human development - more week 1 Flashcards
what type of BP are you likely to see in pregnant women?
- lower BP normally
why is it important not to use a cuff too tight for your patient, when measuring BP?
- cuff can ping off patient’s arm
- can result in a false high BP measure
what BP is classified as hypertension and severe hypertension during pregnancy?
- hypertension: >140/90
- severe hypertension: >160/110
what is pre-eclampsia?
- condition that causes high BP during pregnancy and after labour
- may have high levels of protein in the urine
- usually occurs after 20 weeks
what are the symptoms for pre-eclampsia?
- frontal headache
- visual disturbance (lights, flashes, sparkles)
- right upper quadrant pain (related to liver)
- oedema (swelling; ankle swelling usually)
what are the risks of pre-eclampsia on the mother and child?
mother: stroke, seizures (eclampsia), liver/kidney damage
child: growth restriction, death
what BP is classified as hypotension during pregnancy?
- <90/60
what does an MSU finding of protein in pregnant women suggest?
- pre eclampsia
- renal disease
- should quantify the protein:creatine ratio
what does an MSU finding of glucose in pregnant women suggest?
- gestational diabetes (pregnancy induced)
- type 1/type 2 diabetes. In this case, might need oral glucose tolerance test to determine which one
what does an MSU finding of leucocytes and nitrites in pregnant women suggest?
- urinary tract infection
how can you date a pregnancy approximately?
- Nagele’s rule:
- add 1 year to 1st day of last menstrual period
- count back 3 months
- add 7 days
what is the symphysial fundal height?
- used to assess the growth of the foetus
- measure from the pubic symphysis to the top of the bump (fundus)
- measurement should equate to the week of pregnancy +/- 2
