RNC-OB Inpatient Facts: Questions Answered
With Expert Insights
Naegle's Rule Correct Answer - LMP + 7 days - 3 months.
Polycythemia in newborn Correct Answer - HCT> 65%
Anemia in neonate Correct Answer - HCT < 53%
Anemia in pregnancy Correct Answer - Hgb < 11
pt. with asthma CANNOT have these meds Correct Answer -
Hemabate, Labetalol, Indomethacin, Prostaglandins (caution)
Antihypertensives NOT to be given in pregnancy Correct Answer -
Chlorothiazide, ACE inhibitors, ARBs
most common pregnancy complication Correct Answer -
Diabetes
Positive 1 hour glucose result Correct Answer - Blood glucose
> 140
pregnancy is characterized by a chronic state of = Correct Answer
- Respiratory Alkalosis (decreased pCO2)
HIV treatment for pregnancy Correct Answer - Dolutegravir
HIV treatment for infants when exposed Correct Answer -
Zidovudine
Treatment for syphillis Correct Answer - penicillin
,treatment for gonnorhea Correct Answer - certriaxone
Thrombocytopenia in pregnancy Correct Answer - PLTS <
150,000
Thrombophilia Correct Answer - makes blood more likely to
clot
Ex: Factor V Leiden, MTHFR
Graves disease treatment in pregnancy Correct Answer -
Propythiouracil
Hyperthyroidism FHR effect Correct Answer - Tachycardia
Lupus puts infant at high risk for Correct Answer - HEART
Block
steriods in mom can out infant at risk for Correct Answer -
NEC
Treatment for opioid or heroin dependence in pregnancy Correct
Answer - Burenorphine
postdates Correct Answer - greater than 40 weeks
post term Correct Answer - >42 weeks
Risk factors for Preterm Labor Correct Answer - 1. Multiples
2. history of preterm delivery
3. uterine/cervical anomalies
positive fetal fibronectin test indicates birth is likely within
Correct Answer - 2 weeks
, Indomethacin can cause ___________ in neonate Correct Answer -
Oligohydraminos
indomethacin should not be given to someone who is allergic to
__________ Correct Answer - ASA
Indomethacin should be avoided after __________weeks Correct
Answer - 32, due to premature closure of ductus arteriosus
Terbutaline should be avoided if the pt has Correct Answer -
Diabetes or bleeding
Terbutaline should be HELD if Correct Answer - HR> 120 or
FHR > 180
therapeutic mag level Correct Answer - 4-7
antidote for mag sulfate Correct Answer - Calcium gluconate
10ml IV over 3 min
Don't give Mag to pt with ___________ Correct Answer -
Myasthenia gravis or renal insufficiency
Steroids INCREASE _____________ Correct Answer - Blood sugar
Betamethasone dose Correct Answer - 12 mg IM Q24 hours
how long do antenatal steroid effects last Correct Answer - 1-2
weeks
Biggest complication with mono-mono (1 sac, 1 placenta)twins
Correct Answer - cord entaglement
With Expert Insights
Naegle's Rule Correct Answer - LMP + 7 days - 3 months.
Polycythemia in newborn Correct Answer - HCT> 65%
Anemia in neonate Correct Answer - HCT < 53%
Anemia in pregnancy Correct Answer - Hgb < 11
pt. with asthma CANNOT have these meds Correct Answer -
Hemabate, Labetalol, Indomethacin, Prostaglandins (caution)
Antihypertensives NOT to be given in pregnancy Correct Answer -
Chlorothiazide, ACE inhibitors, ARBs
most common pregnancy complication Correct Answer -
Diabetes
Positive 1 hour glucose result Correct Answer - Blood glucose
> 140
pregnancy is characterized by a chronic state of = Correct Answer
- Respiratory Alkalosis (decreased pCO2)
HIV treatment for pregnancy Correct Answer - Dolutegravir
HIV treatment for infants when exposed Correct Answer -
Zidovudine
Treatment for syphillis Correct Answer - penicillin
,treatment for gonnorhea Correct Answer - certriaxone
Thrombocytopenia in pregnancy Correct Answer - PLTS <
150,000
Thrombophilia Correct Answer - makes blood more likely to
clot
Ex: Factor V Leiden, MTHFR
Graves disease treatment in pregnancy Correct Answer -
Propythiouracil
Hyperthyroidism FHR effect Correct Answer - Tachycardia
Lupus puts infant at high risk for Correct Answer - HEART
Block
steriods in mom can out infant at risk for Correct Answer -
NEC
Treatment for opioid or heroin dependence in pregnancy Correct
Answer - Burenorphine
postdates Correct Answer - greater than 40 weeks
post term Correct Answer - >42 weeks
Risk factors for Preterm Labor Correct Answer - 1. Multiples
2. history of preterm delivery
3. uterine/cervical anomalies
positive fetal fibronectin test indicates birth is likely within
Correct Answer - 2 weeks
, Indomethacin can cause ___________ in neonate Correct Answer -
Oligohydraminos
indomethacin should not be given to someone who is allergic to
__________ Correct Answer - ASA
Indomethacin should be avoided after __________weeks Correct
Answer - 32, due to premature closure of ductus arteriosus
Terbutaline should be avoided if the pt has Correct Answer -
Diabetes or bleeding
Terbutaline should be HELD if Correct Answer - HR> 120 or
FHR > 180
therapeutic mag level Correct Answer - 4-7
antidote for mag sulfate Correct Answer - Calcium gluconate
10ml IV over 3 min
Don't give Mag to pt with ___________ Correct Answer -
Myasthenia gravis or renal insufficiency
Steroids INCREASE _____________ Correct Answer - Blood sugar
Betamethasone dose Correct Answer - 12 mg IM Q24 hours
how long do antenatal steroid effects last Correct Answer - 1-2
weeks
Biggest complication with mono-mono (1 sac, 1 placenta)twins
Correct Answer - cord entaglement
