3 Flashcards
what is the most accurate way to get gestational age in first trimester?
ultrasound
is IUGR seen with gestational diabetes?
no, just pre-existing diabetes
complications with gestational diabetes in fetus
macrosomia, polyhydramnios, hypoglycemia, hyperbilirubinemia,
polycythemia,
hypocalcemia
resp distress
how much folic acid should a woman take preconception if she had a prior baby with neural tube defect
4 mg
braxton kicks contractions
short, less intense, discomfort in abdomen and groin
no dilation or effacement
should you test for GBS for women who previously had it in prior pregnancy?
no test needed
just give antibiotics during labor
what tool should you use if you’re having hard time getting fetal heart rate?
fetal scalp electrode
what causes early decels?
head compression (normal)
what causes late decels and what should you do?
uteroplacental insufficiency (acidemia, hypoxia)
oxygenate, reposition mom
give fluids and stop offending agents
what causes variable decels and what should you do
cause: cord compression
reposition mom
stop offending agents (pitocin)
amnioinfusion
if you feel the umbilical cord prolapsing in the vagina in active labor, what should you do
c-section
what should you do if fetus exposed to meconium stained amniotic fluid?
only if newborn depressed, intubate the trachea and suction meconium beneath glottis to prevent meconium aspiration
whats the state of infant if mom has type 1 diabetes
small and hypoglycemic
septic baby appears…
lethargic, pale, high temp
fetal tachy
twin-twin transfusion syndrome
cause: imbalance of blood flow across shared placenta in monochorionic twins where one twin becomes large and polycythemic (–> polyhydramnios–>HF and hydrops fetalis) and the other twin becomes small and anemic (–> IUGR and oligohydramnios)
