Clinical aspects of Pregnancy II

Question 1

What are drugs that should NOT be given to a pregnant mom for hypertension?

Answer 1

ACE inhibitors

Question 2

What do ACE inhibitors cause in infants?

Answer 2

Oligohydramnios and neonatal renal failure

Question 3

What is the definition of Pre-eclampsia?

Answer 3

> 140/90 BP after 20 weeks

Proteinuria

Question 4

What reduces risk for pre-eclampsia

Answer 4

Calcium supplementation

Low-dose aspirin

Question 5

What is eclampsia?

Answer 5

Pre-eclampsia with onset of grand mal seizures

Question 6

How do you treat pre-eclampsia?

Answer 6

Hydralazine or labetolol

Magnesium sulfate

Question 7

What is HELLP syndrome?

Answer 7

Hemolysis
Elevated Liver enzymes
Low Platelet count

Question 8

Should counting fetal movement be recommended?

Answer 8

No. Raises anxiety.

Question 9

When a nonstress test is nonreassuring, what should be done?

Answer 9

Oxytocin stress test
(assesses FHT after oxytocin injection)
Should show variability without decels

Question 10

What are the components of Bishop’s score for induction?

Answer 10

Position
Consistency
Effacement
Dilation
Fetal station

Question 11

What are the scores for position?

Answer 11

0: Posterior
1: Intermediate
2: Anterior
3: -

Question 12

What are the scores for consistency?

Answer 12

0: Firm
1: Intermediate
2: Soft

Question 13

What are the scores for effacement?

Answer 13

0: 0-30%
1: 40-60%
2: 60-80%
3: >80%

Question 14

What are the scores for dilation?

Answer 14

0: 0 cm
1: 1-2 cm
2: 3-4 cm
3: >5 cm

Question 15

What are the scores for fetal station?

Answer 15

0: -3
1: -2
2: -1, 0
3: +1. +2

Question 16

What can be given for cervical ripening?

Answer 16

Mechanical (balloon catheter)
Oxytocin
Prostoglandins (Dinoprostone or Misoprostol)

Question 17

What are good pregnancy antidepressant drugs?

Answer 17

Some SSRI’s
Buproprion
(Tricyclics?)