Prenatal Care — Flashcards

Flashcard 281: What is the definitive treatment for endometriosis? _____

Answer: Hysterectomy and bilateral salpingo-oophorectomy

Flashcard 282: What cause of vaginitis is characterized by a positive amine whiff test? _____

Answer: Bacterial vaginosis

Flashcard 283: 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."

Flashcard 284: What is the recommended treatment for atrophic vaginitis refractory to vaginal moisturizer and lubricant? _____

Answer: Topical vaginal estrogen

Flashcard 285: What is the recommended management for a pregnant woman with a suspected luteoma? _____

Answer: Observation and expectant management

Flashcard 286: Pregnant woman concerned about varicella vaccination status is managed with _____

Answer: get IgG titers

Flashcard 287: How much weight gain is recommended **per week** (2nd and 3rd trimesters)? Underweight (BMI < 18.5): _____ lb/week Normal (BMI 18.5-24.9): _____ lb/week Overweight (BMI 25-29.9): _____ lb/week Obese (BMI \u2265 30): _____ lb/week

Answer: +1

Extra: These simplified numbers are a common mnemonic for board exams (e.g., OnlineMedEd) to aid recall. Official IOM guidelines for weight gain in the 2nd and 3rd trimesters: - Underweight (BMI < 18.5): ~1 lb/week (range 1–1.3) - Normal (BMI 18.5–24.9): ~1 lb/week (range 0.8–1) - Overweight (BMI 25.0–29.9): ~0.6 lb/week - Obese (BMI ≥ 30.0): ~0.5 lb/week

Flashcard 288: What is considered the normal range of fetal heart rate? _____

Answer: 110-160/min

Flashcard 289: What is the initial management for mild atrophic vaginitis? _____

Answer: Vaginal moisturizer and lubricant

Flashcard 290: What is the treatment of Trichomonas vaginalis? _____

Answer: Metronidazole for both partners