Chapters 20 & 21 - High Risk Pregnancies

Question 1

How do we know if a pregnancy is at risk?

Answer 1

ASSESSMENT-
< Testing (pregnancy, CBC)
> Date of LMP
< General Health History
> Potential abuse
< Socioeconomic status (nutritional deficits, lack of prenatal care)

Question 2

What is the most common disorders during pregnancy?

Answer 2

Anemia (iron or folic acid deficiency)
Asthma (decreased lung volume)
Cystic Fibrosis (increased secretions)
Gallbladder (high fat diet)
Pruritus (itching - liver not functioning well)
Diabetes  
Hyper-/Hypothyroidism 
HIV
(Epilepsy and Lupus - hard to conceive on these meds)

Question 3

A C-Section is recommended if you have any history of a _______ disorder.

Answer 3

Cardiac

Question 4

What patients are more at risk for pre-eclampsia?

Answer 4

Those with cardiac disorders

Question 5

What is the 2nd leading cause of maternal morbidity/mortality in the U.S.?

Answer 5

Hypertension

Question 6

What is gestational hypertension?

Answer 6

Increased BP, resolved after 6 weeks postpartum.

Question 7

What is transient hypertension?

Answer 7

Increased BP after 12 weeks, resolved after 12 weeks postpartum.

Question 8

What is HELLP syndrome?

Answer 8

Hemolysis 
Elevated
Liver enzymes
Low
Platelet count

Question 9

What are the types of miscarriages?

Answer 9

Threatened: slight spotting and slight cramping - bedrest
Inevitable: moderate bleeding and cramping - d/c
Incomplete: heavy bleeding and severe cramps - d/c
Missed: fetus had died w/out expulsion - d/c

d/c = dilate and clean out

Question 10

What pill can cause a missed miscarriage or ectopic pregnancy to pass?

Answer 10

Methotrexate.

Question 11

What is placenta previa?

Answer 11

Placenta implanted in lower uterine segment near or over the cervical opening.

Question 12

What is hydatiform mole?

Answer 12

Abnormal proliferation and the degeneration of the trophoblastic villi - uterus increases in size but no embryo formation.