3/2/13 b Flashcards
What are the 2 treatment options for postterm pregnancy?
induction of labor or twice-weekly monitoring of fetal wellbeing
What usu. determibes which way a postterm pregnancy will be treated?
cervical effacement
What is the main reason for close fetal monitoring in prolonged pregnancy?
oligohydramnios
What are the 2 big risk factors for placentsl abruption aside from previous abruption?
uncontrolled maternal htn or cocaine use
How is oligohydramnios defined in postterm preg?
no vertical pocket greater than 2cm or amniotic fluid index of 5cm or less
Lower abdominal pain that radiates to the thighs and back and begins hours before menstruation is classic for _______.
primary dysmenorrhea
In primary dysmenorrhea, the release of _______ during the breakdown of the endometrium is believed to be the cause of Sx. Levels of _______ are higher in these women.
prostaglandins; prostaglandins
What is the most effective tx for primary dysmenorrhea? Why?
NSAIDs; reduce levels of prostaglandins
What, aside from NSAIDs may improve Sx of dysmenorrhea?
oral contraceptives
What is the Tx of choice in pregnant pts w/ syphilis?
penicillin desensitization
Why can’t you use erythromycin for pregnant mothers infected w/ syphilis?
doesn’t cross the placenta
What organ system does ciprofloxacin cause teratogenic toxicity to?
musculoskeletal
What is the cause of maternal back pain in the third trimester?
increased lumbar lordosis (also relaxation of joint ligaments)
What is the drug, a.k.a. “Plan B”, is used for emergency contraception?
levonorgestrel
How long after intercourse may levonorgestrel e administered?
up to 120 hrs
