Antepartum Flashcards

1
Q

Spotting with cramps & a closed cervix

+ fetal heartbeat

A

threatened abortion

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2
Q

Moderate bleeding with cramping & a dilated cervix

A

Inevitable abortion

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3
Q

Heavy or profuse bleeding with severe cramps & tissue present in cervix

A

incomplete abortion

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4
Q

May have spotting or no bleeding, no cramping, cervix is closed, no fetal heartbeat present

A

Missed abortion

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5
Q

What complication is common with poor glycemic control in early pregnancy?

A

Congential anomalies in fetus

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6
Q

Preeclampsia develops when?

A

after 20 weeks gestation

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7
Q

Preeclampsia & addition of

A

proteinuria greater than or equal to +1

transient headaches with irritability

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8
Q

Preeclampsia without severe

A

greater 140 or greater than 90

protein urine greater than +1

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9
Q

Preeclampsia with severe features

A

greater than 160 or greater than 110

Proteinuria not required*

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10
Q

Preeclampsia: if multi systems involved

A

delivery must be performed

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11
Q

Preeclampsia: if multi systems not involved yet:

A
improve blood flow
fetal oxygenation
bed rest
antihypertensive meds
anticonvulsant meds 
assess edema (tremendous weight gain)
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12
Q

The placenta experiences ischemia because the spiral arteries of the uterus fail to reshape and increase in diameter

A

preeclampsia

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13
Q

what to also check for with preeclampsia?

A

Increased DTR & Clonus

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14
Q

Mag toxicity s/s

A

Depressed DTRs
Respiratory depression
oliguria <30 cc per hour

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15
Q

therapeutic level of mag

A

4-7

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16
Q

mag usually continues post partum why?

A

at least 24 hrs to prevent seizures

17
Q

Signs of recovery from preeclampsia

A

Urinary output 4-6 L
rapid weight loss
Decreased protein in urine
BP normal within 2 weeks

18
Q

what drug of choice for eclampsia

A

Mag Sulfate

19
Q

gestational HTN is different from preeclampsia bc

A

no protein in urine

no organ injury: liver, brain, kidney

20
Q

signs of impending seizures

A
Hyperreflexia
Clonus
Headache/visual disturbances
epigastric RUQ p!
Vomiting
21
Q

Risks for preeclampsia

A
Hx of
first pregnancy
diabetic, lupus, high BP
obese 
twins
age <18 or >35
22
Q

early pregnancy for diabetes & fuel metabolism

A

insulin response accelerates

hypoglycemia may occur

23
Q

late pregnancy for diabetes & fuel metabolism

A

fetal growth accelerates

placental hormones rise sharply

24
Q

GDM risk factors

A
overweight (BMI 26-29 or >29)
chronic HTN
maternal age >25
previous birth of large infant 
multifetal pregnancy
GDM in previous pregnancy
25
Q

One hour GTT (screen)

A

ingest 50g of oral glucose
one hour later
blood sample

26
Q

Positive 1 hr GTT

A

glucose >130-140

27
Q

3 hr glucose test (diagnostic)

A

fasting
ingest 100g oral glucose
glucose levels @ 1,2 & 3 hrs

28
Q

3 hr glucose dx

A

fasting >95
1 hr >180
2 hr >155
3 hr >140

if 2 or more values elevated

29
Q

testing @ 28 weeks

testing @ 34 weeks

A

poor glycemic control

good control

30
Q

HYPOglycemia s/s

A
nervousness
headache
weakness
irritability
hunger
blurred vision
31
Q

HYPERglycemia s/s

A
Polydipsia
polyuria
polyphasia
nausea
abdominal p!
flushed dry skin
fruity breath