Under Pressure
New onset HTN after 20 weeks gestation without proteinuria or end organ damage
What is gestational hypertension?
The process that consists of contractions causing cervical change by the way of effacement or dilation
What is Spontaneous Labor?
It is a Class A recommendation to do cervical and bimanual exams before beginning this contraceptive treatment
What is an intrauterine device?
First line treatment for Chlamydia in nonpregnant patients
What is doxycycline?
This screening exam has been dropped from the prostate, lung, colorectal, and ovarian screening trial because of its ineffective detection of ovarian cancer.
What is a pelvic exam?
G2P0100 at 22w3d with minimal prenatal care was found to have two elevated BPs, 4 hours apart. Labs reveal elevated LDH, elevated transaminases, and thrombocytopenia. She is admitted for inpatient treatment and monitoring because of this diagnosis.
What is HELLP syndrome?
Time period from delivery of the infant through separation and expulsion of the placenta and fetal membranes
What is the 3rd stage of labor?
A 22 year old G0 presents with severe menstrual cramps, requiring her to miss at least once class every month. You prescribe her this, and on follow up the pain has gotten much better.
What are OCPs?
Patient comes in with a red cervix, green discharge, with motile organisms on stain. You diagnose her with this and tell her to inform her partner.
What is trichomonas vaginalis?
Screening that can be offered at 40 years of age but should begin no later than 50 years and can be biennial or yearly. Never done in women younger than 30.
What is a mammogram?
You are treating HTN in pregnancy, these two drugs are considered first line
What are labetalol and nifedipine?
The obstetric emergency that occurs when the fetus's head retracts against the perineum during delivery
What is shoulder dystocia?
25-year-old G0 and her husband are experiencing infertility. Patient had multiple sexual partners in college but has been monogamous since meeting her husband. He has children from a previous marriage. Hysterosalpingogram shows scarring of the fallopian tubes. This could have been prevented by this contraceptive.
What is a condom?
When diagnosing genital herpes, it is important to do this to the ulcerations when retrieving the sample for NAAT.
What is deroofing?
Vaccine that has reduced cervical cancer by 93% and is typically given in adolescence.
What is the HPV (Gardasil) vaccine?
A mother develops eclampsia, you must immediately do these 3 things prior to delivery
What is protect airway, prevent injury, and start magnesium sulfate to treat seizures
Most common cause of maternal morbidity and mortality worldwide, defined as 1000mL blood loss or < 1000mL with signs and symptoms of hypovolemia
What is post-partum hemorrhage?
A patient comes in to discuss contraception, she is worried about gaining weight. You tell her this method of contraception is the only one proven to cause weight gain.
What is depo provera?
When risk factors such as drug use or limited prenatal care are present, it is important to re-screen for this STI at 28 weeks gestation
What is syphilis?
Women of this age range are screened for cervical cancer every 3 years with cervical cytology alone.
What is 21-29 years?
You OB attending asks you what it means to have preeclampsia with severe features and asks you to name at least 3 severe features. You say...
What is? headaches, vision changes, pulmonary edema, Cr 1.1 or > 2x baseline, platelets < 100,000, RUQ pain, epigastric pain, elevated LFTs, or BPs >160/110
Numerical value that considers cervical dilation, effacement, consistency, position and fetal station and renders whether induction of labor will be as successful as SVD.
What is a BISHOP score?
Patient says she really wants a method of birth control that is as effective as tubal ligation. She doesn't want surgery or "pumped full of those hormones." You recommend this form of BC.
What is the copper IUD?
When taking a history regarding STIs in hopes of preventing them, you ask these 5 questions.
What are the 5 P's?
Partners, practices, protection, past STIs, pregnancy intention
61 yo G1P1001 who has not seen a doctor since her child was born in 1990 presents to establish care. She states her mother "died because she broke her hip." You offer her these screening services.
What is pap smear, mammogram, colonoscopy, and DEXA scan?