High Risk Pregnancy

Question 1

-Regular contractions when >20wks but s lungs

Answer 1

Premature labor

Question 2

• Spontaneous ROM before onset of labor
• Most progress to uneventful labor
• Confirm anminotic fluid using pH (nitrazine paper), fern test
• If chorioamnionitis, must deliver, if not, can wait

Answer 2

Premature rupture of membranes

Question 3

-Gestational age >42wks

Greatly increases risk of stillbirth

Answer 3

Prolonged Pregnancy

Question 4

When mom is Rh-, but baby is Rh+

RhoGAM at 28wks and w/in 72hrs of delivery

Answer 4

Rh isoimmunization

Question 5

> 90th percentile weight
increases morbidity/mortality of infant
-Fundal height

Answer 5

Large for gestational age

Question 6

<10th percentile

Most commonly due to HTN and smoking

Answer 6

Induction is risk of death of fetal death is greater than neonatal death

Question 7

Insulin resistance. Develops late in 2nd trimester
Often results in larger babies and complicated births
Screen at 24-28wks and 62wks postpartum

Answer 7

Gestational Diabetes