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OB LEC 2 > Lesson 2 > Flashcards

Lesson 2 Flashcards

1
Q

Blood volume peaks at ______

A

24 to 28 werks

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2
Q

Cardiac output increases _____

A

50%

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3
Q

The team approach to care during pregnancy consists of?

A

Internist
OB
Nurse

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4
Q

When is the most dangerous period for pregnant women

A

28 to 32 weeks

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5
Q

When is the most dangerous period for pregnant women

A

28 to 32 weeks

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6
Q

Most commonly cause difficulty during pregnancy

A

Valve damage due to Kawasaki Disease or Rheumatic Fever
Congenital anomalies such as ASD or Uncorrected Coarctation of Aorta
Aorta Dilatation
Marfan syndrome

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7
Q

Risk factors in pregnancy

A

Rheumatic Fever
Congenital Heart Defect
Arteriosclerosis
Myocardial Infarction
Pulmonary Disease
Renal Disease
Heart Surgery

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8
Q

Ordinary physical activity “causes no discomfort”

A

Class I / Uncompromised

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9
Q

What classification: during less than ordinary activity, woman experiences excessive fatigue, palpitations, dyspnea, or anginal pain

A

Markedly compromised / Class 3

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10
Q

What classification: ordinary physical activity causes excessive fatigue, palpitation, and dyspnea or anginal pain

A

Slightly compromised / Class 2

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11
Q

What classification: woman is unable to carry out any physical activity without experiencing discomfort.

A

Severely Compromised / Class 4

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12
Q

Pregnant women in the past was “not advised to get pregnant to the increase blood volume and increase work load of the heart”

A

Women with Artificial Valve Prosthesis

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13
Q

What to watch out for SUBCLINICAL BLEEDING/HEMOLYSIS

A
  1. Petechiae
  2. Premature separation of placenta
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14
Q

Women who have this is “usually associated with atherosclerosis or renal disease and usually puts the mother and the fetus at risk”

A

Women with chronic hypertensive vascular disorder

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15
Q

Women with DVT increases with a combination of the ff:

A
  1. Stasis of blood in the lower extremities from uterine pressure
  2. Hypercoagulability
  3. Vessel Damage
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16
Q

What are the risk of developing Deep Vein Thrombosis

A
  1. Spontaneous miscarriage
  2. Fetal death
  3. Hypertension of pregnancy
  4. Anti-phospholipid antibodies / anti-phospholipid syndrome
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17
Q

Sign and symptoms of pulmonary emboli

A

Chest pain
Sudden onset of dyspnea
Hemoptysis
Tachycardia/missed beat
Dizziness
Fainting

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18
Q

Coughing of blood

A

Hemoptysis

19
Q

What are the diagnostic test?

A

ECG
Echocardiography
Echocardiogram

20
Q

Criteria for establishing diagnosis of heart disease

A

Persistent murmur
Permanent cardiomegaly
Severe dysrhythmias
Severe dyspnea

21
Q

Signs of cardiac decompensation

A

Moist cough
Pedal edema
Dyspnea
Tachycardia
Tachypnea
Cyanosis
Chest pain on exertion
Persistent heart murmur

22
Q

A sign of pulmonary edema

A

Pedal edema

23
Q

Other signs

A

Syncope with exertion
Cyanosis
Clubbing of fingers
Cardiomegaly
Neck vein distention
Pulmonary hypertension

24
Q

Safety alert: consists of presence of

A

Severe dyspnea
Syncope with exertion
Hemoptysis
Nocturnal tachycardia
Angina

25
Q

A pregnant women with heart disease should avoid:

A

Infection
Excessive weight gain
Edema
Anemia

26
Q

How many hours should be the sleep duration for pregnant

A

8-10 hours at night
2 rest periods during the day

27
Q

Instruct the client to lie down for ______ after meals

A

30 mins

28
Q

Activity limitation for class?

A

3 and 4

29
Q

Severly affected clients may need to be admitted as early as ______

A

Mid-2nd trimester

30
Q

Withhold pr<60 and >100 bpm

A

Digitalis

31
Q

Potassium secreting?

A

Diuretics

32
Q

Example of diuretics

A

Furosemide (Lasix)

33
Q

What to watch for diuretics

A

Hypokalemia

34
Q

What increases the risk for digitalis toxicity

A

Hypokalemia

35
Q

Used for any invasive procedure

A

Antibiotics

36
Q

Treatment of bacterial infection

A

Antibiotics

37
Q

Prevent/treat anemia

A

Iron supplements

38
Q

To prevent clot formation with dvt and pulmonary embolism

A

Anti-coagulant or Heparin/Enoxaparin

39
Q

Example of anticoagulant

A

Heparin / Enoxaparin

40
Q

Relieves angina by vasodilation

A

Nitroglycerin

41
Q

When should nitroglycerin be taken

A

5 mins before effort

42
Q

Take nitroglycerin while _____

A

Sitting down

43
Q

Nitroglycerin should be replaced every

A

3 months

44
Q

Help to reduce the formation of additional antibodies in aPLA

A

Corticosteroid

OB LEC 2 (45 decks)

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