Normal Pregancy 2

Question 1

5 groups of drugs labeled as teratogens?

Answer 1

Alcohol, anti anxiety, antineoplastic, anticoagulants, anticonvulsants

Question 2

What MOA are some of the antineopalstic agents?

Answer 2

Anti folic acid agents and can be lethal

Question 3

Big difference between Coumadin and heparin as far as being teratogenic?

Answer 3

Coumadin crosses the placenta and heparin does not

Question 4

What are 3 anticonvulsants that are teratogenic?

Answer 4

Dilantin, valproic acid, and carbamazepine.

Question 5

3 other misc. drugs that are teratogenic?

Answer 5

Tobacco smoke, illicit drugs, and retinoids.

Question 6

Besides drugs, what are two other groups of teratogenic agents?

Answer 6

Infections and radiation

Question 7

Which specific infectious agent did he mention being teratogenic?

Answer 7

CMV

Question 8

What is the critical period of baby being exposed to radiation and what is the rule of thumb for radiation risk?

Answer 8

Week 2-6

Less than 5 rads

Question 9

6 common symptoms and complaints of pregnancy?

Answer 9

N/V, heart burn, Constipation, hemorrhoids, leg cramps, back pain,

Question 10

How frequent are prenatal visits?

Answer 10

Every 4 weeks until 28 weeks pregnant
Every 2 weeks 38-36
Weekly until delivery

Question 11

5 things typically evaluated at a prenatal visit?

Answer 11

Weight, BP, urine protein, uterine size and fetal HR

Question 12

What is done at the following weeks during pregnancy? 20, 28, and 35?

Answer 12

US
Screen for gestational diabetes and hemoglobin/hct, RhoGAM shot if needed and Tdap.
Screen for group b strep

Question 13

What is normal kick counting for fetal movement?

Answer 13

10 movements in 2 hours

Question 14

What result is normal in the nonstress test?

Answer 14

Reactive 2 accelerations of at least 15 beats above baseline lasting at least 15 seconds during a 20 minute time of monitoring

Question 15

What is a positive contraction test and what do we do?

Answer 15

Give oxytocin to get 3 contractions within a ten minute period. If HR goes down with contractions test is positive and deliver.

Question 16

What are the 5 components of the reassuring biophysical profile and what is normal for each one?

Answer 16

2x2 cm pocket of amniotic fluid, extremity moves into extension and returns to flexion within 30 minutes, three discrete body movements within 30 minutes, fetal breathing for 30 seconds within 30 minutes and good non stress test.

Question 17

What are the three different biophysical scores and what do they mean?

Answer 17

8-10 is reassuring
6 is equivocal and should deliver if mom is term
4 or less is nonreasuring and consider delivery regardless