Maternal-Fetal Medicine — Flashcards

Flashcard 181: The most appropriate time for delivery in a GDM patient with poor glycemic control would be _____ weeks.

Answer: 37 to 38

Flashcard 182: What is the most frequent mode of transmission of Hep. B from mother to fetus?_____

Answer: At delivery

Flashcard 183: Definitive mx of incomplete abortion after 12 weeks is augmenting uterine contractions with _____

Answer: oxytocin

Flashcard 184: _____ staging is used in the grading of twin to twin transfusion syndrome.

Answer: Quintero

Flashcard 185: When should ART be started in a pregnant woman recently diagnosed with HIV?_____

Answer: as soon as possible

Flashcard 186: Treatment of falciparum malaria during pregnancy:1st trimester: _____

Answer: Artemether-lumefantrine (AL)

Extra: According to the latest WHO (2022) and NVBDCP (India) guidelines, **Artemether-lumefantrine (AL)** is now the preferred treatment for **uncomplicated** *P. falciparum* malaria in the **first trimester**, as well as the second and third trimesters. Previously, Quinine (often with Clindamycin) was the recommended treatment for the 1st trimester, but this has been updated due to evidence of ACT safety and superior efficacy. *Note: For **severe** malaria, IV Artesunate is the drug of choice in all trimesters.*

Flashcard 187: At term, the amniotic fluid is moderately _____ and contains a moderate number of white flakes of vernix.

Answer: cloudy

Flashcard 188: Fetal macrosomia: Macrosomia is defined by ACOG as a birth weight of ≥ _____ g

Answer: 4500

Flashcard 189: In Quintero stage _____, donor umbilical artery will show AEDF/REDF, and recipient umbilical vein will be pulsatile

Answer: III

Flashcard 190: 2020 AHA guidelines recommendations:_____ management should be prioritized during resuscitation from cardiac arrest in pregnancy

Answer: Airway