Exam 3 high risk and complications

Question 1

What are some factors that can lead to a high risk preg?

Answer 1

Age, genetics, homelessness, poverty, community resources

Question 2

Do older women have the most premies?

Answer 2

No. Younger moms.

Question 3

Teens dont do prenatal care because?

Answer 3

They’re in denial

Question 4

What is the prevelance of genetic disorders with new borns?

Answer 4

1 in 20

Question 5

When do we do an MSAFP?

Answer 5

15-20 weeks

Question 6

What is an MSAFP testing for?

Answer 6

Genetic profile. Neural tube and downs. Also called a triple marker.
Remember karyotyping

Question 7

What is the most common genetic disorder?

Answer 7

Trisomy 21, downs

Question 8

What is the second most common genetic disorder?

Answer 8

Fragile X

Question 9

How are teratogens determining the amount of damage it can do?

Answer 9

Strength of teratogen.
Timing of exposure.
Affinity to a specific organ.

Question 10

What trimester can have the most damage done?

Answer 10

1st. Do to organogenesis

Question 11

When does organogenesis occur?

Answer 11

2-8weeks

Question 12

What does TORCH stand for?

Answer 12

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)

Question 13

If mom has an STD do we just treat her?

Answer 13

No, treat partner.

Question 14

If a cardiac pt comes to hospital in labor, do we place pt on ABX’s?

Answer 14

Yes!

Question 15

How many classifications of heart disease are there?

Answer 15

4.
1-2 expect normal pregnancy.
3. BR
4. BR, probably go into cardiac failure

Question 16

When is the most dangerous time to have cardiac disease?

Answer 16

28-32 weeks due to peak blood volume.

Question 17

If mother has cardiac disease, when is the most dangerous time for her?

Answer 17

First 5 minutes after birth, due to extra blood from placenta.

Question 18

What is the most important assessment to do if mom has cardiac disease?

Answer 18

Lung sounds

Question 19

What does pre eclampsia mean?

Answer 19

HTN before a seizure

Question 20

What does eclampsia mean?

Answer 20

Having seizure

Question 21

What is PICA?

Answer 21

Iron deficient anemia

Question 22

Is anemia associated with post term/large babies?

Answer 22

No, associated with preterm and small babies

Question 23

Will pt in iron have dark stools?

Answer 23

Yes

Question 24

What are some foods that iron deficient moms should eat?

Answer 24

Red meat and spinach.

Question 25

If mom has folic acid deficiency anemia than what size RBS’s?

Answer 25

Large.

Question 26

What are some side effects of contraceptives and anticonvulsants?

Answer 26

Folic acid deficient anemia

Question 27

What does the placental lactogen do?

Answer 27

Decrease insulin sensitivity so that there’s more free floating insulin for baby

Question 28

If a mother is diabetic is she less prone to preeclampsia?

Answer 28

No, more prone.

Question 29

If mom is hypoglycemic than what kinds of problems might you see?

Answer 29

Neuro problems.

Question 30

If mom is hyperglycemic than what kinds of problems might you see?

Answer 30

LGA, genetic defects, decreased lung maturity.

Question 31

If mom diabetic whats the most important thing we can do?

Answer 31

Educate!

Question 32

If diabetic will mom have low or high levels of amniotic fluid?

Which can cause what?

Answer 32

High

Malposition, PROM, prolapsed cord

Question 33

If mother is gestational diabetic than how long will it take for sugars to return to normal?

Answer 33

24 hours after delivery

Question 34

What are the three stages of violence?

Answer 34

Tension building phase ( anxious, afraid to get home late)
Battering incident (women feels helpless and endures it)
Honeymoon( “it will never happen again”