Ob

Question 1

What is effacement?

Answer 1

Measure of how soft the cervix is

Question 2

What is station?

Answer 2

How far baby is in the vaginal tract

Question 3

What is the definition of the first stage of labor?

Answer 3

From regular contractions to full diltation

Question 4

What is the definition of the second stage of labor?

Answer 4

Ffrom dilation to delivery of infant

Question 5

What is the definition of the third stage of labor?

Answer 5

From delivery of infant to the delivery of the placenta

Question 6

How long do stages 1-3 of labor typically last?

Answer 6

1 = 6-20 hours
2 = 30 minutes to 3 hours
3 =0-30 minutes

Question 7

What are the three major things you can do to improve FHR?

Answer 7

Change mom’s position
Give O2
Stop oxytocin

Question 8

What is the maneuver to treat cord prolapse? Ultimate treatment?

Answer 8

• Elevate the presenting part off the cord
• Go to C-section=
• Knee-chest positioning

Question 9

What are the components of the HELPER mnemonic for shoulder dystocia?

Answer 9

Help
Episiotomy
Legs flexed
Pressure (suprapubic)
Enter vagina (rubins or Wood maneuver)
Remove posterior arm

Question 10

What is the Wood’s screw maneuver?

Answer 10

In this maneuver the anterior shoulder is pushed towards the baby’s chest, and the posterior shoulder is pushed towards the baby’s back, making the baby’s head somewhat face the mother’s rectum.

Tried only after the McRoberts maneuver

Question 11

What is the cause of uterine bleeding over 24 hours after birth?

Answer 11

Retained POC

Question 12

What are the causes of uterine bleeding less than 24 hours after birth? (4)

Answer 12

Lacs
Retained POC
Abnormal involution
Uterine atony

Question 13

What is the most common cause of uterine bleeding less than 24 hours after delivery?

Answer 13

Uterine atony

Question 14

What is the definition of the postpartum period?

Answer 14

6 weeks after delivery

Question 15

What is lochia?

Answer 15

Sloughing of the decidual tissue

Question 16

How long after delivery can lochia be present?

Answer 16

6 weeks

Question 17

When does endometritis typically present?

Answer 17

2-3 days postpartum

Question 18

What is the initial treatment for mastitis? What is the abx of choice if needed?

Answer 18

• Initial treatment is supportive with compresses, continued feeding
• Dicloxacillin

Question 19

What is the classic presentation of abruptio placenta?

Answer 19

Painful vaginal bleeding diagnosed with US and fetal stress testing

Question 20

Painless vaginal bleeding in the 2nd-3rd trimester = ?

Answer 20

Placenta previa

Question 21

How do you diagnose placenta previa?

Answer 21

US

Question 22

What is the treatment for placenta previa?

Answer 22

Watchful waiting vs c-section

Question 23

What is the natural history of placenta previa?

Answer 23

About 50% go away

Question 24

What gestation age defines premature rupture of membranes?

Answer 24

Less than 37 weeks

Question 25

What are the major risks associated with PPROM?

Answer 25

Chorioamnionitis | Endometritis

Question 26

What is the classic presentation of PPROM?

Answer 26

Gush of fluid followed by leak

Question 27

What sort of pelvic exam is indicated if there is PPROM?

Answer 27

Sterile

Question 28

What is a risk factor associated with PPROM that is not infectious?

Answer 28

Cord prolapse

Question 29

What is the treatment for PROM over 37 weeks?

Answer 29

Hospitalized and induce delivery

Question 30

What is the treatment for PPROM under 27 weeks?

Answer 30

Expectant | +/- corticosteroids to hasten fetal lungs

Question 31

What are the two major medications that are used as tocolytics?

Answer 31

Mg sulfate | Terbutaline

Question 32

What are the absolute contraindications to tocolysis?

Answer 32

- Acute vaginal bleeding - Fetal distress - Chorioamnionitis - Preeclampsia - sepsis - DIC

Question 33

What is the general management of gestational HTN before 20 weeks gestation?

Answer 33

- antiHTN meds | - Frequent rechecks of urine and BP by OB

Question 34

What are the components of the classic triad of preeclampsia?

Answer 34

HTN Proteinuria Edema

Question 35

What defines mild and severe preeclampsia based on BP?

Answer 35

140/90 - 160/110 is range for mild/moderate.

Question 36

Under how many weeks gestation are steroids given to encourage fetal lung maturity?

Answer 36

36 weeks

Question 37

How many weeks postpartum can you develop preeclampsia?

Answer 37

6 weeks

Question 38

What is the treatment for a threatened abortion?

Answer 38

Pelvic rest

Question 39

What is the most common cause of Ectopic pregnancies?

Answer 39

Adhesions