Maternity (High Risk / Complications)

Question 1

Dark pigmentation on the skin and you need to avoid sun exposure is called ______.

Answer 1

Melasma

Question 2

Linea Nigra is?

Answer 2

a line down the belly

Question 3

Do women have to get off mood medications during pregnancy?

Answer 3

No

Question 4

When do most women have morning sickness?

Answer 4

the 1st trimester (usually women start to feel better around 16-20 weeks)

Question 5

Sometimes back pain can progress into ______.

Answer 5

sciatica

Question 6

_____ _____ ____ 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.

Answer 6

Symphis pubis dysfunction

Question 7

________ ________ is extreme morning sickness.

Answer 7

Hyperemesis Gravidarum

Question 7

Pregnant at a higher risk of infections. Name 3 examples.

Answer 7

1. Vaginal
2. Urinary
3. Avoid Kitty Litter (Taxoplasmosis)

Question 8

Vomiting excessively causes ______ and _______.

Answer 8

hypokalemia & hypochloremia

Question 8

Promethazine is a ______.

Answer 8

antiemetic

Question 9

Name 2 ways hyperemisis is different from morning sickness.

Answer 9

1. nausea doesn’t subside
2. Severe vomiting can cause dehydration. F&E imbalances, & weight loss.

Question 10

What are some dietary changes a pregnant woman with H.G. can make to subside the symptoms? (3)

Answer 10

1. No liquids with meals
2. Small portions
3. Sit up after meals

Question 11

What substance is found in the urine of preeclamptic women?

Answer 11

Protein

Question 11

What medications are given to help with hyperemeis gravidirum?

Answer 11

1. Promethazine
2. IVF
3. TPN/ IL

Question 12

What are the 3 classic triads of preeclampsia?

Answer 12

1. proteinuria
2. Rising BP
3. Edema

Question 12

What is preeclampsia?

Answer 12

Blood pressure that is >140/90 2 times 4 hours apart at >20 weeks gestation.

Question 13

What are 3 risk factors of Preeclampsia?

Answer 13

1. AA ethnicity
2. FH of PreE
3. age >35

Question 14

Define ‘HELLP’ Syndrome

Answer 14

Hemolysis
Elevated liver enzymes
Low platelet count

Question 14

_____ ____ is a medical emergency that needs VERY QUICK treatment.

Answer 14

HELLP Syndrome

Question 14

Name the 3 therapeutic managements of Preeclampsia.

Answer 14

1. Delivery
2. Prepare for a preterm baby (mag sulfate & betamethasone)
3. Antihypertensive

Question 15

name the 3 antihypertensives that are accepted during pregnancy.

Answer 15

1. Labetolol
2. Nifedipine
3. Hydralazine

Question 16

_____ is considered a first line medication for the treatment of HPTN pregnancy.

Answer 16

methyldopa

Question 17

How do you treat HELLP syndrome?

Answer 17

1. Corticosteroids
2. Antihypertensives
3. Admin blood products / components
4. DELIVERY!!!

Question 18

What is Gestational Diabetes Mellitus?

Answer 18

Diabetes diagnosed during pregnancy. The body can not keep up with insulin requirements.

Question 19

Name 3 risk factors of GDM.

Answer 19

1. PCOS 2. Prior hx of baby weighing >9 pounds 3. Overweight / Obese

Question 20

Pregnant women do a glucose tolerance test at _____ - ______ weeks pregnant.

Answer 20

24 to 28 weeks pregnant

Question 21

Name 2 ways to manage gestational diabetes.

Answer 21

1. control w/ diet & exercise 2. monitor BG (after pregnancy mother should not require insulin)

Question 22

______ is a maternal liver condition that typically occurs in later pregnancy. It causes bile acids to enter into the bloodstream.

Answer 22

Cholestasis

Question 23

When bile acids enter into the bloodstream it causes intense _____ ______.

Answer 23

maddening itching

Question 24

Name 3 risk factors of cholestasis.

Answer 24

1. A personal or FH 3. Hx of liver damage or disease 4. Being a parent of multiples

Question 25

A complication of Cholestasis is ______.

Answer 25

clotting d/t a lower Vitamin K

Question 26

name 2 fetal complication of cholestasis.

Answer 26

1. Lung problems - meconium aspiration. 2. Preterm Birth

Question 27

_____ helps to lower bile acids in the blood and possibly itching.

Answer 27

Ursodiol

Question 28

An ectopic pregnancy can implant in the _____ _____, _______, or the _______.

Answer 28

1. Fallopian tube 2. Cervix 3. Abdomen

Question 29

Name 4 symptoms of an ectopic pregnancy.

Answer 29

1. Dizziness or fainting 2. N/V 3. LOA 4. Abdominal or Pelvic Pain

Question 30

With an ectopic pregnancy you want to prevent ______.

Answer 30

ruptures (detect with an US)

Question 31

_______ helps to stop the embryo from being able to grow / aborts the fetus.

Answer 31

mehthotrextate

Question 32

Give _____ ______ ______to prevent erythroblastosis fetalis (incompatible blood types with the baby.)

Answer 32

Rh immune globulin