RNC-OB: Complete Solutions For Every Question
Normal AFI range Correct Answer - 5-24cm
Oligo range Correct Answer - AFI <5cm
Folic Acid Required Correct Answer - 0.4 mg, 1mg if deficient
Thrombocytopenia threshold Correct Answer - Plt count
<150,000 mcg/L
Pre-E thresholds (proteinuria) Correct Answer - 300mg/24h,
1g/L on dipstick
Iron needs during pregnancy Correct Answer - 30mg daily,
increase 60-120 in anemia while HCT abnormal
polyhydramnios threshold Correct Answer - AFI >24cm
Safest antidepressant in PG Correct Answer - Buspirone (class
B)
Suboxone or Subutex in of? Correct Answer - Subutex. No
naloxone
Reassuring fetal
Kick count Correct Answer - 10 movements in 2 hours
fFN (fetal fibronectin) Correct Answer - - test most accurate
NST parameters Correct Answer - 2 15x15 accels within 20
min, during 40 min test. >32 weeks
Variable decel parameter Correct Answer - <30 sec to nadir
,Decrease at least 15 bpm
>15 sec duration, but <2 min
Tachysystole parameters Correct Answer - 6 or more ctxns in
10 min
Series of ctxns 2min or greater
Intermittent FHR monitoring parameters Correct Answer -
Q30, 1st stage
Q15, 2nd stage
Double frequency in high risk or use continuous
Max pressure for vacuum Correct Answer - 600mm Hg
Total max time for vacuum Correct Answer - 15-20 min
Parameters for Gestational HTN Correct Answer - begins after
20 weeks, ends before 3months PP
HIV transmission rate, untreated Correct Answer - 30%
HIV transmission rate, Treated Correct Answer - 1-2%
Timing for antivirals, HIV exposed neonates Correct Answer -
6-12 hours after delivery, continue 6 weeks
Effect of Gonorrhea on pg Correct Answer - weakens
membranes, PTL/PROM, infection of neonate with ophthalmia
neonatorum
Transmission rates of untreated primary or secondary Syphilis
Correct Answer - 50-80%
, Treatment of Syphilis--drug Correct Answer - Benzathine
Penicillin G
Findings in neonatal congenital Syphilis Correct Answer -
mucous patches, skin lesions, gumma, neuro impairment
When does "late onset" congenital syphilis occur? Correct Answer
- after 2 years of age
Symptoms of neonatal Herpes infection Correct Answer -
vesicles, fever, seizures, poor feeding, encephalitis, jaundice
How to treat maternal influenza? Correct Answer - Oseltamivir
within 48 hours and anti-pyretics
Risks of maternal influenza: Correct Answer - PTL, stillbirth,
neural tube defects from fever.
Risks of Bacterial Vaginosis to pg Correct Answer - SAB, PTL,
PROM, chorio.
What are risk/benefit of antivirals during pg? Category? Correct
Answer - Category C. Benefits outweigh risks
What is and what causes megaloblastic anemia? Correct Answer -
RBC enlarge rather than divide. Folic Acid deficiency.
Why does pg cause iron-deficient (physiologic) anemia? Correct
Answer - dilution of rbc b/c of increase in blood plasma
Parameters for thrombocytopenia Correct Answer - PLT
<150,000mcg/L
Normal AFI range Correct Answer - 5-24cm
Oligo range Correct Answer - AFI <5cm
Folic Acid Required Correct Answer - 0.4 mg, 1mg if deficient
Thrombocytopenia threshold Correct Answer - Plt count
<150,000 mcg/L
Pre-E thresholds (proteinuria) Correct Answer - 300mg/24h,
1g/L on dipstick
Iron needs during pregnancy Correct Answer - 30mg daily,
increase 60-120 in anemia while HCT abnormal
polyhydramnios threshold Correct Answer - AFI >24cm
Safest antidepressant in PG Correct Answer - Buspirone (class
B)
Suboxone or Subutex in of? Correct Answer - Subutex. No
naloxone
Reassuring fetal
Kick count Correct Answer - 10 movements in 2 hours
fFN (fetal fibronectin) Correct Answer - - test most accurate
NST parameters Correct Answer - 2 15x15 accels within 20
min, during 40 min test. >32 weeks
Variable decel parameter Correct Answer - <30 sec to nadir
,Decrease at least 15 bpm
>15 sec duration, but <2 min
Tachysystole parameters Correct Answer - 6 or more ctxns in
10 min
Series of ctxns 2min or greater
Intermittent FHR monitoring parameters Correct Answer -
Q30, 1st stage
Q15, 2nd stage
Double frequency in high risk or use continuous
Max pressure for vacuum Correct Answer - 600mm Hg
Total max time for vacuum Correct Answer - 15-20 min
Parameters for Gestational HTN Correct Answer - begins after
20 weeks, ends before 3months PP
HIV transmission rate, untreated Correct Answer - 30%
HIV transmission rate, Treated Correct Answer - 1-2%
Timing for antivirals, HIV exposed neonates Correct Answer -
6-12 hours after delivery, continue 6 weeks
Effect of Gonorrhea on pg Correct Answer - weakens
membranes, PTL/PROM, infection of neonate with ophthalmia
neonatorum
Transmission rates of untreated primary or secondary Syphilis
Correct Answer - 50-80%
, Treatment of Syphilis--drug Correct Answer - Benzathine
Penicillin G
Findings in neonatal congenital Syphilis Correct Answer -
mucous patches, skin lesions, gumma, neuro impairment
When does "late onset" congenital syphilis occur? Correct Answer
- after 2 years of age
Symptoms of neonatal Herpes infection Correct Answer -
vesicles, fever, seizures, poor feeding, encephalitis, jaundice
How to treat maternal influenza? Correct Answer - Oseltamivir
within 48 hours and anti-pyretics
Risks of maternal influenza: Correct Answer - PTL, stillbirth,
neural tube defects from fever.
Risks of Bacterial Vaginosis to pg Correct Answer - SAB, PTL,
PROM, chorio.
What are risk/benefit of antivirals during pg? Category? Correct
Answer - Category C. Benefits outweigh risks
What is and what causes megaloblastic anemia? Correct Answer -
RBC enlarge rather than divide. Folic Acid deficiency.
Why does pg cause iron-deficient (physiologic) anemia? Correct
Answer - dilution of rbc b/c of increase in blood plasma
Parameters for thrombocytopenia Correct Answer - PLT
<150,000mcg/L
