100K
This is the average age of menopause in the US
What is 51?
This is the contraceptive with the longest return to fertility
The Bishop score below which a cervical ripening agent is recommended
What is 7?
Calculating bishop score
When to use different ripening agents
The criteria to qualify for RSV vaccination during pregnancy
What is:
32 to 36w gestation during Sept to Jan
Infant likely to be born in peak RSV season
Infant won't need Beyfortus
Side effects