Maternal-Fetal Medicine — Flashcards

Flashcard 181: Corticosteroids for fetal lung maturity are given for expectant management of placenta previa if gestational age is:

Answer: 24 to 34 weeks

Extra: Antenatal corticosteroids are recommended for women between 24 0/7 and 33 6/7 weeks of gestation who are at risk of preterm delivery within 7 days. in placenta previa, expectant management is typically used for stable patients before 36-37 weeks.

Flashcard 182: Definitive mx of incomplete abortion after 12 weeks is augmenting uterine contractions with _____

Answer: oxytocin

Flashcard 183: Reversed end-diastolic flow (waves appear below the baseline) requires termination of pregnancy _____

Answer: immediately

Flashcard 184: The most appropriate time for delivery in a GDM patient with poor glycemic control would be _____ weeks.

Answer: 37 to 38

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

Answer: as soon as possible

Flashcard 186: At term, the amniotic fluid is moderately _____ and contains a moderate number of white flakes of vernix.

Answer: cloudy

Flashcard 187: 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 188: 2020 AHA guidelines recommendations:_____ management should be prioritized during resuscitation from cardiac arrest in pregnancy

Answer: Airway

Flashcard 189: Absent end-diastolic flow (waves just touch the baseline, don't appear below it) requires termination of pregnancy _____

Answer: at 34 weeks of gestation.

Flashcard 190: In Quintero stage _____, Amniotic fluid is discordant + Urine is visible in donor's bladder.

Answer: I