Medical Conditions In Preganancy 2

Question 1

How do we define anemia in a pregnant lady and what is the most common cause?

Answer 1

HCT under 30, HgB under 10.

Iron deficiency

Question 2

Thrombophlebitis is most common in what 3 patients?

Answer 2

Varicose veins, obesity and little activity

Question 3

Which leg is more commonly affected with a DVT, what is a special test we can do for a DVT, how to treat?

Answer 3

Left
Homans, pain with dorsiflexion of calf
Heparin

Question 4

What is the most common pulmonary disease in pregnancy? What are 5 effects of this condition of the pregnancy?

Answer 4

Asthma

Miscarriage, preeclampsia, intrauterine fetal death, IUGR, preterm delivery

Question 5

What can we give mom at delivery with asthma to help?

Answer 5

IV steroids

Question 6

What is the most common headache for a pregnant woman?

Answer 6

Tension HA

Question 7

What type of headache improves during pregnancy?

Answer 7

Migraine

Question 8

What do ladies with MS present with? 2 things?

Answer 8

Fever and less severe episodes during pregnancy

Question 9

MS increases risk of what two things?

Answer 9

Lower birth rate and increased C section

Question 10

What seizure med is a no no, which two are most commonly used, and what do pregnant ladies on seizure meds usually need to supplement?

Answer 10

Valproate
Dilantin and phenobarbital
Folic acid

Question 11

Women on anti epileptics have an increased risk for what?

Answer 11

Congenital malformations

Question 12

3 risk factors for women to get postpartum depression?

Answer 12

Personal or family history of depression
History of abuse
Drug use

Question 13

Most common cause of PE?
4 symptoms of PE?
5 signs?

Answer 13

DVT
Chest pain, air hungry, SOB, palpitations
Tachypnea, tachycardia, fever, strong second heart sound of pulmonic valve, pulmonary rales.

Question 14

Why such a high risk for DVT in pregnancy?

Answer 14

Pregnancy is hyper coagulable state