Medical conditions and obstetrics Flashcards
A mother who is surgically treated for graves prior to pregnancy has a child who presents with signs of toxicosis. What is the cause?
persisting thyroid stimulation immunoglobulin
What anti-hypertensive absolutely cannot be used?
ACE-Is
What anticoagulation cannot be used in pregnancy?
warfarin
How does lupus affect pregnant women?
rule of thirds: 1/3 get better, 1/3 stay the same, 1/3 worsen
How do you handle D negative women?
give rhogam at 28 weeks - it lasts for 12 weeks
How do you handle a D sensitized woman?
check antibody titers, amnio, serial US monitoring for hydrops, at delivery monitor for anemia
How do you manage asymptomatic bacturia in pregnancy?
7 days nitrofurantoin
How do you manage acute pyelonephritis in pregnancy?
IV antibiotics and hosp
What antibiotics should not be used in pregnancy?
Fluoroquinones and Bactrim
A woman presents with elevated bile acids, elevated liver enzymes, elevated bilirubin and intense pruritis. This is..
intrahepatic cholestasis of pregnancy
How can you distinguish between primary hypertension, gestational hypertension and preeclampsia?
preeclampsia is hypertension at 20 weeks with proteinuria, gestational hypertension is onset of hypertension at 20 weeks
What vaccines should not be given during pregnancy?
varicella, MMR
A patient presents with hyperthryoidism. The best treatment is.
PTU - methimazole is associated with aplasia cutis
How does the infant of a mother with type I diabetes commonly present?
hypoglycemic and microsomia
Children born to women with gestational diabetes are at high risk for…
polycythemia, hypoglycemia, hyperbilirubinemia, polyhydraminos, congenital malformations, preterm birth, hypertensive complications
