Medical Conditions in Pregnancy (Wootton)

Question 1

Preterm delivery, fetal growth restrictions, stillbirth, and miscarriage are all fetal complications of what autoimmune disorder?

Answer 1

SLE

Question 2

Treat the SLE flares with?

Answer 2

Prednisone

Question 3

There is a 10% risk for neonatal lupus-passive transfer of __1__ or __1__.

Answer 3

anti-Ro/SSA or anti-La/SSB

Question 4

The presence of lupus anticoagulant and or anticardiolipin antibody is diagnostic of?

Answer 4

Antiphospholipid Syndrome

Question 5

With antiphospholipid syndrome there is an increased risk of developing?

Answer 5

Preeclampsia

Question 6

Treated antiphospholipid syndrome during pregnancy with __1__ and __2__.

Answer 6

1) Heparin/low molecular weight heparin

2) Low-dose aspirin

Question 7

Acute Renal Failure is due to preexisting renal disease or pregnancy induced and there are three types of it.

Which type is seen with acute blood or fluid loss?

Which type is there usually a preexisting disease (lupus nephritis) or hypercoagulable state?

Which type is there rare, urologic obstructive lesions such as kidney stones?

Answer 7

1) Pre-renal
2) Renal
3) Post-renal

Question 8

Using different mechanics to remove the obstruction such as a urethral catheter is the treatment for which type of Acute Renal Failure?

Treatment such as diuretic therapy and hemodialysis is directed at preventing further damage for which type of Acute Renal Failure?

Volume restoration is the treatment for which type of Acute Renal Failure?

Answer 8

1) Post-renal
2) Renal
3) Pre-renal

Question 9

Chronic Renal Failure with serum ____ greater the 1.5 to 2 worsens the prognosis.

Answer 9

Creatinine

Question 10

__1__ is more e likely to lead to cystitis and pyelonephritis in pregnant women.

__2__ is the most common cause.

Answer 10

1) Asymptomatic bacteriuria

2) E. coli

Question 11

Fever, costovertebral tenderness, malaise, elevated WBC is the presentation of __1__.

20% of these patients have increased __2__ activity and can result in __3__.

Answer 11

1) Pyelonephritis
2) Uterine
3) Preterm labor

Question 12

What do 50-80% of women complain of during the first 8-12 weeks of pregnancy and is treated with vitamin B6, doxylamine, and promethazine?

Answer 12

Nausea and vomiting

Question 13

Persistent nausea and vomiting associated with >5% loss of pre-pregnancy weight, ketonuria, and dehydration is characteristic of?

Answer 13

Hyperemesis gravidarum

Question 14

What GI condition occurs in 70% of pregnant women and treatment involves small meals, avoiding lying down after meals, elevate head when sleeping, antacids, and H2 blockers?

Answer 14

Reflux Esophagitis (GERD)

Question 15

What GI condition may pregnancy actually improve the condition of?

Antibiotic therapy is targeted at?

Answer 15

1) Peptic ulcer

2) H. pylori

Question 16

Pregnant women with ____ syndrome are at greater risk due to delayed gastric emptying and increased intraabdominal/intragastric pressure which can result in adult respiratory syndrome.

Answer 16

Mendelson’s Syndrome aka acid aspiration syndrome

Question 17

There can be increase ____ risk if Inflammatory Bowel Diseases (Crohn’s disease and ulcerative colitis) is active at the time of conception.

Answer 17

Miscarriage

Question 18

Cholestasis and pruritis in second half of pregnancy along with an increased risk of meconium stained amniotic fluid and fetal demise is characteristic of?

Answer 18

Intrahepatic Cholestasis of pregnancy

Question 19

With Intrahepatic Cholestasis of pregnancy what is a common presentation?

Labs reveal what serum levels to be elevated?

Answer 19

1) Itching without abdominal pain or rash

2) Bile acids

Question 20

__1__ is an obstetric emergency characterized by maternal liver dysfunction and/or failure that can lead to maternal and fetal complications, including death.

__2__ must be done in order to save the mothers life.

Answer 20

1) Acute fatty liver of pregnancy

2) Termination of pregnancy