Maternal changes of pregancy Flashcards
1
Q
Maternal thyroid axis during pregancy
A
Total T4 increased (1.5x)
Free T4 increased
TSH decreased
2
Q
Mechanism of change of thyroid axis in pregnancy
A
B-hCG stimulates thyroid hormone production
Increased TBG binds extra T4
3
Q
what stimulates increased TBG production
A
estrogen
4
Q
Downs Quad screen
A
Low MSAFP
Low Estriol
High B-hCG
High inhibin A
5
Q
Edwards Quad screen
A
N MSAFP
Low Estriol
Very Low B-hCG
N inhibin A
6
Q
Patau Quad screen
A
Inc MSAFP
N Estriol
N B-hCG
N inhibin A
7
Q
Turners Quad screen
A
Decreased MSAFP
Decreased Estriol
Very High B-hCG
Very High inhibin A
8
Q
Maternal HTN meds to give
A
Labetalol: nonselective BB
Nifedipine: CCB
methyldopa: a2 agonist
9
Q
Lactational mastitis Rx
A
empiric antibiotic:
dicloxacillin or cephalexin
