Labor Complications — Flashcards

Flashcard 131: Do women with IUD and PID require IUD removal prior to antibiotic therapy? _____

Answer: No

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 132: Mom has active herpes lesions - what is best delivery method? _____

Answer: C-section

Extra:  https://onlinemeded.org/spa/obstetrics/prenatal-infections-2/acquire?ref=anki 

Flashcard 133: Sinusoidal fetal heart rate pattern = _____

Answer: category III

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 134: What is the next best step in evaluating a pregnant patient (positive UPT) with vaginal bleeding and a **β-hCG > 1,500 mIU/mL**? _____

Answer: Transvaginal ultrasound

Extra: If the β-hCG is below the discriminatory zone (< 1,500–2,000 mIU/mL) and the ultrasound is non-diagnostic, the next step is to repeat the β-hCG in 48 hours.

Flashcard 135: Can you have uterine contractions in the setting of pyelonephritis? _____

Answer: Yes; microorganisms may release cytokines and prostaglandins → uterine contractions

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 136: The risk factors of breech presentation are either _____ fetal movement or excessive fetal movement

Answer: limited

Flashcard 137: Stress urinary incontinence is often associated with urethral _____-mobility or decreased urethral sphincter tone

Answer: hyper

Extra:  https://onlinemeded.org/spa/gynecology?ref=anki  characterized by urethral angle of > 30 degrees from horizontal with an increase in abdominal pressure (Q-tip test); SUI may also be caused by decreased urethral sphincter tone

Flashcard 138: _____ is defined as >5 contractions in 10 minutes, averaged over a 30-minute window.

Answer: Uterine tachysystole

Extra: Uterine tachysystole can lead to fetal heart rate abnormalities (e.g., late decelerations) due to decreased placental perfusion between contractions.

Flashcard 139: Postpartum wound infections occur _____ days after C section delivery

Answer: 4-7

Extra: 

Flashcard 140: Before which gestational age should betamethasone (BMZ) be given to mothers at risk of preterm delivery? _____

Answer: 37 weeks

Extra: Antenatal corticosteroids (e.g., betamethasone) are indicated for fetal lung maturity in patients at risk for preterm delivery between 24 0/7 and 36 6/7 weeks of gestation.