Prenatal Care — Flashcards

Flashcard 271: Pregnant women _____ be routinely re-screened for asymptomatic bacteriuria if the initial screening was negative.

Answer: should NOT

Extra: Screening for asymptomatic bacteriuria is recommended at 12–16 weeks gestation (or the first prenatal visit). Routine repeat screening is NOT indicated for women with a negative initial screen, as the risk of subsequent infection is very low. However, a test-of-cure culture is required for those who were treated for a positive result.

Flashcard 272: Mini-pill is composed of only _____ and acts locally

Answer: progestin

Extra:  https://onlinemeded.org/spa/obstetrics/contraception/acquire?ref=anki 

Flashcard 273: Hormonal contraception is _____ effective in patients who are obese

Answer: less

Extra:  https://onlinemeded.org/spa/obstetrics/contraception/acquire?ref=anki 

Flashcard 274: Frequent vaginal douching to cleanse the inside of the vagina = risk factor for _____

Answer: bacterial vaginosis

Extra:  https://onlinemeded.org/spa/gynecology?ref=anki 

Flashcard 275: Endometriosis can lead to _____ because of disruption of pelvic anatomy

Answer: infertility

Extra:  https://onlinemeded.org/spa/gynecology?ref=anki 

Flashcard 276: _____: estrogen and progestin or progestin alone to provide contraception in various methods, including pills, patches, vaginal rings, injections, and implants

Answer: Hormone contraception

Extra:  https://onlinemeded.org/spa/obstetrics/contraception/acquire?ref=anki 

Flashcard 277: What kind of contraceptive has these mechanisms? 1. Thickens cervical mucus → impairs sperm penetration 2. Endometrial thinning → impairs implantation _____

Answer: Locally acting progestins

Extra:  https://onlinemeded.org/spa/obstetrics/contraception/acquire?ref=anki 

Flashcard 278: What is the preferred pharmacologic management of gestational diabetes mellitus unresponsive to dietary modifications and exercise? _____

Answer: Insulin

Extra: Initial management of GDM: Diet and exercise. If glycemic targets (Fasting <95, 1-hr <140, 2-hr <120) are not met, initiate pharmacotherapy. Insulin is the gold standard. Metformin and glyburide can be used but have higher failure rates and cross the placenta.

Flashcard 279: What is the definitive treatment for endometriosis? _____

Answer: Hysterectomy and bilateral salpingo-oophorectomy

Flashcard 280: A thin dividing membrane and two yolk sacs on prenatal ultrasound is indicative of a(n) _____-chorionic, _____-amniotic pregnancy

Answer: mono

Extra: A thin dividing membrane is often called the "T-sign," whereas a thick dividing membrane in dichorionic twins is the "lambda (λ) sign" or "twin peak sign."