Prenatal Care — Flashcards

Flashcard 221: What is the management of a pregnant patient with an **acute** parvovirus B19 infection (IgM positive) < 20 weeks of gestation? _____

Answer: Serial ultrasounds

Extra: While there is a risk of fetal loss and hydrops (especially if infected < 20 weeks), there is **no proven risk of congenital anomalies** (unlike Rubella or CMV). If hydrops is detected, management includes fetal blood sampling and intrauterine transfusion.

Flashcard 222: Pregnancy and syphilis and PCN allergy is managed with _____

Answer: penicillin (patients need to be desensitized)

Flashcard 223: Frequent vaginal douching to cleanse the inside of the vagina, use of soaps with perfumes, and irritating chemicals are risk factors for _____

Answer: bacterial vaginosis

Flashcard 224: Fetal weight estimation should not be performed more frequently than every 2 weeks _____

Answer: T

Flashcard 225: 80% of placental transmission of rubella occurs in the _____ trimester

Answer: first

Extra: 

Flashcard 226: Give Rh-Ab (+) moms Rhogam? _____

Answer: F

Flashcard 227: What is the OB/GYN history for a patient that is G3P1112? _____

Answer: 3 pregnancies; 1 term delivery, 1 preterm delivery, 1 abortion, 2 living children

Flashcard 228: ↓ Ovarian reserve = _____ anti-müllerian hormone

Answer: ↓

Flashcard 229: _____ hemorrhage is a cause of first trimester vaginal bleeding that resolves

Answer: Subchorionic

Extra: 

Flashcard 230: _____ are the most effective reversible methods of contraception

Answer: Long-acting reversible contraceptives (LARCs)

Extra: LARCs include the subdermal implant and intrauterine devices (IUDs). They have failure rates of <1% and are the most effective reversible methods because they are not user-dependent.