31: Common complications during PG

Question 1

Position to prevent bladder stasis:

Answer 1

left lateral

Question 2

Avoid Sulfonamides (i.e Bactrim) in what Trimesters:

Answer 2

1st

3rd

Question 3

Fetal complications of CMV:

Answer 3

abd and liver calcifications
hydrops fetalis
growth retardation

Question 4

Definitive dx. of CMV:

Answer 4

culture of amniotic fluid

Question 5

Toxoplasmosis is a

Answer 5

parasite

Question 6

Transmission of toxoplasmosis:

Answer 6

Food (contam meat/veggies)

Animals to humans (cat feces)

Question 7

Screen for GBS at what weeks?

Answer 7

35-37 weeks

Question 8

GBS can cause neonatal..

Answer 8

pneumonia, meningitis, septicemia

Question 9

Late neonatal result of GBS…

Answer 9

blindness
deafness
seizure
hydrocephalus

Question 10

Trichomoniasis increases risk for:

Answer 10

PROM
low birth weight
pre-term
HIV infection

Question 11

frothy, green vaginal discharge..foul odor.

ph<5

Answer 11

Trichomoniasis

Question 12

Treat trich. with what:

Answer 12

metronidazole 2 g x 1 dose (any stage of pg)

Question 13

only 2% risk of maternal-fetal transmission of HIV by doing what:

Answer 13

taking antiretroviral drugs

avoid procedures that can cause fetal-maternal blood exposure (amnio, CVS, lactation)

Question 14

A pg woman at high risk for HIV should be re-tested when:

Answer 14

3rd trimester

Question 15

Hep. B infection can cause:

Answer 15

SAB

Pre-term birth

Question 16

Can you breastfeed if Hep. B positive?

Answer 16

YES! ( there is no report of transmission thru breastmilk)

Question 17

Congenital syphilis:

Answer 17

acquired if infected < 28 weeks

Question 18

congenital syphilis can cause:

Answer 18

fissures/cracks at mouth
saddle nose
pre-term
fetal death
Diabetes

Question 19

This infection is associated with ectopic pregnancy, PROM, growth restriction, pre-term birth:

Answer 19

Gonorrhea and Chlamydia

Question 20

What causes neonatal conjunctivitis and sepsis of newborn:

Answer 20

Gonorrhea and Chlamydia

Question 21

Treat gonorrhea with what:

Answer 21

250 mg ceftriaxone IM

1 g Azithro

Question 22

Treat chlamydia with what:

Answer 22

1 g Azithro

Question 23

Should you test for cure after treating chlamydia?

Answer 23

Yes

In 4 weeks & 3 months

Question 24

Oral HERPES

Answer 24

HSV 1

Question 25

Genital HERPES

Answer 25

HSV 2

Question 26

Active genital herpes lesions at time of birth?

Answer 26

Consider C.S to avoid fetal exposure

Question 27

Should you treat HPV during pg?

Answer 27

NO. AVOID. AVOID.

Question 28

A rare respiratory disease caused by HPV:

Answer 28

respiratory papillomatosis (hoarseness, stridor)

Question 29

Uncontrolled nausea/vomitting causing weight loss and ketonuria:

Answer 29

hyperemesis gravidarum

Question 30

Why give Rhogam to Rh ( - ) mother after SAB?

Answer 30

To prevent maternal RH sensitization.

Question 31

Difference between threatened and inevitable SAB?

Answer 31

Cervical dilation.

Question 32

Abnormal growth of placental tissue:

Answer 32

Molar pg | gestational trophobastic disease

Question 33

Painless vag bleeding Enlarged uterus Passage of grape-like cysts

Answer 33

Molar pg

Question 34

Cervix cannot stay closed during pg:

Answer 34

uterine insufficiency

Question 35

Carbohydrates intolerance causes:

Answer 35

Gestational diabetes (often 20-30 weeks)

Question 36

When to screen for GDM?

Answer 36

24-28 weeks

Question 37

1-hour GTT is >200

Answer 37

diagnostic of GDM

Question 38

1-hr GTT >130 ?

Answer 38

Do 3-hr GTT

Question 39

When do you give Rhogam (Rh D) ?

Answer 39

To Rh (-) mother at 28 AND again in 72 hrs of giving birth to Rh + baby

Question 40

What's the purpose of amniotic fluid?

Answer 40

Protect baby maintain temp. Promote lung development Help baby moves and develop

Question 41

Oligohydramnios is:

Answer 41

<500 ml at 40 weeks

Question 42

Polyhydraminios:

Answer 42

>1.5 L

Question 43

Umbilical cord prolapsed ahead of baby?

Answer 43

an emergency Put in knee-chest or left side position right. Relieve cord pressure with finger inserted in vagina.

Question 44

Mother BP of or > 140/90 | Proteinuria

Answer 44

Preeclampsia

Question 45

Preeclampsia can cause:

Answer 45

DIC placenta apruptio intrauterine growh restriction oligohydramnios

Question 46

What to teach woman with preeclampsia:

Answer 46

daily fetal movement count, BP, rest, reduce NA intake, more protein

Question 47

HTN Elevated liver enzymes Low platelets

Answer 47

HELLP syndrome

Question 48

Preeclampsia + seizures

Answer 48

ECLAMPSIA

Question 49

``` Headaches Abd Pain Chest pain epigastric pain N/V ```

Answer 49

ECLAMPSIA !

Question 50

This organ nourishes baby and remove waste:

Answer 50

PLACENTA

Question 51

Placenta blocking cervical os:

Answer 51

placenta previa

Question 52

Painless vaginal bleeding during pg (bright red)

Answer 52

placenta previa

Question 53

painful bright red bleeding sudden sharp abd pain

Answer 53

placental abruption

Question 54

``` back pain abd cramp NO vaginal bleeding board like abd diminished FHR ```

Answer 54

occult placental abruption

Question 55

Placeta attaches too deep into uterine wall, into the myometrium, but not through it.

Answer 55

placenta accreta (risk with having CSs)

Question 56

Hearing loss Mental retardation Palsy

Answer 56

Congenital CMV