Ob/gyn ACOG Questions with Complete
Solutions
Poorly controlled diabetics right before conception, baby has inc risk of what Neural tube
and cardio issues bc affects organogenesis
CVS gives what info Karotype and mutations like CF
Highest detection rate for trisomy 21 Cell free DNa
Fetal loss associated with CVS 1%
Dose of folic acid needed 4 mg
Most common reason for elevated AFP Under estimation of GA
Prego who needs anticoag, give what? Low molecular weight Heparin, NOT WARFIn
,Women with previous early onset neonatal sepsis due to group b strep, screen? No! Just
give antibiotic prophylaxis intrapartum no matter what
41 wks baby HR 60, fully dilated, +2 station... What to do? Assisted operative vaginal
delivery if mom can't push baby out in 2 pushes
Umbilical cord prolapse with reassuring fetal heart rate and pt fully dilated Evelate fetal
head to avoid cord compression do emergent C section
Episotomy evidence Don't do them
Meconium stained amniotic fluid, how to prevent meconium aspiration Intubate trachea
and suction meconium ONLY IF INFANT IS DEPRESSED
Size of baby with DM type 1 vs gestational diabetes Type 1- small!
Gestational- big
, Mom with fever, baby HR 180, GBS Unknown... Mom dx, baby appearance and dx Mom
Chorioamnionitis
Baby lethargic, pale, high temp bc probably septic
Complication of twin twin transfusion syndrome Donor twin become anemic, develops
IUGR and oligohydramnios
Recipient twin become polycythemic, volume overload, polyhydramnios leading to HF and
hydrops
HIV + mom, got antiretroviral therapy prior and during prego, baby apgar 9 and 9... When to
give baby zidovudine and test for HIV Zidovudine immediately after delivery
HIV test at 24 hrs
Mom should not breastfeed
Treat Sheehan syndrome Estrogen and progesterone replacement, supplement with
thyroid and adrenal hormones
Solutions
Poorly controlled diabetics right before conception, baby has inc risk of what Neural tube
and cardio issues bc affects organogenesis
CVS gives what info Karotype and mutations like CF
Highest detection rate for trisomy 21 Cell free DNa
Fetal loss associated with CVS 1%
Dose of folic acid needed 4 mg
Most common reason for elevated AFP Under estimation of GA
Prego who needs anticoag, give what? Low molecular weight Heparin, NOT WARFIn
,Women with previous early onset neonatal sepsis due to group b strep, screen? No! Just
give antibiotic prophylaxis intrapartum no matter what
41 wks baby HR 60, fully dilated, +2 station... What to do? Assisted operative vaginal
delivery if mom can't push baby out in 2 pushes
Umbilical cord prolapse with reassuring fetal heart rate and pt fully dilated Evelate fetal
head to avoid cord compression do emergent C section
Episotomy evidence Don't do them
Meconium stained amniotic fluid, how to prevent meconium aspiration Intubate trachea
and suction meconium ONLY IF INFANT IS DEPRESSED
Size of baby with DM type 1 vs gestational diabetes Type 1- small!
Gestational- big
, Mom with fever, baby HR 180, GBS Unknown... Mom dx, baby appearance and dx Mom
Chorioamnionitis
Baby lethargic, pale, high temp bc probably septic
Complication of twin twin transfusion syndrome Donor twin become anemic, develops
IUGR and oligohydramnios
Recipient twin become polycythemic, volume overload, polyhydramnios leading to HF and
hydrops
HIV + mom, got antiretroviral therapy prior and during prego, baby apgar 9 and 9... When to
give baby zidovudine and test for HIV Zidovudine immediately after delivery
HIV test at 24 hrs
Mom should not breastfeed
Treat Sheehan syndrome Estrogen and progesterone replacement, supplement with
thyroid and adrenal hormones
