Physiological changes in pregnancy

Question 1

Uterus Weight ↑ or ↓

Answer 1

↑

Question 2

Cervix, hardens or softens

Answer 2

softens

Question 3

Blood - volume, Hb, WCC

Answer 3

↑ Volume but ↓ Hb relatively, ↑WCC

Question 4

How much is VTE risk increased by?

Answer 4

6x

↑ clotting factors, ↓fibrinolytic activty, ↑ stasis

Question 5

Cardiac Output ↑↓?

Answer 5

↑ by about 40% - basically pumping for 2

Question 6

BP? ↑ or ↓

Answer 6

BP ↓ in mid pregnancy then rises back up again towards end

Question 7

GRF? ↑ or ↓?

Answer 7

↓ GFR by ~40%

Question 8

Recreation drugs

Which are teratogenic?

Answer 8

Cocaine and ecstasy

Question 9

REactional dugs

facial clefts, neonatal hypotonia & withdrawal

Answer 9

Benzos

Question 10

Which anti-epileptics to use and not use?

Answer 10

Carbamazepine and lamotrigine alright

Valproate bad

Question 11

What type of delivery with cardiovascular disease?

Answer 11

Forceps, normal may be too difficult for Pt. Also may need to give Abx for endocarditis

Question 12

What do you give for antiphospholipid?

Answer 12

Aspirin and LWMH

Question 13

Vaginitis during pregnancy? Whats the infection?

Answer 13

Candidiasis

itchy, great white discharge,

Treat with clotrimazole pessary

Question 14

Abdo pain - how common is it what could cause it?

Answer 14

Very common

Appendicitis/pacreatitis, UTI, fibroids