Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

COMAT - OBGYN > Medical Complications in Pregnancy > Flashcards

Medical Complications in Pregnancy Flashcards

1
Q

What is Hyperemesis Gravidarum?

A

Persistent nausea and vomiting during pregnancy that does NOT resolve after the 1st trimester

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When does “morning sickness” resolve with pregnancy?

A

Before the end of the 1st trimester
– Hyperemesis Gravidarum will NOT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

With what 3 conditions is Hyperemesis Gravidarum common?

A

Molar pregnancies
Multiple gestations
1st pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What lab finding may be seen with Hyperemesis Gravidarum?

A

HIGH b-hCG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What test should be done if you suspect Hyperemesis Gravidarum?

A

Ultrasound to rule out molar pregnancies and multiple gestations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some treatment options for Hyperemesis Gravidarum? (4)

A
  • Doxylamine-Pyridoxine (B6)
  • Ondansetron
  • Promethazine
  • Metoclopramide
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If Hyperemesis Gravidarum is severe enough, low food intake and weight loss will be present with what metabolic/urine abnormalities?

A

Ketonuria – low glucose from not eating
Hypochloremic Hypokalemic Metabolic Alkalosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When do you screen for Gestational DM?

A

24 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When screening for Gestational DM at 24 weeks, what is done? What is an abnormal result?

A

1 hour 50g glucose challenge
** Abnormal = glucose > 140

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

If the initial Gestational DM screening comes back abnormal, then what is done?

A

3 hour 100g glucose challenge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

To diagnose Gestational DM, what must the glucose levels be above at 1, 2, and 3 hours with the 100g challenge?

A

1 hour = > 180
2 hour = > 160
3 hour = > 140

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Gestational DM may be able to be managed with dietary modifications but if not, what medication should be used?

A

Insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Is the mother at an increased risk for Type 2 DM if she has Gestational DM?

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

If HTN is present before pregnancy or before 20 weeks, what is it considered throughout pregnancy?

A

Chronic hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When does Gestational HTN develop and resolve?

A

Develops after 20 weeks gestation
Resolves after 12 weeks postpartum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 4 antihypertensive medications used during pregnancy?

A

Methyldopa
Hydralazine
Nifedipine
Labetolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the 4 antihypertensive medications used during pregnancy?

A

Methyldopa
Hydralazine
Nifedipine
Labetolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is needed to diagnose Gestational HTN?

A

2 blood pressure elevations more than 4 hours apart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

When does Preeclampsia develop?

A

After 20 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is present with Preeclampsia?

A

New onset HTN + Proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How much proteinuria is too much?

A

> 300mg in 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What symptoms can develop if Preeclampsia is more severe?

A

Edema
Headache and blurry vision
RUQ pain
Pulmonary Edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the treatment for Preeclampsia?

A

Deliver no later than 37 weeks!
- BP control
- Magnesium to prevent seizures

24
Q

What is the treatment for Preeclampsia?

A

Deliver no later than 37 weeks!
- BP control
- Magnesium to prevent seizures

25
Q

What is HELLP syndrome?

A

Hemolytic anemia
Elevated Liver enzymes
Low Platelets

26
Q

What is Eclampsia?

A

Women with Preeclampsia then develop a grand mal seizure

27
Q

What is the management of Eclampsia?

A

Magnesium +/- Diazepam
- BP control
- Deliver once STABLE

28
Q

Asymptomatic Bacteriuria is common in pregnancy. How will it present?

A

Asymptomatic but (+) urine culture at initial OB visit

29
Q

If a patient is pregnant and gets a UTI, what are the treatment options?

A

Cephalexin
Amoxicillin/Clavulanate
Nitrofurantoin AFTER 1st TRIMESTER

30
Q

If a patient is pregnant and gets Pyelonephritis, what is the treatment?

A

Admission + IV 3rd Gen Cephalosporin

31
Q

What defines an Antepartum hemorrhage?

A

Bleeding AFTER 20 weeks gestation

32
Q

3 common causes of bleeding after 20 weeks gestation?

A

Placental Abruption
Placenta Previa
Vasa Previa

33
Q

What often causes Placental Abruption? (3)

A

Trauma
Cocaine
HTN

34
Q

How will a Placental Abruption present?

A

PAINFUL bleeding + fetal distress

35
Q

Placental Abruption is a clinical diagnosis. What is the treatment?

A

Stabilize and Deliver soon

36
Q

Painful vaginal bleeding after 20 weeks with fetal distress is likely?

A

Placental Abruption

37
Q

What is Placenta Previa?

A

Abnormally low placental implantation near or covering the cervical os

38
Q

How will Placenta Previa present?

A

PainLESS bleeding that often ceases after a few hours

39
Q

Painless vaginal bleeding after 20 weeks that stops after a few hours is likely?

A

Placenta Previa

40
Q

How is Placenta Previa confirmed?

A

US

41
Q

Should you preform a vaginal exam with Placenta Previa?

A

NO

42
Q

What is Vasa Previa?

A

Uncovered umbilical cord vessels pass over the cervical os

43
Q

How will Vasa Previa present usually?

A

Painless vaginal bleeding + rupture of membranes

44
Q

Is it possible to see fetal bradycardia/demise with Vasa Previa?

A

YES

45
Q

How will Vasa Previa often present?

A

Painless vaginal bleeding after 20 weeks with rupture of membranes

46
Q

If a patient is at high-risk for developing Gestational DM, when do you screen them?

A

1st trimester

47
Q

If a patient developed GDM during the pregnancy, what should be performed at the 6 week postpartum visit?

A

2 hour 75g glucose challenge test

48
Q

What level of urine protein:Cr ratio can diagnose the proteinuria associated with Preeclampsia?

A

> 0.3

49
Q

What 24 hour urine protein level can diagnose the proteinuria associated with Preeclampsia?

A

> 300mg in 24 hours

50
Q

What BP level is diagnostic if Preeclampsia with severe features?

A

> 160 OR > 110

51
Q

If preeclampsia WITH severe features is present, when should delivery occur?

A

After 34 weeks

52
Q

If a patient experienced Preeclampsia in a prior pregnancy, what should they be taking during subsequent prenancies?

A

Low-dose Aspirin for prophylaxis

53
Q

What is the delivery method for Placenta/Vasa Previa?

A

C-section

54
Q

If Placenta Previa or Vasa Previa is present, what should be given in the 3rd trimester and how should they deliver?

A

Steroids –> C-section

55
Q

If placenta accreta/increta/percreta spectrum is present, what is the treatment?

A

C-section with Hysterectomy!

COMAT - OBGYN (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions