Exam 3 high risk and complications Flashcards
What are some factors that can lead to a high risk preg?
Age, genetics, homelessness, poverty, community resources
Do older women have the most premies?
No. Younger moms.
Teens dont do prenatal care because?
They’re in denial
What is the prevelance of genetic disorders with new borns?
1 in 20
When do we do an MSAFP?
15-20 weeks
What is an MSAFP testing for?
Genetic profile. Neural tube and downs. Also called a triple marker.
Remember karyotyping
What is the most common genetic disorder?
Trisomy 21, downs
What is the second most common genetic disorder?
Fragile X
How are teratogens determining the amount of damage it can do?
Strength of teratogen.
Timing of exposure.
Affinity to a specific organ.
What trimester can have the most damage done?
1st. Do to organogenesis
When does organogenesis occur?
2-8weeks
What does TORCH stand for?
Toxoplasmosis (kitty litter, undercooked meat).
Other STD, GBS( check at 36 weeks)
Rubella (airborne)
Cytomegalovirus (herpes family, brain/ NS damage)
Herpes (will be CS if in vagina)
If mom has an STD do we just treat her?
No, treat partner.
If a cardiac pt comes to hospital in labor, do we place pt on ABX’s?
Yes!
How many classifications of heart disease are there?
4.
1-2 expect normal pregnancy.
3. BR
4. BR, probably go into cardiac failure
When is the most dangerous time to have cardiac disease?
28-32 weeks due to peak blood volume.
If mother has cardiac disease, when is the most dangerous time for her?
First 5 minutes after birth, due to extra blood from placenta.
What is the most important assessment to do if mom has cardiac disease?
Lung sounds
What does pre eclampsia mean?
HTN before a seizure
What does eclampsia mean?
Having seizure
What is PICA?
Iron deficient anemia
Is anemia associated with post term/large babies?
No, associated with preterm and small babies
Will pt in iron have dark stools?
Yes
What are some foods that iron deficient moms should eat?
Red meat and spinach.
