Ch 20 Selected Health Conditions and Vulnerable Populations Flashcards
when do pregnant women get screened for diabetes and what do we look for in that screening
first prenatal visit
- urine in protein, ketones, nitrates, HbA1c, alpha-prtien levels in fetus, amniocentesis
what blood sugar is considered standard on the glucose challeneg test
less than 140 mg/dL
if the mother ends up using medicine for her diabetes, when is it suggested that she deliver
39 weeks
is there an increase or decrease in blood volume during pregnancy
blood volume increases the first few weeks of pregnancy and continues to rise from there. 40-45% total increase
increase or decrease in heart rate during pregnancy
normal for moms heart rate to increase by 10-20 bpm
increase or decrease in cardiac output during pregnancy
by 28-34 weeks the mom’s CO might increase by 30-50%c this is because of the higher blood volume and faster heart rate
what is the leading cause of serious complications and death during pregnancy
cardiomyopathy
4 risk factors for CVD-related maternal mortality
race, older than 40, hypertension/preeclampsia, and obesity
hypertension before pregnancy is diagnosed by which week
before the 20th week of gestation
gestational hypertension blood pressure paramteters
over 140/90 that begins after 20 week of pregnancy
preeclampsia is also considered a hypertension diagnosis but
it also presents with protein in the urine
what is Thalassemia
inherited blood disorder that causes the body to have less hemoglobin than normal
side effects of thalassemia on patient
can cause anemia, leaving the patient feeling fatigued/ and or short of breath
alpha- less severe
beta- usually dont have a long life and pregnancy will not be fulfilled
does cytomegalovirus pass to the baby in utero
yes
what is cytomegalovirus
herpes virus that is the most common congenital and perinatal viralinfection
what is rubella
infection that affectsthe skin and lymph nodes
- aka german measles or 3-day measles
complications of rubella during pregnany
an infected infant during pregnancy can continue to shed the virus for about a year
Herpes Simplex Virus
- examples
genital herpes, cold sores,
how do babies get herpes simplex virus
passing through vaginal canal
from being kissed orhaving contact with someone who has herpes mouth sores
If a mom has Hepatitis B (HBV) during pregnancy what will you do for the baby
Receive a birth dose of Hep B vaccine within 24 hrs of delivery
Then 3-4 additional shots at 1-2 months of age
How can you treat HepB during pregnancy
antiviral therapy with tenofovir or telbivudine starting at 28-32 weeks of gestation
Varicella zoster virus (aka chicken pox) effects during pregnancy on mom and baby
maternal mortality, congenital abnormalities, fetal varicella syndrome
how does Parvovirus B19 spread to the baby
through placenta and umbilical cord= can cause severe anemia in baby which can be treated with an intrauterine infusion
GBS (group b strep) infection during pregnancy can lead to
preterm labor, stillbirth, premature rupture of membrane