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RNC OB Part 1: Factors Affecting Fetus and Newborn Questions and answers | Latest 2024/25
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RNC OB Part 1: Factors Affecting Fetus and Newborn Questions and answers | Latest 2024/25
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RNC OB Part 1: Factors Affecting Fetusand Newborn Questions and answers |
Latest 2024/25
300 - PreE is present when SBP is > 140 and DBP is greater than 90 and proteinuria is
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greater than _______mg per 24 hours (or 1g/L on dipstick)
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Proteinuria - Patient may be considered preeclamptic in absence of ____________ if she
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has headache, visual disturbances, RUQ pain, or other abnormal labs
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3 - CHTN in pregnancy is HTN present before 20th week gestation or perists after ___
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months postpartum
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Vertical - Most infants infected with AIDS/HIV acquire infection from their mothers
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(___________ transmission)
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30 - The perinatal transmission rate of HIV/AIDS is ___% in untreated mothers and is
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usually acquired during delivery, but optimal treatment reduces perinatal transmission rate
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to as low as 1-2%
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Pneumonia - Neonates infected with AIDS/HIV are usually asymptomatic but are at risk
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for prematurity, low birth weight, SGA, FTT, hepatomegaly, interstitial lymphocytic
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____________. recurrent infections, and CNS abnormalities
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6-12 - For neonates born to HIV+ moms, Antiviral medications should be started within
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_____ hours of birth and continued for first 6 weeks of life
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Chlamydia - While woman is usually asymptomatic, _________ can affect pregnancy by
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increaseing risk of PTL, PROM, and chorioamnionitis.
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Erythromycin - _________ is opthalmic ointment that should be administered as
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prophylaxis against chlamydia and gonorrhea to prevent opthalmic neonatorum
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HPV - May exacerbate with pregnancy causing proliferation of lesions, but usual
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treatments are contraindicated. Lesions may be excised, cauterized, or treated with
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cryotherapy
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HPV - This virus can be transmitted to infant during delivery resulting in recurrent
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epithelial tumors in neonate's mucous membranes and larynx (recurrent repiratory
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papillomatosis)
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HPV - Neonates exposed to _____ may exhibit weak cry, dysphagia, cough, or
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inspiratory stridor
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, Prevent with immunization of preadolescent children! ii ii ii ii ii
Endocervicitis - Gonorrhea may cause ___________ which weakens fetal membranes
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and increases risk of PTL and PROM
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Placenta - Syphillis can be transmitted through the ______ resulting in SAB, stillbirth,
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PTL, and congenital syphyilis
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50-80 - Transmission rates to fetus are ________% if mother has untreated primary or
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secondary syphilis
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First - Fetus is affected by Syphilis after the ____ trimester, so organs develop nomrally
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but all body systems may be affected
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Syphilis - Neonates exposed to _______ may be asymptomatic at birth but exhibit
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multiple symptoms such as mucous patches, skin lesions, gumma, and neurological
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impairment (meningitis, hydrocephalus, and seizures) within first 3 months (early onset) or
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after 2 years (late onset)
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Syphilis - Benzathine Penicillin G is drug of choice for treatment of mothers and infants
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exposed to _______
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Herpes - Risk of transmission of ____is greatest if mother is experiencing a primary
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infection with lesions present. C-section delivery required
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Herpes - Neonate exposed to _______ may exhibit clusters of vesicles, fever, poor
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feeding, seizures, encephalitis, and jaundice
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48 - Maternal influenza should be treated with Olseltamivir within ____ hours of onset and
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continued for 5 days to reduce risk of PTL, stillbirth, and defects of heart, brain, or spine
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6 - If a mother gets flu shot during pregnancy, neonate has reduced risk for first ____
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months
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4.5 - BV is characterized by white-gray to yellow fishy smelling discharge and discharge
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with a pH over ___.
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Metronidazole - Treatment for BV is normally ______ or clindamycin. Treatment is
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necessary to prevent SAB, PROM chorio, and low birth weight
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Vasa Previa - Condition in which umbilical arteries and veins are are in an abnormal
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position at the opening of the uterus, can result in vessel rupture during ROM and rapid
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fetal demise from hemorrhage
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Antiphospholipid - _________ Antibody Syndrome results when changes occur in
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platelet and endothelial cell membranes causing maternal antibodies to form, increasing
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