when is gestational sac present on US

when is fetal heart motion seen

fetal heart sounds heard with doppler

fetal movements felt when

review first tirmester screening chart

review second trimester screening table

inc MS-AFP

dec in MS-AFP

dec MS-AFP, dec estriol, inc BHCG

trisomy 18

if dating is correct and MS AFP is elevated what next?

if dating correct and MSAFP low what to do next?

review routine third trimester testing

Antiemetics safe in pregnancy

cause of bleeding after 20wks gestation

late decels and bradycardia are seen in fetal compromise when?

when do you give Rhogam in negative mothers

never perform an exam on preg woman with late preg bleed till you do US to r/o placenta previa

inital mgmt steps for late preg bleed

clue to dx of abruption if the bleeding is concelaed

vasa previa

so if mother in labor and no ROM do an US...

placenta accreta<increta<percreta

signs of urterine rupture

review table of late trimester bleeding causes

tx of GBS

when do we give abx for GBS

when do you not give abx for GBS

congenital toxo triade

RF or toxo

prevent toxo

dx of toxo

biggest risk factor for varicella passing to the infant from mother

s/s of neonatal varicella infection

prevent varicella to the neonate

maternal varicella treatement

congenital varicella

congenital rubella

S/S of congenital rubella

prevention of congenital rubella

CMV is the most common cause of what in the US

about 10% of infants have symptomatic CMV at birth, S/S?

in mother check IGG and IGM for CMV and check viral culture from urine or body fluids in first 2wks of life and PCR

tx CMV

only two active disease warrant C-section

neonatal HSV infection

other prevention of HSV

acyclovir is treatment in primary infection in patient

prevent passing of HIV to neonate

HIV prevention in neonate

there is no immunity from syphillus infection and reinfection can always happen

can pass to baby if primary or secondary and much lower with tertiary or latent syphilis

syphilis acquired in first trimester s/s

late acq syphilis s/s appear at 2 yrs of age

c section prevents spread of congenital syphilis

dx of syphilis

tx syphilis in mothers

how do neonates contract HBV

if mothers are e antigen positve what percent risk is there for passage..and if not what is the percent to pass hep to the baby?

prevent spread to neonate of hep B

tx of hep in infant

review breakdown of HTN in pregnancy

never give ACE i of thiazides in preg to control BP

HELLP can occur...

risk factor of HELLP different from preeclampsia

tx of HELLP

complications of HELLP

never use an ACE I or ARB during pregnancy

loop diuretics, nitrates, BB may be continued

digoxin can be used to control HF symps in pregnancy but it does not effect outcome

use rate control in preg patients; do not give amiodarone or coumadin

Endocarditis ppx is the same as nonpreg pts, don't need ppx for actual delivery or c section

regurgitant lesions are fine in preg but stenotic lesions are exacerbated and increase materal/fetal mortality

mital stenosis in preg has increased risk pulm edema and afib

PE is leading cause of maternal death in US; 50% who get it have a hypercoagulable disease...when do we give DVT/PE ppx

in patient with prior history or reason of anticoagulation what do we give?

hyperthyroid in preg causes

hypothyroid in preg causes

preg does not effect S/S of hyper or hypothyroidism and normal lab values of free T4/TSH

increase thyroid hormone dose in hypothyroid in preg by 25-30%

drug of choice for hypothyroid in preg

symptomatic hyperthyroid use

tx grave's dz in preg

maternal TSIG can cross the placenta and cause

target BS in preg

Diabetes mgmt in preg

routine monitoring in preg patients

GDM post partum care

rare congenital abn in over DM mother

A1C>8.5 in first trimester assoc with what

labor mgmt in diabetic patient

fetal problems with diabetic mother

european preg patient with twins, has intractable puritis worse at night on palms and soles and elevated Bili

acute fatty liver in pregnancy

tx asx bacturia in preg

tx of pyelonephritis in preg

when can D and C be done for abortion

when can we use misoprostol for abortion

second trimester methods of abortion

spontaneous birth occurs when <20wks adn <500g fetus

fetal demise

half of preg complicated by threatened abortion go to term

pregnant woman with bleeding, painful cramps and dilated cervix on exam

loss of early preg but no S/S, and no cardiac activity on US

mgmt of incomplete abortion

mgmt of complete abortion

what is a complication that needs to be ruled out with fetal demise

tx of ectopic preg

when do you use MTX in ectopic

what do you need to r/o before perform cerclage for cervical insuff

tx of cervical insuff

short cervix on exam at 16 wks, but no symps or dilated cervix what do we do?

define IUGR

review IUGR chart

define macrosomia

Diagnose PROM or ROM

clinical dx of Chorioamnionitis

what to do with PROM<24 wks gestation

PROM mgmt at 24-33weeks

PROM mgmt at 34wks

review stage of labor

mgmt umbilical cord prolapse

changes in FHR on monitor are related to the following

nl FHR

FHR tachy/ brady due to the following

Acceleration on monitor

Early deceleration on monitor

variable decleration on monitor

late deceleration on monitor

variability on monitor

stepwise approach to nonreassuring fetal trace

optimum time for external version

breast feeding buys you 3 months off birthcontrol

Diaphragm and IUD should no be placed for 6 wk after del

combined birth control

progesterone only can be used right after del

review post partum fever chart