Pathophys of Pregnancy Flashcards
aside from folic acid, what is another supplement commonly needed during pregnancy?
iron
what is normal pregnancy weight gain?
25-35lbs
what can diabetes cause in fetus?
caudal regression syndrome cardiac anomalies spina bifida fetal growth abnormalities ARDS
what is target A1c level for pre conception?
less than 7
if patient has HTN, what should they be taken off of before conception?
ACE/ARB
what are BP goals during pregnancy?
140/90s
what infections should be screened for during pregnancy?
Hep B herpees HIV chlamydia syphilis GBS
what can you give pregnant lady at high risk for hep B transmission during preganancy?
Hep B vaccine
what are the congenital manifestations of herpes?
encephalitis, seizures meningitis
herpes vesicles
respiratory distress
what do you do for delivery if mom has herpes lesions in genitals
C section
what do you give to baby if mom is HIV pos?
immunoprophylaxis and antiretroviral prophylaxis
what should mom not do for infant if she is HIV pos?
breastfeed
what are risks to baby if mom hs chlamydia?
conjunctivitis
pneumonia
what are risks of early GBS infxn in baby?
sepsis
pneumonia
meningitis
how is toxoplasmosis transmitted?
cat feces and undercooked meat
what is effects of toxo on baby?
chorioretinitis
hydrocephalus
intracranial calcifications
what is transmission of rubella?
resp droplets
what are signs of rubells in infant?
PDA, cataracts, deafness, blueberry muffin rash
how is CMV transmitted?
sex
what are signs of CMV in baby?
hearin loss, seizures, blueberry muffin rash
what are signs of HIV in baby?
recurrent infxns and diarrhea
what are signs of HSV2 in baby?
temporal encephalitis and herpetic lesions
what are signs of syphilis in baby?
notched teeth, saber shins, saddle nose, deafness
what is a big risk with syphilis infxn and pregnancy?
still birth or hydrops fatalis
what do we screen urine for during pregnancy? why?
asymptomatic bacteriuria..because increased risk for pyelonephritis during pregnancy
what is most common bug in urinary tract during pregnancy?
E coli
what two things are screened for in 2nd trimester?
gestational diabetes and anemia
what is a cranial neural tube defect called?
anencephaly
what three hormones cause insulin insensitivity in mom?
human placental lactogen
progesterone and estrogen
what can happen to baby if there is gestational diabetes?
macrosomia
when is rhogam needed?
if you have Rh neg mom and Rh pos baby
what test is done to test for IgG abs against D blood antigen?
indirect coombs test
how do you measure amniotic fluid amount?
via ultrasound…add up pockets
what is lochia?
postpartum blood discharge…placenta coming out
what can happen to heart in peripartum?
idiopathic cardiomyopathy
what hormone inhibits lactation?
progesterone
what is required for lactation?
continuous removal of milk from breast
what does lactation inhibit?
suppresses fertility
what is colostrum made of?
high calorie, protein and antibodies and macrophages and lymphocytes
