Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternity > High Risk PowerPoints (Week 7) > Flashcards

High Risk PowerPoints (Week 7) Flashcards

1
Q

biophysical risk factos

A

originates with mother or fetus
may affect development and functioning of both
genetic disorders, nutritional and general health status, and medical or obstetric related illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

kick count that needs to seek help

A

less than 3 / hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

crown rump length

A

crown to sacram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the most valuable diagnostic tool used in OB

A

US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

BPP

A

physical exam of fetus, US, fluid and body/breathing tone, HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

good BPP scoer

A

greater than 8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

modified BPP

A

non stress test and amniotic fluid volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

US look at

A

placenta, fetus, and amniotic fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

oligo amniotic fluid

A

1-2cm
not much

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

poly amniotic fluid

A

over distended
>8com

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

amniocentesis

A

after 15 weeks
evaluate genetics = neural tube defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

moms who are Rh- need

A

rofolac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

chorionic villus sampling

A

placental biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

maternal assay

A

multiple marker screen
- not diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

first line of fetal testing

A

kick count

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what do we want for nonstress test

A

no deceleration
look for variability
acceleration: 15/15, 10/10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

gestational HTN

A

onset HTN without other findings after 20 weeks

BP >140/90 resolves after giving birth

can develop chronic HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

preeclampsia

A

HTN Proteinuria
develops after 20 weeks
can also develop in PP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

preeclampsia
- in absence of proteinuria

A

thrombocytopenia
impaired liver funciton
new onset renal insuff
pulmonary edema
new onset cerebral or visual disturbances

The little rabbit poked carrots violently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

BP for severe preeclampsia

A

160/110

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

eclampsia

A

onset of seizure activity/coma in women with preeclampsia
can develop in PP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

chronic HTN

A

HTN present before preg or before 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

preeclampsia common risk factor

A

multifetal gestation, HX of preeclampsia, chronic HTN, preexisting diabetes and/or thrombophilias, paternal factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

cause of preeclampsia

A

unknown
placental

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

preeclampsia
- increased endothelial cell perm

A

water/prtoein leaking out = edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

preeclampsia
- reduced kidney perfusion

A

decrease UO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

preeclampsia
- decreased liver perfusion

A

epigastric pain = RUQ pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

preeclampsia
- neurological complicatpms

A

check DTR, HA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

HELLP syndrome

A

hemolysis
elevated liver
low plateleth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

how to diagnose protein uric

A

24hr urine is best

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what might help prevent preeclampsia

A

low dose aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

when to go to ER

A

abdominal pain, significant headache, vaginal spotting, decrease fetal movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

common SE of mag

A

flushed
warm
burning at IV site
diaphoretic

34
Q

therapeutic mag

A

4-7

35
Q

medication choies for preventing/treating seizure activity

A

mag

36
Q

how is mag given

A

IVPB

37
Q

is mag good for BP

A

no it is neuroprotective

38
Q

BP meds

A

Procardia
hydrazine
labetalol

39
Q

loading dose of BP

A

4-6g 15-30min

40
Q

continue maintenance dose

A

1-2g / hr

41
Q

reversal of mag

A

ca gluconate

42
Q

s/s of mag tox

A

lethargic
decrease RR
no DTR

43
Q

mag tox what is the priority

A

turn off mag

44
Q

seizure care

A

don’t put anything in mouth
note time and symptoms

45
Q

PPH priority

A

fundus

46
Q

risk of miscarriage

A

pregnancy ends in result of natural cause before fetal viability

47
Q

miscarriage

A

pregnancy ends as result of natural casuse before fetal viability

48
Q

beta in miscarriage

A

go down

49
Q

miscarriage meds

A

oxytocin to prevent hemorrhage
IM methrogen/hemobate
rh-

50
Q

if there is fever or foul smell

A

call dr

51
Q

cervical insuff

A

passive and painless dilation of the cervix during 2nd tri

52
Q

diagnosis of cervical insufficient

A

measurement of vertical length

53
Q

tx of cervical insuff

A

cerclage

54
Q

cerclage

A

suture is placed around the cervix beneath the mucosa to constrict the internal os of cervix

55
Q

cerclage 12-14

A

profilaxis

56
Q

cerclage 14-23

A

rescue

57
Q

when is a cerclage removed

A

36

58
Q

ectopic preg

A

the fertilized ovum is implanted outside the uterine cavity

59
Q

what is the leading cause of infertility

A

ectopic pregnancy

60
Q

t/f uterus is the only organ capable of containing and sustain a pregnancy

A

true

61
Q

ectopic preg 3 Classic symptoms

A

abdominal pain
delayed menese
abnormal vaginal bleeding
dull lower quad pain
referred pain to the shoulder

62
Q

beta in ectopic

A

high

63
Q

US in ectopic

A

nothing

64
Q

ruptured ectopic

A

OR

65
Q

non ruptured ectopic

A

methotrexate
- chemo drug
destroys rapidly dividing cells

66
Q

for ectopic we should avoid meds stronger than

A

Tylenol we do not want to mask s/s of rupture

67
Q

molar preg

A

trophoblastic disease
no placenta
no embryonic or fetal parts

68
Q

placental previa

A

painless bright red vaginal bleeding
abdominal examination usually reveals a soft, relaxed, nontender uterus and normal tone

69
Q

placental previa

A

placenta is over the internal os

70
Q

placental preja vag exam

A

no

71
Q

placental abruption

A

detachment of part or all of the placental form implantation site after 20 weeks gestation

72
Q

placental abruption

A

vag bleeding, abdominal pain, uterine tenderness, contractions, board line admen

73
Q

can abruption always able to tell on US

A

no
50%

74
Q

velamentous insertion of the cord

A

cord vessels branch at membranes and then into the placenta

umbilical cord does not attach to the placenta correctly

75
Q

glucose crosses
insulin crocess

A

glucose does insulin docent

76
Q

dm not in good control

A

increase risk for miscarriage

77
Q

preconception counseling

A

tight glycemic control

78
Q

does the insulin regimen change frequently

A

yes

79
Q

t/f first 24 hours insulin requirements drop substinally

A

yes

80
Q

hyperemesis gravidarum

A

so much vomiting there is wt loss, electrolyte imbalance, nutritional def, ketonuria

81
Q

hyperemesis gravidarum tx

A

B6 and doxalamine

Maternity (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions