ch 19: conditions existing before conception Flashcards
asthma teaching
continue to take asthma medications, stop smoking, evaluate exacerbations
the goal of asthma treatment during pregnancy is to
optimize control & limit exacerbations
med for hypothyroidism
levothyroxine
T/F: levothyroxine can be continued as originally prescribed during pregnancy
F: needs to be adjusted early on
may cause pregnancy loss of low birth weight; drugs cross placenta, suppress fetal thyroid synthesis = fetal anomalies
hyperthyroidism tx
pregestational DM
goal is glycemic control
- labor induced
- glucose/insulin infusion during labor
risks of uncontrolled pregestational DM
- macrosomia
- preeclampsia
- perinatal death
- fetal loss
- preterm birth
congenital anomalies
type O mothers with a baby type A/B blood
ABO incompatibility
Rh neg mom to Rh pos baby
Rh incompatability
what to watch for with blood incompatibility in the newborn
hyperbilirubinemia
when to give RhoGAM
28wks, anytime bleeding/invasive procedures
asymptomatic, no limitation physical activity
class I CVD
symptomatic (dyspnea, angina) with increased activity
class II CVD
symptomatic (fatigue, palpitation) with normal activity
class III CVD
symptomatic at rest or with any physical activity
class IV CVD
