STEP 2 CK Content Outline

Disorders of Pregnancy, Childbirth, and the Puerperium

Health and Health Maintenance

  • Prenatal care (eg, nutrition; prevention of iron deficiency; prevention of vitamin deficiency; Rh immunoglobulin prophylaxis; prenatal diagnosis; teratology, diabetes mellitus, urinary tract infection, a-fetoprotein, rubella, genital herpes, streptococcal infections)
  • Assessment of the at-risk pregnancy; risk of preterm labor
  • Intrapartum care; signs of fetal compromise
  • Contraception; sterilization; prevention of pregnancy after rape

Mechanisms of Disease

  • Placenta, placental dysfunction
  • Pregnancy and labor, including infection
  • Postpartum disorders, including infection
  • Fetus and newborn

Diagnosis

  • Pregnancy and labor, including obstetric complications (eg, ectopic pregnancy; spontaneous abortion/septic abortion; hypertension; third-trimester bleeding; hydramnios; preterm labor, premature rupture of the membranes, normal labor; multiple gestation; intrapartum fetal distress/fetal death; maternal mortality; fetal growth and development abnormalities; congenital abnormalities; gestational trophoblastic disease)
  • Nonobstetric complications of pregnancy (eg, major medical complications and preexisting medical conditions; surgical complications; hyperemesis gravidarum)
  • Complications of the puerperium (eg, problems with breast-feeding; postpartum hemorrhage; postpartum sepsis; postpartum depression, psychosis; mastitis; venous thromboembolism)

Principles of Management
(With emphasis on topics covered in Diagnosis)

  • Pharmacotherapy only
  • Management decision (treatment/diagnosis steps)
  • Treatment only