High-risk pregnancies — Flashcards

Flashcard 281: What blood pressure defines preeclampsia with severe features? _____

Answer: ≥ 160/110 mmHg

Extra: Defined as systolic ≥ 160 mmHg OR diastolic ≥ 110 mmHg.

Flashcard 282: Patients with müllerian agenesis lack ovaries _____

Answer: F

Extra: Müllerian agenesis (Mayer-Rokitansky-Küster-Hauser syndrome) is characterized by the congenital absence of the uterus and the upper two-thirds of the vagina. Ovaries are present and functional because they develop from the genital ridge, not the Müllerian ducts. Consequently, patients have normal secondary sexual characteristics and a 46,XX karyotype.

Flashcard 283: How do you manage **placenta previa**? Diagnose: _____ Management: _____

Answer: Transvaginal ultrasound

Extra: Digital pelvic exams are contraindicated in suspected placenta previa as they can provoke massive hemorrhage. Placental migration: Many previas identified in the second trimester will resolve as the lower uterine segment elongates. If a previa is not present in the second trimester, it will not develop later in the pregnancy.

Flashcard 284: What is the treatment for pre-eclampsia with severe features, eclampsia, or HELLP syndrome? _____

Answer: Magnesium and delivery

Flashcard 285: What is a common side effect of levonorgestrel-containing IUD? _____

Answer: Amenorrhea

Flashcard 286: What is the treatment for mild twin to twin transfusion syndrome? _____

Answer: Expectant management

Extra: 

Flashcard 287: Karyotyping of a fetus prior to delivery is obtained through a(n) _____

Answer: amniocentesis

Flashcard 288: Ectopic pregnancies are confirmed with _____ and, if **ruptured**, are treated with _____

Answer: ultrasound

Extra: Stable patients may be candidates for medical management with methotrexate.

Flashcard 289: A history of delivering a _____ baby is a risk factor for the development of gestational diabetes in future pregnancies.

Answer: macrosomic

Extra: History of delivering a macrosomic infant (> 4,000 g or 4,500 g) is a significant risk factor for the development of gestational diabetes (GDM) in subsequent pregnancies.

Flashcard 290: What is the next step in the management of a pregnant patient with a finding of AEDV or REDV in umbilical artery doppler? _____

Answer: Urgent delivery

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