38 Questions
What is a characteristic of chronic hypertension in pregnancy?
Onset before pregnancy or persistence beyond 12 weeks postpartum
What is the primary goal of fetal surveillance in a hypertensive patient?
To monitor fetal growth and well-being
What is a complication of preeclampsia in the mother?
Subcapsular hematoma of the liver
What is a risk factor for preeclampsia?
Family history of preeclampsia
What is the pathophysiologic mechanism of preeclampsia?
Endothelial injury and vasospasm
What is a characteristic of preeclampsia?
A multisystem inflammatory disorder
What is the primary cause of Shoulder Dystocia?
Anterior shoulder impacted behind the pubic bone
What is the goal of the McRoberts Maneuver?
To dislodge the shoulder from behind the pubic bone
What is a potential complication of Shoulder Dystocia?
Fractured Clavicle
What is the purpose of announcing 'Shoulder Dystocia' during delivery?
To alert the nursing team to prepare for an emergency C-Section
What is the primary action to take during a Shoulder Dystocia?
Recognize the Shoulder Dystocia and alert the team
What is the purpose of the Zavanelli maneuver?
To replace the fetal head into the vagina and deliver by emergency C-Section
What is the primary effect of estrogen and progesterone on a mother's insulin production during the first 20 weeks of pregnancy?
Stimulate insulin production and increase tissue response
What is the goal of A1C for pregnant women with diabetes?
Below 6.5%
When is the quadruple screen with alpha-fetoprotein (APP) typically performed?
At 16-20 weeks
What is the primary goal of glucose monitoring during antepartum DM management?
To ensure euglycemia
What is the primary risk factor for chorioamniotis?
Prolonged ROM
What is the recommended treatment for chorioamniotis?
Antibiotics and pain management
What is the primary mode of transmission of perinatal hepatitis B?
Perinatal transmission during delivery
What is the recommended treatment for newborns of HBsAg+ mothers?
Hep B vaccine and Hep B immune globulin
What is the primary goal of antiviral therapy for HIV-infected pregnant women?
To prevent perinatal transmission
What is the recommendation for pregnant women with HIV and a viral load >1000 copies/mL?
Cesarean section
What is the primary goal of tocolytic therapy in preterm labor?
To delay birth by 24 hours
What is the most common risk factor for preterm premature rupture of membranes (PPROM)?
Infection
What is the primary concern with oligohydramnios?
All of the above
What is the primary complication of placenta previa?
Hemorrhage of fetus and mom
What is the primary risk factor for placental abruption?
All of the above
What is the primary concern with polyhydramnios?
All of the above
What is the primary complication of cephalopelvic disproportion?
All of the above
What is the primary goal of management of preterm premature rupture of membranes (PPROM)?
To prevent infection
What is the primary risk factor for multiple gestations?
All of the above
What is the primary complication of dystocia?
All of the above
What is the primary cause of a prolapsed umbilical cord?
Cord trapped between presenting part and mother's pelvic outlet
What is the goal of the clinical therapy for a prolapsed umbilical cord?
To maintain upward pressure on the presenting part and off the prolapsed cord
What is a risk factor for uterine rupture?
Previous cesarean section
What is a complication of uterine rupture for the baby?
Anemia
What is the recommended delivery method for a patient with a prolapsed umbilical cord?
Emergency cesarean section
What is a sign of uterine rupture during labor?
Abdominal pain
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