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OB 6 OB Complic II
Obstetric Complications Part II
Question | Answer |
---|---|
Which congenital infxn might present with a blueberry muffin rash? | Rubella |
A child has flesh-colored umbilicated lesions to the face. What are these lesions, and where do they appear in adults? | Molluscum contagiosum. Perigenital/perianal regions in adults b/c they are sexually transmitted. Oh snap! |
Which childhood psych d/o matches the following statement?: females only, loss of prev acquired language and motor skills | Rett's d/o |
Which childhood psych d/o matches the following statement?: impairments in social interactions, communications, play, repetitive behaviors | Autism |
Which childhood psych d/o matches the following statement?: impairment in social interaction (but not avoidance), no language delay | Aspergers |
Which childhood psych d/o matches the following statement?: stereotyped hand movements | Rett's |
Which childhood psych d/o matches the following statement?: ignoring the basic rights of others | conduct d/o |
Which childhood psych d/o matches the following statement?: characterized by hostility, annoyance, vindictiveness, disobedience, and resentfulness | ODD |
Which childhood psych d/o matches the following statement?: multiple motor and vocal tics | Tourette's |
Which childhood psych d/o matches the following statement?: impulsive and inattentive | ADHD |
Which childhood psych d/o matches the following statement?: 7yo that avoids going to school to stay home with parent | Separation anxiety d/o |
What is the AFI definition of oligohydramnios? | AFI <5cm on US |
What is the AFT definition of polyhydramnios? | AFI>25cm on US |
What is the most frequent initial US finding for IUGR? | Abd circumference <10% for gestational age |
How would gastroesophageal atresia affect the amt of amniotic fluid? | Incr |
What might cause oligohydramnios in the 2nd trimester? | fetal: renal problems. maternal: pre-eclamp, HTN, cardiovasc dz, placental thrombosis, amniocentesis |
What might cause oligohydramnios in the 3rd trimester? | PROM, pre-eclamp, abruptio placenta, idiopathic |
By what mechanism do NSAIDs decrease amniotic fluid volume? | Knocks out fetal renal f'n by decreasing renal blood flow |
What test are used to confirm rupture of membranes? | Pooling, nitrazine paper test, ferning test, oligo on US |
Explain the nitrazine paper test. What causes false +? | Paper turns blue in the alkaline amniotic fluid. Semen and blood can cause false +. |
What is the definition of PROM? | Spontaneous rupture of membranes prior to labor |
What is the difference between PROM and PPROM? | PPROM happens prior to 37wk pre-term |
When should you suspect chorioamnionitis in a pt with PROM? | Fever, wt ct, uterine tenderness, fetal distress (tachy), maternal tachy, foul discharge |