31: Common complications during PG Flashcards

1
Q

Position to prevent bladder stasis:

A

left lateral

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2
Q

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

A

1st

3rd

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3
Q

Fetal complications of CMV:

A

abd and liver calcifications
hydrops fetalis
growth retardation

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4
Q

Definitive dx. of CMV:

A

culture of amniotic fluid

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5
Q

Toxoplasmosis is a

A

parasite

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6
Q

Transmission of toxoplasmosis:

A

Food (contam meat/veggies)

Animals to humans (cat feces)

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7
Q

Screen for GBS at what weeks?

A

35-37 weeks

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8
Q

GBS can cause neonatal..

A

pneumonia, meningitis, septicemia

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9
Q

Late neonatal result of GBS…

A

blindness
deafness
seizure
hydrocephalus

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10
Q

Trichomoniasis increases risk for:

A

PROM
low birth weight
pre-term
HIV infection

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11
Q

frothy, green vaginal discharge..foul odor.

ph<5

A

Trichomoniasis

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12
Q

Treat trich. with what:

A

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

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13
Q

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

A

taking antiretroviral drugs

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

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14
Q

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

A

3rd trimester

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15
Q

Hep. B infection can cause:

A

SAB

Pre-term birth

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16
Q

Can you breastfeed if Hep. B positive?

A

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

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17
Q

Congenital syphilis:

A

acquired if infected < 28 weeks

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18
Q

congenital syphilis can cause:

A
fissures/cracks at mouth
saddle nose
pre-term
fetal death
Diabetes
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19
Q

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

A

Gonorrhea and Chlamydia

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20
Q

What causes neonatal conjunctivitis and sepsis of newborn:

A

Gonorrhea and Chlamydia

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21
Q

Treat gonorrhea with what:

A

250 mg ceftriaxone IM

1 g Azithro

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22
Q

Treat chlamydia with what:

A

1 g Azithro

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23
Q

Should you test for cure after treating chlamydia?

A

Yes

In 4 weeks & 3 months

24
Q

Oral HERPES

A

HSV 1

25
Q

Genital HERPES

A

HSV 2

26
Q

Active genital herpes lesions at time of birth?

A

Consider C.S to avoid fetal exposure

27
Q

Should you treat HPV during pg?

A

NO. AVOID. AVOID.

28
Q

A rare respiratory disease caused by HPV:

A

respiratory papillomatosis (hoarseness, stridor)

29
Q

Uncontrolled nausea/vomitting causing weight loss and ketonuria:

A

hyperemesis gravidarum

30
Q

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

A

To prevent maternal RH sensitization.

31
Q

Difference between threatened and inevitable SAB?

A

Cervical dilation.

32
Q

Abnormal growth of placental tissue:

A

Molar pg

gestational trophobastic disease

33
Q

Painless vag bleeding
Enlarged uterus
Passage of grape-like cysts

A

Molar pg

34
Q

Cervix cannot stay closed during pg:

A

uterine insufficiency

35
Q

Carbohydrates intolerance causes:

A

Gestational diabetes (often 20-30 weeks)

36
Q

When to screen for GDM?

A

24-28 weeks

37
Q

1-hour GTT is >200

A

diagnostic of GDM

38
Q

1-hr GTT >130 ?

A

Do 3-hr GTT

39
Q

When do you give Rhogam (Rh D) ?

A

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

40
Q

What’s the purpose of amniotic fluid?

A

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

41
Q

Oligohydramnios is:

A

<500 ml at 40 weeks

42
Q

Polyhydraminios:

A

> 1.5 L

43
Q

Umbilical cord prolapsed ahead of baby?

A

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

44
Q

Mother BP of or > 140/90

Proteinuria

A

Preeclampsia

45
Q

Preeclampsia can cause:

A

DIC
placenta apruptio
intrauterine growh restriction
oligohydramnios

46
Q

What to teach woman with preeclampsia:

A

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

47
Q

HTN
Elevated liver enzymes
Low platelets

A

HELLP syndrome

48
Q

Preeclampsia + seizures

A

ECLAMPSIA

49
Q
Headaches
Abd Pain
Chest pain
epigastric pain
N/V
A

ECLAMPSIA !

50
Q

This organ nourishes baby and remove waste:

A

PLACENTA

51
Q

Placenta blocking cervical os:

A

placenta previa

52
Q

Painless vaginal bleeding during pg (bright red)

A

placenta previa

53
Q

painful
bright red bleeding
sudden sharp abd pain

A

placental abruption

54
Q
back pain
abd cramp
NO vaginal bleeding
board like abd
diminished FHR
A

occult placental abruption

55
Q

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

A

placenta accreta (risk with having CSs)

56
Q

Hearing loss
Mental retardation
Palsy

A

Congenital CMV