Maternal Physiology Flashcards
___ medications increase the risk of pulmonary edema in pregnancy, especially with isotonic fluids.
Tocolytic
Systemic vascular resistance (inc/dec) throughout pregnancy.
DECREASES
Cardiac output (inc/dec) throughout pregnancy
INCREASES due to increases in HR and SV
In patients which you suspect a molar pregnancy, it is recommended to get what other tests/imaging?
Chest x-ray!
Most common site for metastases
For a normal BMI woman, the recommended weight gain during pregnancy is
25-35 lbs
For a woman with a BMI 25-29.9, the recommended weight gain during pregnancy is
15-25 lbs
For a woman with a BMI >30, the recommended weight gain during pregnancy is
11-20 lbs
The Ashkenazi Jewish population is at increased risk for having kids with:
Cystic Fibrosis, Niemann-Pick, Tay Sachs disease, Faconi anemia
The carrier risk for non-hispanic white population for cystic fibrosis is
1/25
Valproic acid is associated with risk of what birth defect?
neural tube defect,s hydrocephalus, craniofacial malformations
Symptomatic patients with mitral valve prolapse should be treated with…
beta-blockers - to reduce risk of life-threatening arrhythmias
Which SSRI should NOT be used in pregnancy?
Paroxetine - has been shown to increase fetal cardiac malformations and persistent pulmonary hypertension
What is ursodeoxycholic acid used for?
intrahepatic cholestasis of pregnancy - relieves pruritus and decreases enzyme levels in the serum
The risk of congenital anomalies from varicella infection of the mother is lowest in which trimester?
first trimester
How do you treat varicella in a pregnant patient?
Oral acyclovir 800 mg 5x/day for seven days