Day 14 - Ob1 Quiz Flashcards
Dx HTN & pregnancy prior to 20 wks GA
Chronic HTN, Molar pregnancy
Conditions assoc w/ increased nuchal translucency
Down syndrome, Turner syndrome, Congenital heart defects
Quad screen: decreased AFP, decreased unconjugated estriol, elevated Inhibin A, elevated B-HCG
Down syndrome (Trisomy 21) or Turner syndrome
Hb levels indicating tx for physiologic anemia of pregnancy
1st or 3rd trimester: Hb
Supplements given to woman on anticonvulsants during pregnancy
Vitamin K (last month of pregnancy), Folic acid (4 mg)
Additional supplements given to complete vegetarians (vegans?) during pregnancy
Daily: Iron (30 mg), Vit D (400 IU), Vitamin B12 (200 mcg)
Findings characteristic of HELLP syndrome
Preeclampsia (HTN, proteinuria, elevated BUN/Cr, elevated uric acid levels); Hemolysis, Elevated LFTs, Low Platelets
Gestational HTN v. Preeclampsia
Both can present after 20 wks of age; Gestation HTN - usually just in 3rd trimester, no edema or lab abnormalities
How long MgSO4 continued after delivery in preeclampsia/eclampsia
Preeclampsia - 24 hr; Eclampsia - 48 hrs
GA age for quad screen
16-18 wk GA
GA 1 hr glucose tolerance test performed
24-28 wk
Parameter changes during pregnancy: TSH
No change
Parameter changes during pregnancy: pH
Increase; Metabolic alkalosis w/ respiratory compensation
Parameter changes during pregnancy: Cardiac output
Increase by 40%; Systolic mumurs worsen
Parameter changes during pregnancy: Ventilation
Increases -> respiratory alkalosis
