RNC OB: Questions With Insightful Solutions
Chronic HTN Correct Answer - HTN before 20 weeks
20 weeks Correct Answer - gestational age that differentiates
between GHTN and chronic HTN
GHTN Correct Answer - BP > 140/90 x2 4 hours apart at > 20
weeks gestation
4 hours Correct Answer - mandatory time between taking BP
to diagnose GHTN
Pre-E Correct Answer - GHTN with:
proteinuria
thrombocytopenia
renal insufficiency
abnormal liver labs
pulmonary edema
vision changes
Eclampsia Correct Answer - tonic clonic seizures
insulin sensitivity Correct Answer - normally decreased in
normal pregnancy
A1C Correct Answer - predictor of 1st trimester malformations
in GDM pt's
8 weeks Correct Answer - when organogenesis is complete in
fetus
OGTT Correct Answer - GDM DX
,3rd trimester Correct Answer - most common time for AFLP
26 weeks - 2 weeks postpartum Correct Answer - average
timeline of AFLP
AFLP Correct Answer - acute fatty liver disease in pregnancy
dysfunctional fatty acid oxidation causing excess fat in liver (and
sometimes kidneys) causing acute liver/kidney failure
encepalopathy Correct Answer - severe outcome of AFLP
AFLP S&S Correct Answer - jaundice
RUQ pain
N/V/A
ascites
hypoglycemia
increasesd ammonia
abnormal liver labs
ICP Correct Answer - cholestasis
bile acids accumulate in liver and spill into plasma causing jaundice
and pruritis
Antihistamines Correct Answer - Meds used to treat itching in
cholestasis
Ursodeoxycholic acid Correct Answer - TX for cholestasis
works by limiting bile acid absorption and increasing bile acid
excretion
Hyperemesis Correct Answer - severe N/V with extreme
weight loss, electrolyte imbalance, and dehydration
,20 weeks Correct Answer - time period when hyperemesis
ends
Hyperemesis complications Correct Answer - Mallory Weiss
esophageal tear
hypokalemia
splenic avulsion
Wernicke's encephalopathy
acute tubular necrosis
B6 deficiency Correct Answer - cause of Wernicke's
encephalopathy
Hyperemesis TX Correct Answer - vitamins
hydration
IV B6 and doxylamine
metoclopromide
ondansetron
promethazine
< 11 Correct Answer - anemia criteria for 1st and 3rd
trimester
<10.5 Correct Answer - anemia criteria for 2nd trimester
50% Correct Answer - normal blood volume increase
30% Correct Answer - normal RBC increase in pregnancy
hematocrit Correct Answer - blood product that remains
unchanged in pregnancy
800 mg Correct Answer - iron needs in pregnancy
, Pica Correct Answer - eating inedible objects
Taking in Correct Answer - phase of postpartum where pt
focuses on herself
immediately post-birth
taking hold Correct Answer - phase of postpartum where mom
does simple infant care and cares for herself
time of conflict
Letting go Correct Answer - phase of postpartum when mom
accepts she is no longer pregnant and is now a mom
Baby blues Correct Answer - normal at times when baby trying
to learn to cope with caring for self and baby
< 28 weeks Correct Answer - extreme preterm labor
28-32 weeks Correct Answer - very preterm labor
32-37 weeks Correct Answer - moderate-late preterm labor
Preterm labor causes Correct Answer -
Infection/Inflammation/FIRS
chronic conditions
AMA
smoking
drugs
no prenatal care
poor nutrition
placenta/uterine complications
multigestation
PPROM
Chronic HTN Correct Answer - HTN before 20 weeks
20 weeks Correct Answer - gestational age that differentiates
between GHTN and chronic HTN
GHTN Correct Answer - BP > 140/90 x2 4 hours apart at > 20
weeks gestation
4 hours Correct Answer - mandatory time between taking BP
to diagnose GHTN
Pre-E Correct Answer - GHTN with:
proteinuria
thrombocytopenia
renal insufficiency
abnormal liver labs
pulmonary edema
vision changes
Eclampsia Correct Answer - tonic clonic seizures
insulin sensitivity Correct Answer - normally decreased in
normal pregnancy
A1C Correct Answer - predictor of 1st trimester malformations
in GDM pt's
8 weeks Correct Answer - when organogenesis is complete in
fetus
OGTT Correct Answer - GDM DX
,3rd trimester Correct Answer - most common time for AFLP
26 weeks - 2 weeks postpartum Correct Answer - average
timeline of AFLP
AFLP Correct Answer - acute fatty liver disease in pregnancy
dysfunctional fatty acid oxidation causing excess fat in liver (and
sometimes kidneys) causing acute liver/kidney failure
encepalopathy Correct Answer - severe outcome of AFLP
AFLP S&S Correct Answer - jaundice
RUQ pain
N/V/A
ascites
hypoglycemia
increasesd ammonia
abnormal liver labs
ICP Correct Answer - cholestasis
bile acids accumulate in liver and spill into plasma causing jaundice
and pruritis
Antihistamines Correct Answer - Meds used to treat itching in
cholestasis
Ursodeoxycholic acid Correct Answer - TX for cholestasis
works by limiting bile acid absorption and increasing bile acid
excretion
Hyperemesis Correct Answer - severe N/V with extreme
weight loss, electrolyte imbalance, and dehydration
,20 weeks Correct Answer - time period when hyperemesis
ends
Hyperemesis complications Correct Answer - Mallory Weiss
esophageal tear
hypokalemia
splenic avulsion
Wernicke's encephalopathy
acute tubular necrosis
B6 deficiency Correct Answer - cause of Wernicke's
encephalopathy
Hyperemesis TX Correct Answer - vitamins
hydration
IV B6 and doxylamine
metoclopromide
ondansetron
promethazine
< 11 Correct Answer - anemia criteria for 1st and 3rd
trimester
<10.5 Correct Answer - anemia criteria for 2nd trimester
50% Correct Answer - normal blood volume increase
30% Correct Answer - normal RBC increase in pregnancy
hematocrit Correct Answer - blood product that remains
unchanged in pregnancy
800 mg Correct Answer - iron needs in pregnancy
, Pica Correct Answer - eating inedible objects
Taking in Correct Answer - phase of postpartum where pt
focuses on herself
immediately post-birth
taking hold Correct Answer - phase of postpartum where mom
does simple infant care and cares for herself
time of conflict
Letting go Correct Answer - phase of postpartum when mom
accepts she is no longer pregnant and is now a mom
Baby blues Correct Answer - normal at times when baby trying
to learn to cope with caring for self and baby
< 28 weeks Correct Answer - extreme preterm labor
28-32 weeks Correct Answer - very preterm labor
32-37 weeks Correct Answer - moderate-late preterm labor
Preterm labor causes Correct Answer -
Infection/Inflammation/FIRS
chronic conditions
AMA
smoking
drugs
no prenatal care
poor nutrition
placenta/uterine complications
multigestation
PPROM
