Guest- Common Preg Problems Flashcards
when is the 1st, 2nd and 3rd trimesters?
1st- conception to 13 weeks
2nd- 13-26 weeks
3rd- 26 weeks to delivery
5 first trimester probs
1) . Morning sickness and hyperemesis gravidum
2) . Gestational trophoblastic neoplasia
3) . 1st trimester bleeding
4) . Drugs in pregnancy
5) . Multiple gestations
how common is morning sickness? cause? when is it usually gone by? what is it associated with?
more than half of pregnancies; unclear etiology; gone by 2nd trimester; high hCG levels
weeks __-___ are usually when women feel the worst (in terms of N/V). at 10 weeks, hCG levels are about __________
7-10; 100,000
a full pregnancy is considered ___ weeks but a woman is usually only pregnant for ___ weeks
40; 38
tx for morning sickness: diet and drugs
diet- high in simple carbs, avoid animal protein/dairy
(small frequent meals)
drugs- doxylamine and vitamin B6 (maybe promethazine)
what is hyperemesis gravidarum (HEG)?
intractable vomiting severe enough to cause fluid and electrolyte disturbance
how common is HEG? how does the pt present? what does the UA show?
less than 1% of all pregnancies; tachycardia and orthostatic BPs; UA shows ketouria and Na/K/HCO3 disturbances
Tx for HEG?
IV fluids, electrolyte replacement, vitamin B6 and doxylamine
benign and malignant forms of gestational trophoblastic dz are called…
benign- hydatidiform mole
malignant- choriocarcinoma
hydatidiform mole: has increased lab values of? absence of? what test is this confirmed by? how to tx?
increased hCG; absence of fetal heart tones; confirmed by US; refer to OB for D and C
choriocarcinoma is common or rare? elevated levels of what still persist after molar evacuation?
RARE; hCG still elevated
___________ ________ is any bleeding before 20 weeks
threatened abortion
presence of what doesn’t rule out threatened abortion?
fetal heart tones
definition of miscarriage?
passage of product of conception
