Maternal-Fetal Medicine — Flashcards

Flashcard 181: The most appropriate time for delivery in a GDM patient with poor glycemic control would be _____ weeks.

Answer: 37 to 38

Flashcard 182: Reversed end-diastolic flow (waves appear below the baseline) requires termination of pregnancy _____

Answer: immediately

Flashcard 183: 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 184: What is the most frequent mode of transmission of Hep. B from mother to fetus?_____

Answer: At delivery

Flashcard 185: 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 186: At term, the amniotic fluid is moderately _____ and contains a moderate number of white flakes of vernix.

Answer: cloudy

Flashcard 187: When should ART be started in a pregnant woman recently diagnosed with HIV?_____

Answer: as soon as possible

Flashcard 188: In Quintero stage _____, donor umbilical artery will show AEDF/REDF, and recipient umbilical vein will be pulsatile

Answer: III

Flashcard 189: 2020 AHA guidelines recommendations:_____ management should be prioritized during resuscitation from cardiac arrest in pregnancy

Answer: Airway

Flashcard 190: Fetal macrosomia: Macrosomia is defined by ACOG as a birth weight of ≥ _____ g

Answer: 4500