Maternity (High Risk / Complications) Flashcards
Dark pigmentation on the skin and you need to avoid sun exposure is called ______.
Melasma
Linea Nigra is?
a line down the belly
Do women have to get off mood medications during pregnancy?
No
When do most women have morning sickness?
the 1st trimester (usually women start to feel better around 16-20 weeks)
Sometimes back pain can progress into ______.
sciatica
_____ _____ ____ is known as pelvic girdle pain, this is when the pelvic joints become stiff or move unevenly. Can occur at the front of the pubic bone, perineum or the lower back.
Symphis pubis dysfunction
________ ________ is extreme morning sickness.
Hyperemesis Gravidarum
Pregnant at a higher risk of infections. Name 3 examples.
- Vaginal
- Urinary
- Avoid Kitty Litter (Taxoplasmosis)
Vomiting excessively causes ______ and _______.
hypokalemia & hypochloremia
Promethazine is a ______.
antiemetic
Name 2 ways hyperemisis is different from morning sickness.
- nausea doesn’t subside
- Severe vomiting can cause dehydration. F&E imbalances, & weight loss.
What are some dietary changes a pregnant woman with H.G. can make to subside the symptoms? (3)
- No liquids with meals
- Small portions
- Sit up after meals
What substance is found in the urine of preeclamptic women?
Protein
What medications are given to help with hyperemeis gravidirum?
- Promethazine
- IVF
- TPN/ IL
What are the 3 classic triads of preeclampsia?
- proteinuria
- Rising BP
- Edema
What is preeclampsia?
Blood pressure that is >140/90 2 times 4 hours apart at >20 weeks gestation.
What are 3 risk factors of Preeclampsia?
- AA ethnicity
- FH of PreE
- age >35
Define ‘HELLP’ Syndrome
Hemolysis
Elevated liver enzymes
Low platelet count
_____ ____ is a medical emergency that needs VERY QUICK treatment.
HELLP Syndrome
Name the 3 therapeutic managements of Preeclampsia.
- Delivery
- Prepare for a preterm baby (mag sulfate & betamethasone)
- Antihypertensive
name the 3 antihypertensives that are accepted during pregnancy.
- Labetolol
- Nifedipine
- Hydralazine
_____ is considered a first line medication for the treatment of HPTN pregnancy.
methyldopa
How do you treat HELLP syndrome?
- Corticosteroids
- Antihypertensives
- Admin blood products / components
- DELIVERY!!!
What is Gestational Diabetes Mellitus?
Diabetes diagnosed during pregnancy. The body can not keep up with insulin requirements.
Name 3 risk factors of GDM.
- PCOS
- Prior hx of baby weighing >9 pounds
- Overweight / Obese
Pregnant women do a glucose tolerance test at _____ - ______ weeks pregnant.
24 to 28 weeks pregnant
Name 2 ways to manage gestational diabetes.
- control w/ diet & exercise
- monitor BG (after pregnancy mother should not require insulin)
______ is a maternal liver condition that typically occurs in later pregnancy. It causes bile acids to enter into the bloodstream.
Cholestasis
When bile acids enter into the bloodstream it causes intense _____ ______.
maddening itching
Name 3 risk factors of cholestasis.
- A personal or FH
- Hx of liver damage or disease
- Being a parent of multiples
A complication of Cholestasis is ______.
clotting d/t a lower Vitamin K
name 2 fetal complication of cholestasis.
- Lung problems - meconium aspiration.
- Preterm Birth
_____ helps to lower bile acids in the blood and possibly itching.
Ursodiol
An ectopic pregnancy can implant in the _____ _____, _______, or the _______.
- Fallopian tube
- Cervix
- Abdomen
Name 4 symptoms of an ectopic pregnancy.
- Dizziness or fainting
- N/V
- LOA
- Abdominal or Pelvic Pain
With an ectopic pregnancy you want to prevent ______.
ruptures (detect with an US)
_______ helps to stop the embryo from being able to grow / aborts the fetus.
mehthotrextate
Give _____ ______ ______to prevent erythroblastosis fetalis (incompatible blood types with the baby.)
Rh immune globulin
