Pathophys of Pregnancy Flashcards

1
Q

aside from folic acid, what is another supplement commonly needed during pregnancy?

A

iron

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2
Q

what is normal pregnancy weight gain?

A

25-35lbs

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3
Q

what can diabetes cause in fetus?

A
caudal regression syndrome
cardiac anomalies
spina bifida
fetal growth abnormalities 
ARDS
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4
Q

what is target A1c level for pre conception?

A

less than 7

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5
Q

if patient has HTN, what should they be taken off of before conception?

A

ACE/ARB

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6
Q

what are BP goals during pregnancy?

A

140/90s

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7
Q

what infections should be screened for during pregnancy?

A
Hep B
herpees
HIV
chlamydia
syphilis
GBS
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8
Q

what can you give pregnant lady at high risk for hep B transmission during preganancy?

A

Hep B vaccine

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9
Q

what are the congenital manifestations of herpes?

A

encephalitis, seizures meningitis
herpes vesicles
respiratory distress

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10
Q

what do you do for delivery if mom has herpes lesions in genitals

A

C section

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11
Q

what do you give to baby if mom is HIV pos?

A

immunoprophylaxis and antiretroviral prophylaxis

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12
Q

what should mom not do for infant if she is HIV pos?

A

breastfeed

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13
Q

what are risks to baby if mom hs chlamydia?

A

conjunctivitis

pneumonia

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14
Q

what are risks of early GBS infxn in baby?

A

sepsis
pneumonia
meningitis

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15
Q

how is toxoplasmosis transmitted?

A

cat feces and undercooked meat

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16
Q

what is effects of toxo on baby?

A

chorioretinitis
hydrocephalus
intracranial calcifications

17
Q

what is transmission of rubella?

A

resp droplets

18
Q

what are signs of rubells in infant?

A

PDA, cataracts, deafness, blueberry muffin rash

19
Q

how is CMV transmitted?

20
Q

what are signs of CMV in baby?

A

hearin loss, seizures, blueberry muffin rash

21
Q

what are signs of HIV in baby?

A

recurrent infxns and diarrhea

22
Q

what are signs of HSV2 in baby?

A

temporal encephalitis and herpetic lesions

23
Q

what are signs of syphilis in baby?

A

notched teeth, saber shins, saddle nose, deafness

24
Q

what is a big risk with syphilis infxn and pregnancy?

A

still birth or hydrops fatalis

25
what do we screen urine for during pregnancy? why?
asymptomatic bacteriuria..because increased risk for pyelonephritis during pregnancy
26
what is most common bug in urinary tract during pregnancy?
E coli
27
what two things are screened for in 2nd trimester?
gestational diabetes and anemia
28
what is a cranial neural tube defect called?
anencephaly
29
what three hormones cause insulin insensitivity in mom?
human placental lactogen | progesterone and estrogen
30
what can happen to baby if there is gestational diabetes?
macrosomia
31
when is rhogam needed?
if you have Rh neg mom and Rh pos baby
32
what test is done to test for IgG abs against D blood antigen?
indirect coombs test
33
how do you measure amniotic fluid amount?
via ultrasound...add up pockets
34
what is lochia?
postpartum blood discharge...placenta coming out
35
what can happen to heart in peripartum?
idiopathic cardiomyopathy
36
what hormone inhibits lactation?
progesterone
37
what is required for lactation?
continuous removal of milk from breast
38
what does lactation inhibit?
suppresses fertility
39
what is colostrum made of?
high calorie, protein and antibodies and macrophages and lymphocytes