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Questions and Answers
At what weekly gestation is diabetes screening typically performed during pregnancy?
At what weekly gestation is diabetes screening typically performed during pregnancy?
What is the best approach for a young patient suspected of having an immature hypothalamic-pituitary-ovarian axis with heavy bleeding?
What is the best approach for a young patient suspected of having an immature hypothalamic-pituitary-ovarian axis with heavy bleeding?
Which of the following statements about Rho D immune globulin is true?
Which of the following statements about Rho D immune globulin is true?
What is a common presentation of a hydatiform mole in the first trimester?
What is a common presentation of a hydatiform mole in the first trimester?
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In which situation is an IVC filter indicated?
In which situation is an IVC filter indicated?
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Which condition is associated with chronic endometritis?
Which condition is associated with chronic endometritis?
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What is the appropriate management for a ruptured ovarian cyst?
What is the appropriate management for a ruptured ovarian cyst?
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When can vaginal delivery occur after a history of horizontal cesarean section?
When can vaginal delivery occur after a history of horizontal cesarean section?
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Study Notes
Form 8 Review
- Diabetes screening: Done at 24-28 weeks, unless concerning symptoms appear earlier. Lipid studies are not recommended during pregnancy.
- Genetic Screening: Performed during the first prenatal visit. Conditions like cystic fibrosis, SMA, and Tay-Sachs are examples.
- Antepartum Fetal Demise: Characterized by decreased fetal movement and lack of fetal heart tones; this is confirmed by US.
- Menopause: Typically begins around age 50; but if a woman has amenorrhea, pregnancy should be ruled out through a pregnancy test (blood test for B-hCG).
- Immature Hypothalamic-Pituitary-Ovarian Axis: If a young woman presents with heavy bleeding, treatment to stabilize the axis may include OCPs.
- Variable Decelerations: Abrupt decreases in fetal heart rate (FHR) of at least 15 bpm lasting 15 seconds or less. These have no relation to uterine contractions.
- Light Vaginal Bleeding: May occur early in pregnancy.
- IVC Filters: Used only if a deep vein thrombosis (DVT) is present and the patient is unable receive anticoagulant therapy.
- Rho(D) Immune Globulin: Effects last 12 weeks. Another dose may be required at 28 weeks if the first dose was given at 16 weeks or earlier.
- Ruptured Ovarian Cyst: Treat supportively.
- Previous Antepartum Intrauterine Fetal Demise: Further evaluation is needed.
Additional Information
- Placental Abruption: Occurs after 20 weeks gestation.
- Vitamin A: Is teratogenic (harmful to the fetus) during pregnancy.
- Vaginal Delivery After Horizontal C-Section: Is okay.
- Vertical C-Section History: Indicates a vaginal delivery is not expected in the future.
- Hydatiform Mole: Characterized by first-trimester bleeding with nausea and vomiting (N/V), and bilateral ovarian theca-lutein cysts.
- Corpus Luteum Cyst: Treated by observation and supportive therapy.
- Chronic Endometritis: Diagnosis involves observing the presence of plasma cells in the endometrium.
- Vulvar Hematomas: Result from pudendal artery injury.
- Folic Acid Deficiency: More likely in pregnant women.
- Paget Disease of the Breast: Requires a biopsy.
- Lochia Rubra: Early postpartum vaginal bleeding that is reddish in color; Serosa is the next color phase (creamy, pinkish white), and alba is the final color (off-white).
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Description
This quiz covers essential topics in maternal and fetal health, including diabetes screening during pregnancy, genetic conditions, and the understanding of antepartum fetal demise. It also touches on menopause, the hypothalamic-pituitary-ovarian axis, and fetal heart rate patterns. Test your knowledge on these critical points for better patient care.
