Doctor High Yield Ob-Gyn Exam
Questions & Answers (Grade A+)
define post partum hemorrhage -
correct answer ✅500mL by vaginal
1L if by CS
most common cause of post partum hemorrhage -
correct answer ✅uterine atony= spiral a. can't contract fast
enough because of flaccid, weak uterus
key finding in uterine atony -
correct answer ✅boggy uterus above umbilicus
first line tx for uterine atony -
correct answer ✅#1: uterine massage
#2: oxytocin
key US finding and tx in retained placenta -
correct answer ✅uneven endometrial lining
tx: D&C
,Doctor High Yield Ob-Gyn Exam
Questions & Answers (Grade A+)
risk for laceration causing postpartum hemorrhage -
correct answer ✅forceps delivery
when is latent phase of labor -
correct answer ✅0-6cm of cervical dilation
when is active phase of labor -
correct answer ✅6-10cm of cervical dilation
define arrest of active phase of labor -
correct answer ✅1- no cervical change over 4h w/ adequate
contractions
2- 6h w/o adequate contractions
define adequate contractions -
correct answer ✅every 2-3 min w/ contractions
or
>200 Montevideo units in 10 minutes
,Doctor High Yield Ob-Gyn Exam
Questions & Answers (Grade A+)
define arrest of descent -
correct answer ✅10cm max cervical dilation
delivery takes longer than 3h
#1 cause of arrest of descent -
correct answer ✅Cephalopelvic Disproportion
pathognomonic for uterine rupture -
correct answer ✅intense pain
baby's head was at 0 station and now at -3 station
difficult to palpate where fetus is in uterus
what is prolapsed cord and tx? -
correct answer ✅umbilical cord prolapsed through cervix and is in
way of path of descent so need to go to C-section
causes of fetal tachycardia -
correct answer ✅160+
maternal fever
, Doctor High Yield Ob-Gyn Exam
Questions & Answers (Grade A+)
define tachysystole and what can it cause to fetus? tx? -
correct answer ✅5+ contractions every 10 minutes
fetal bradycardia
tx: terbutaline= B2 agonist
#1 adverse effect of tocolytic -
correct answer ✅pulmonary edema
marker to distinguish B thalassemia from other microcytic anemias
-
correct answer ✅elevated HBA2
normal maternal changes in pregnancy -
correct answer ✅increased cardiac output
elevated GFR= glucosuria
respiratory alkalosis
increased tidal volume= PCO2 lower than average
Questions & Answers (Grade A+)
define post partum hemorrhage -
correct answer ✅500mL by vaginal
1L if by CS
most common cause of post partum hemorrhage -
correct answer ✅uterine atony= spiral a. can't contract fast
enough because of flaccid, weak uterus
key finding in uterine atony -
correct answer ✅boggy uterus above umbilicus
first line tx for uterine atony -
correct answer ✅#1: uterine massage
#2: oxytocin
key US finding and tx in retained placenta -
correct answer ✅uneven endometrial lining
tx: D&C
,Doctor High Yield Ob-Gyn Exam
Questions & Answers (Grade A+)
risk for laceration causing postpartum hemorrhage -
correct answer ✅forceps delivery
when is latent phase of labor -
correct answer ✅0-6cm of cervical dilation
when is active phase of labor -
correct answer ✅6-10cm of cervical dilation
define arrest of active phase of labor -
correct answer ✅1- no cervical change over 4h w/ adequate
contractions
2- 6h w/o adequate contractions
define adequate contractions -
correct answer ✅every 2-3 min w/ contractions
or
>200 Montevideo units in 10 minutes
,Doctor High Yield Ob-Gyn Exam
Questions & Answers (Grade A+)
define arrest of descent -
correct answer ✅10cm max cervical dilation
delivery takes longer than 3h
#1 cause of arrest of descent -
correct answer ✅Cephalopelvic Disproportion
pathognomonic for uterine rupture -
correct answer ✅intense pain
baby's head was at 0 station and now at -3 station
difficult to palpate where fetus is in uterus
what is prolapsed cord and tx? -
correct answer ✅umbilical cord prolapsed through cervix and is in
way of path of descent so need to go to C-section
causes of fetal tachycardia -
correct answer ✅160+
maternal fever
, Doctor High Yield Ob-Gyn Exam
Questions & Answers (Grade A+)
define tachysystole and what can it cause to fetus? tx? -
correct answer ✅5+ contractions every 10 minutes
fetal bradycardia
tx: terbutaline= B2 agonist
#1 adverse effect of tocolytic -
correct answer ✅pulmonary edema
marker to distinguish B thalassemia from other microcytic anemias
-
correct answer ✅elevated HBA2
normal maternal changes in pregnancy -
correct answer ✅increased cardiac output
elevated GFR= glucosuria
respiratory alkalosis
increased tidal volume= PCO2 lower than average
