Pathophys of Pregnancy

Question 1

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

Answer 1

iron

Question 2

what is normal pregnancy weight gain?

Answer 2

25-35lbs

Question 3

what can diabetes cause in fetus?

Answer 3

caudal regression syndrome
cardiac anomalies
spina bifida
fetal growth abnormalities 
ARDS

Question 4

what is target A1c level for pre conception?

Answer 4

less than 7

Question 5

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

Answer 5

ACE/ARB

Question 6

what are BP goals during pregnancy?

Answer 6

140/90s

Question 7

what infections should be screened for during pregnancy?

Answer 7

Hep B
herpees
HIV
chlamydia
syphilis
GBS

Question 8

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

Answer 8

Hep B vaccine

Question 9

what are the congenital manifestations of herpes?

Answer 9

encephalitis, seizures meningitis
herpes vesicles
respiratory distress

Question 10

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

Answer 10

C section

Question 11

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

Answer 11

immunoprophylaxis and antiretroviral prophylaxis

Question 12

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

Answer 12

breastfeed

Question 13

what are risks to baby if mom hs chlamydia?

Answer 13

conjunctivitis

pneumonia

Question 14

what are risks of early GBS infxn in baby?

Answer 14

sepsis
pneumonia
meningitis

Question 15

how is toxoplasmosis transmitted?

Answer 15

cat feces and undercooked meat

Question 16

what is effects of toxo on baby?

Answer 16

chorioretinitis
hydrocephalus
intracranial calcifications

Question 17

what is transmission of rubella?

Answer 17

resp droplets

Question 18

what are signs of rubells in infant?

Answer 18

PDA, cataracts, deafness, blueberry muffin rash

Question 19

how is CMV transmitted?

Answer 19

sex

Question 20

what are signs of CMV in baby?

Answer 20

hearin loss, seizures, blueberry muffin rash

Question 21

what are signs of HIV in baby?

Answer 21

recurrent infxns and diarrhea

Question 22

what are signs of HSV2 in baby?

Answer 22

temporal encephalitis and herpetic lesions

Question 23

what are signs of syphilis in baby?

Answer 23

notched teeth, saber shins, saddle nose, deafness

Question 24

what is a big risk with syphilis infxn and pregnancy?

Answer 24

still birth or hydrops fatalis

Question 25

what do we screen urine for during pregnancy? why?

Answer 25

asymptomatic bacteriuria..because increased risk for pyelonephritis during pregnancy

Question 26

what is most common bug in urinary tract during pregnancy?

Answer 26

E coli

Question 27

what two things are screened for in 2nd trimester?

Answer 27

gestational diabetes and anemia

Question 28

what is a cranial neural tube defect called?

Answer 28

anencephaly

Question 29

what three hormones cause insulin insensitivity in mom?

Answer 29

human placental lactogen

progesterone and estrogen

Question 30

what can happen to baby if there is gestational diabetes?

Answer 30

macrosomia

Question 31

when is rhogam needed?

Answer 31

if you have Rh neg mom and Rh pos baby

Question 32

what test is done to test for IgG abs against D blood antigen?

Answer 32

indirect coombs test

Question 33

how do you measure amniotic fluid amount?

Answer 33

via ultrasound…add up pockets

Question 34

what is lochia?

Answer 34

postpartum blood discharge…placenta coming out

Question 35

what can happen to heart in peripartum?

Answer 35

idiopathic cardiomyopathy

Question 36

what hormone inhibits lactation?

Answer 36

progesterone

Question 37

what is required for lactation?

Answer 37

continuous removal of milk from breast

Question 38

what does lactation inhibit?

Answer 38

suppresses fertility

Question 39

what is colostrum made of?

Answer 39

high calorie, protein and antibodies and macrophages and lymphocytes