Complicated Pregnancy (PEARLS) Smarty PANCE Questions
and Answers Rated A
What is the most likely disorder in a bleeding Risk factors for shoulder dystocia?- Fetal
pregnant patient with an extremely elevated beta Macrosomia - Diabetic mother - Maternal obesity
HCG?- Gestational Trophoblastic Disease - Postdate pregnancy
Premature separation of the placenta from the What is McRobert's Maneuver?- Used to
uterine wall?- Abruptio placentae manage shoulder dystocia during delivery of the
infant. Maternal legs are removed from stirrups
and sharply flexed upon the abdomen.
Surgical incision of the abdominal wall and
uterus to deliver a fetus- Cesarean section
(C-section) When is APGAR score assessed?- At 1 min
and 5 min after birth (Normal score is 7-10 -
Score of < 7 needs to be evaluated further)
Failure of cervical dilation and fetal descent
(difficult labor)- Dystocia
What are the 5 APGAR assessments in the
newborn?- Activity (muscle tone) - Pulse -
Rh incompatibility- If a mother is Rh- and Grimace (reflex irritability) - Appearance (skin
the baby is Rh+, then the mother may develop color) - Respirations
antibodies against the infant's blood
What medication is used for seizure prophylaxis
What does a snow storm pattern on US likely in preeclampsia and seizure treatment in
represent?- Gestational Trophoblastic eclampsia?- Magnesium
Disease
Patients with severe eclampsia may develop
What is the most likely disorder in a bleeding HELLP syndrome. What does HELLP stand for?-
pregnant patient with a suboptimal rise in beta Hemolysis - Elevated Liver enzymes - Low
HCG?- Abortion Platelets
What do a lecithin to sphingomyelin ratio > 2:1 What differentiates preeclampsia form
and the presence of the pulmonary surfactant eclampsia?- Eclampsia is preeclampsia +
phosphatidylglycerol represent?- Fetal lung seizures
maturity Preeclampsia: HTN + Proteinuria
Eclampsia: HTN + Proteinuria + Seizure
List 4 antihypertensive drugs used in pregnancy-
Alpha-methyldopa - Hydralazine - beta How do you cure a woman with preeclampsia?-
blockers - Calcium channel blockers Delivering the fetus will cure preeclampsia
1/4
and Answers Rated A
What is the most likely disorder in a bleeding Risk factors for shoulder dystocia?- Fetal
pregnant patient with an extremely elevated beta Macrosomia - Diabetic mother - Maternal obesity
HCG?- Gestational Trophoblastic Disease - Postdate pregnancy
Premature separation of the placenta from the What is McRobert's Maneuver?- Used to
uterine wall?- Abruptio placentae manage shoulder dystocia during delivery of the
infant. Maternal legs are removed from stirrups
and sharply flexed upon the abdomen.
Surgical incision of the abdominal wall and
uterus to deliver a fetus- Cesarean section
(C-section) When is APGAR score assessed?- At 1 min
and 5 min after birth (Normal score is 7-10 -
Score of < 7 needs to be evaluated further)
Failure of cervical dilation and fetal descent
(difficult labor)- Dystocia
What are the 5 APGAR assessments in the
newborn?- Activity (muscle tone) - Pulse -
Rh incompatibility- If a mother is Rh- and Grimace (reflex irritability) - Appearance (skin
the baby is Rh+, then the mother may develop color) - Respirations
antibodies against the infant's blood
What medication is used for seizure prophylaxis
What does a snow storm pattern on US likely in preeclampsia and seizure treatment in
represent?- Gestational Trophoblastic eclampsia?- Magnesium
Disease
Patients with severe eclampsia may develop
What is the most likely disorder in a bleeding HELLP syndrome. What does HELLP stand for?-
pregnant patient with a suboptimal rise in beta Hemolysis - Elevated Liver enzymes - Low
HCG?- Abortion Platelets
What do a lecithin to sphingomyelin ratio > 2:1 What differentiates preeclampsia form
and the presence of the pulmonary surfactant eclampsia?- Eclampsia is preeclampsia +
phosphatidylglycerol represent?- Fetal lung seizures
maturity Preeclampsia: HTN + Proteinuria
Eclampsia: HTN + Proteinuria + Seizure
List 4 antihypertensive drugs used in pregnancy-
Alpha-methyldopa - Hydralazine - beta How do you cure a woman with preeclampsia?-
blockers - Calcium channel blockers Delivering the fetus will cure preeclampsia
1/4
