Ch. 22 Maternal Complications

Question 1

A serum marker for control of diabetes in insulin-dependent patients

Answer 1

Hemoglobin A1C

Question 2

GDM is associated with what type of baby in regards to weight

Answer 2

Macosomia

Question 3

Patients with GDM in pregnancy are at a higher risk of which anomalies?

Answer 3

caudal regression syndrome
Neural tube defects
Cardiovascular malformations
Genitourinary abnormalities
2VC (single umbilical artery)
GI anomalies
Skeletal anomalies

Question 4

How might PGDM affect the birth weight of an infant

Answer 4

PDGM is associated with IUGR

Question 5

Macrosomia is defined as a birth weight that is

Answer 5

> 4000 grams or 8.82 pounds, or a birth weight >95th percentile for GA

Question 6

What is an abnormal BP during pregnancy

Answer 6

> 140/90. either systolic or diastolic can be increased

Question 7

Another term for CHTN is

Answer 7

essential HTN

Question 8

GHTN is aka

Answer 8

Pregnancy induced hypertension

Question 9

Disorder of pregnancy that is characterized by proteinuria and neurological symptoms

Answer 9

Toxemia of pregnancy

Question 10

Pre-eclampsia clinical findings

Answer 10

HTN
Generalized edema
proteinuria
rapid weight gain secondary to edema

Question 11

Eclampsia has the same clinical finds of pre-eclampsia with the addition of

Answer 11

convulsions
coma
death

Question 12

List maternal conditions that are associated with an increased risk of developing Toxemia of pregnancy

Answer 12

Prime
family hx
multiple gestation
vascular disease

Question 13

HELLP syndrome is a complication of pre-eclampsia that includes

Answer 13

Hemolysis
Elevated
Liver enzymes
Low
Platelets HELLP

Question 14

The most common significant in utero infections are TORCH infections, what is included in this

Answer 14

Taxoplasmosis
Other (ie, Syphilis)
Rubella
Cytomegalovirus
Herpes (genital)

Question 15

What is the most common infection in pregnancy

Answer 15

Cytomegalovirus

Question 16

Sono finds of infection in a fetus

Answer 16

IUGR
Cranial/cerebral anomalies
visceral calcifications in the brain and LIVER
hydrops
Increased or decreased plac thickness

Question 17

Cerclages are placed with which procedures

Answer 17

McDonald or Shirodkar procedure

Question 18

What measurement is considered a short cervix

Answer 18

less than 2.5-3.0 cm prior to 34 weeks

Question 19

What sign is associated with bulging membranes

Answer 19

“hourglass sign”

Question 20

What acronym/mnemonic is used to describe the stages or degrees of cervical incompetency

Answer 20

“Trust Your Vaginal Ultrasound”

Question 21

T or F, hemoglobin, and hematocrit levels are naturally much lower in a pregnancy state than in a nonpregnancy state.

Answer 21

T. This is because the increase in plasma volume. OA blood volume increases by 40%

Question 22

Preterm labor is defined as labor before — weeks

Answer 22

before 37 weeks

Question 23

List some causes of preterm labor

Answer 23

Previous uterine surgery
uterine anomalies
maternal stress
heavy smoking
multiple gestations
poly
antepartum bleeding (from previa or abruption)
Infections
idiopathic

Question 24

List the clinical and sono finding of PROM

Answer 24

Clinical - Large pass of watery fluid from vagina
Sono - oligo with a normal fetal bladder

Question 25

May occur secondary to the large gravid uterus obstructing the ureter (especially the right side) or may also be secondary to urinary calculus

Answer 25

Maternal hydronephrosis

Question 26

List sono finds of myomas, leiomyomas, fibroids

Answer 26

Hypoechoic solid uterine mass
anechoic center seen with degeneration
may appear as a braxton hicks contraction

Question 27

Corpus luteum cysts produce — and should prior to — weeks. They may persist and predispose to ov torsion

Answer 27

Progesterone, 16 weeks

Question 28

These cysts occur with gestational trophoblastic disease and are bilateral, large, multiseptated masses

Answer 28

Theca lutein cysts

Question 29

Masses found in the pelvis can cause pain and more importantly

Answer 29

Dystocia during delivery