Prenatal Care — Flashcards

Flashcard 261: What is the recommended contraceptive for a woman with a history of anemia and medication non-compliance? _____

Answer: Levonorgestrel IUD

Extra:  https://onlinemeded.org/spa/obstetrics/contraception/acquire?ref=anki 

Flashcard 262: Candida vaginitis is more common in patients with recent _____, _____, or OCP use

Answer: corticosteroid

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

Flashcard 263: Up to what gestational age is **vacuum aspiration** (suction curettage) recommended for pregnancy termination? _____

Answer: 12 weeks

Extra: Vacuum aspiration (suction curettage) is the standard surgical procedure for first-trimester abortions (up to 12-14 weeks). https://onlinemeded.org/spa/obgyn?ref=anki

Flashcard 264: Which of the following vulvar pathologies is due to chronic itching and scratching? _____

Answer: Lichen simplex chronicus

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

Flashcard 265: The main function of hCG during early pregnancy is to maintain the _____, which secretes progesterone to maintain pregnancy

Answer: corpus luteum

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

Flashcard 266: What are Braxton Hicks contractions? _____

Answer: Uterine contractions w/o cervical changes

Extra:  https://onlinemeded.org/spa/obstetrics/antenatal-testing/acquire?ref=anki 

Flashcard 267: All women are screened during the first prenatal visit for asymptomatic bacteriuria due to risk of _____, preterm birth, and low birth weight

Answer: pyelonephritis

Extra: https://onlinemeded.org/spa/infectious-disease/uti/acquire?ref=anki

Flashcard 268: Why is there an increased risk of pyelonephritis during pregnancy? _____

Answer: Widened ureters (caused by progesterone) and increased glucose levels in urine → ascension of organisms to the kidney

Flashcard 269: Pregnant women _____ be routinely re-screened for asymptomatic bacteriuria if the initial screening was negative.

Answer: should NOT

Extra: Screening for asymptomatic bacteriuria is recommended at 12–16 weeks gestation (or the first prenatal visit). Routine repeat screening is NOT indicated for women with a negative initial screen, as the risk of subsequent infection is very low. However, a test-of-cure culture is required for those who were treated for a positive result.

Flashcard 270: How does coagulation change during pregnancy? _____

Answer: Increased (hypercoagulable)

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