uWISE ACOG - Abnormal OB Questions with
Correct Answers
Pregnancy complications associated with maternal obesity Preeclampsia and HTN
Two most common causes of anemia during prengnacy Iron deficiency and acute blood
loss
Therapy for breast cancer contraindicated during pregnancy Radiotherapy
SSRI contraindicated in pregnancy Paroxetine (Paxil) - causes fetal cardiac malformations
and presistent pulmonary HTN
Tx for pruritus gravidarum Ursodeoxycholic acid
Diagnostic tool for appendicitis in pregnancy Graded compression US
,Definition - gestational HTN BP elevation after 20 wks in the absence of proteinuria or
other findings of preE
Definition - preeclampsia Elevation of BP + proteinuria
Management of pt at 39wk with preE Delievery
Initial tx for eclampsia Magnesium sulfate
Risk factors for preE Hx of preE, chronic HTN, multifetal pregnancy, molar pregnancy,
extremes of maternal age, diabetes, chronic renal diseae, antiphospholipid Abs, vascular or
connective disease
Therapeutic magnesium levels 4-7
Magnesium levels of loss of deep tendon reflexes 7-10
Magnesium levels with respiratory depression 11-15
, Magnesium levels of cardiac arrest 15
Contraindications to expectant management of pt with severe preE Thrombocytopenia (<
100k), pulmonary edema, renal failure, placental abruption, DIC, presistent cerebral symptoms,
non-reassuring fetal testing
Evidence of fetal anemia on FHT Tachycardia and sinuisoidal heart rate
Conditions that may cause hemorrhage of fetal Rh-positive cells into Rh-negative mother
CVS, amniocentesis, spontaneous/threatened abortion, ectopic pregnancy, D&C,
placental abruption, preE, C-section
Risk of isoimmunization in G1P1 pt after first delivery that does not receive RhoGAM Less
than 20%
Noninvasive test to diagnose fetal anemia antepartum Middle cerebral artery peak
systolic velocity
Correct Answers
Pregnancy complications associated with maternal obesity Preeclampsia and HTN
Two most common causes of anemia during prengnacy Iron deficiency and acute blood
loss
Therapy for breast cancer contraindicated during pregnancy Radiotherapy
SSRI contraindicated in pregnancy Paroxetine (Paxil) - causes fetal cardiac malformations
and presistent pulmonary HTN
Tx for pruritus gravidarum Ursodeoxycholic acid
Diagnostic tool for appendicitis in pregnancy Graded compression US
,Definition - gestational HTN BP elevation after 20 wks in the absence of proteinuria or
other findings of preE
Definition - preeclampsia Elevation of BP + proteinuria
Management of pt at 39wk with preE Delievery
Initial tx for eclampsia Magnesium sulfate
Risk factors for preE Hx of preE, chronic HTN, multifetal pregnancy, molar pregnancy,
extremes of maternal age, diabetes, chronic renal diseae, antiphospholipid Abs, vascular or
connective disease
Therapeutic magnesium levels 4-7
Magnesium levels of loss of deep tendon reflexes 7-10
Magnesium levels with respiratory depression 11-15
, Magnesium levels of cardiac arrest 15
Contraindications to expectant management of pt with severe preE Thrombocytopenia (<
100k), pulmonary edema, renal failure, placental abruption, DIC, presistent cerebral symptoms,
non-reassuring fetal testing
Evidence of fetal anemia on FHT Tachycardia and sinuisoidal heart rate
Conditions that may cause hemorrhage of fetal Rh-positive cells into Rh-negative mother
CVS, amniocentesis, spontaneous/threatened abortion, ectopic pregnancy, D&C,
placental abruption, preE, C-section
Risk of isoimmunization in G1P1 pt after first delivery that does not receive RhoGAM Less
than 20%
Noninvasive test to diagnose fetal anemia antepartum Middle cerebral artery peak
systolic velocity
