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Pre-gestational disorders Flashcards

1
Q

What disease is it called when the heart muscle and heart valves are damaged?

A

Rheumatic Heart Disease

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2
Q

Has indentation to the inflammation

A

Erythema marginatum

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3
Q

Narrowing of the opening of the mitral valve due to stiffening of the valve leaflets leading to obstruction

A

Mitral Valve Stenosis

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4
Q

Difficulty of breathing

A

Dyspnea

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5
Q

Signs and symptoms of MVS

A
  • Dyspnea
  • Hemoptysis
  • Atrial fibrillation
  • Endocarditis
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6
Q

Lab values of Hypokalemia

A

< 3.5 mEql / L

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7
Q

Decrease resting ventricular rate

A

Digitalis

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8
Q

Normal circulating blood volume during pregnancy ?
a. 70 - 90 %
b. 50 - 60 %
c. 40 - 60 %
d. 20 - 32%

A

C. 40 - 60%

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9
Q

Normal pregnancy cardiac output?
a. 12 - 20 %
b. 25 - 50 %
c. 30 - 60 %
d. 50 - 75 %

A

B. 25 - 50 %

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10
Q

Normal pregnancy cardiac rate?

A

10 - 12 bpm

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11
Q

True or False
Arthralgia is an inflammation to the muscle

A

False

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12
Q

True or false

Polyarthritis is an inflammed muscle

A

True

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13
Q

s/s:
- Bradycardia
- Blurring of Vision
- Nausea and Vomiting
- Anorexia

A

Digitalis Toxicity

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14
Q

Hole in Septum

A

Atrial Septal Defect

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15
Q

Open ductus arteriosus

A

Patent ductus arteriosus

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16
Q

Narrowing of Aorta

A

Coarctation of Aorta

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17
Q

Tetralogy of Fallot

A
  • Narrowing of pulmonary artery (pulmonary stenosis)
  • Right ventricular hypertrophy
  • Overriding Aorta
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18
Q

Give the classification of heart disease:
Asymptomatic at normal levels of activity

A

Class 1

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19
Q

Symptomatic with ordinary activity

A

Class III

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20
Q

An endocrine disorder of carbohydrate metabolism, results from inadequate production or use of insulin

A

Diabetes Mellitus

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21
Q

S/S of DM
clue:
Excessive urination
Excessive thirst
Extreme hunger

A
  • Polyuria
  • Polydypsia
  • Polyphagia
    (poly means excessive/over the normal)
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22
Q

Type of DM
Cannot use / absorb insulin

A

Type 2 DM

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23
Q

Body’s failure to produce insulin

A

Type 1 DM

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24
Q

DM only occurs during pregnancy

A

Gestational Diabetes

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25
Steady constant increase of Blood glucose
Diabetogenic effect
26
T/F Risk Factors Obesity Hypertension maternal age of >35 y/o Hydramnios ( ^ to 10 - 20%) PROM Pre/eclampsia
True
27
Clinical Diagnosis for DM Fasting Blood Sugar
do not give glucose for 8 hrs
28
Glucose Tolerance test
give 50 g dextrose sol dissolved to 200 mL water
29
Oral Glucose Tolerance Test
100 g of dextrose 1st hr : 180 g 2nd hr : 155 g 3rd hr : 140 g
30
what level indicates DM in Oral glucose Tolerance test?
> 95 dL
31
Urinalysis : Benedict's test Identify the indications of the colors : Green Red
Green: Low amount of glucose Red: High amount of glucose
32
Risk: - Thick blood due to excessive numbers of RBC - blood is rady in color (dark red) - d/t diminished ability of glycosylated haemoglobin in the mother's blood to release oxygen
Polycythemia
33
Management: Antepartal What do you need to increase in the mother's diet?
Calorie intake by 300 kcal/day
34
Management: Intrapartal
- Timing of birth - Labor management
35
Management: Postpartal
Reassess 6 wks (3 yrs interval) postpartum to check glucose level
36
Another Pre-gestational disorder that occurs when a person experiences difficulties with work, family, social relations as a result of alcohol or drug abuse
Substance Abuse - Tobacco, Alcohol, Cocaine, Narcotics, Sedatives, Amphetamines, Marijuana
37
True or False Alcohol is a CNS depressant & a potent teratogen. It also affects respiratory functions and can cause infant a congenital anomaly
True
38
What syndrome can develop from drinking alcohol?
Fetal Alcoholic syndrome
39
Most widely used illicit drug among women, both pregnant and non pregnant
Marijuana
40
Maternal effects of marijuana
- Anemia - Low maternal weight
41
Methylenedioxymethamphetamine is the most common used of a group of drugs referred to as club drugs/party drugs. Give an example
Ecstacy Meth
42
Amphetamines maternal effect
Malnutrition
43
Amphetamines Neonatal effects
Cleft palate & IUGR
44
Effects of Narcotics
Infant: Perinatal asphyxia (low oxygen during gestation) , IUGR PROM, STDs
45
What is RH Sensitization?
occurs when the father has a negative rhesus and mother has a positive rhesus or VV
46
What blood type is RBC Reduction safest to give to?
O-
47
Effect of RH Sensitization
destruction of RBC
48
a type of diagnostic test that checks for the presence of antibodies that attacks the RBC
Direct Coombs Test
49
A Dx that checks for the presence of RBC in the blood supply of the mother
Indirect Coombs test
50
Management: When to give Rhogam if diagnosed before pregnancy?
28th wk of gestation and the first 72 hrs after delivery
51
Iron deficiency anemia Folic acid deficiency anemia Sickle cell anemia Thalassemia
Anemia
52
IRON DEFICIENCY ANEMIA - Smaller than usual RBC - Pale RBC
- Microcytic - Hypochromic
53
Iron D. A. What are Hematemesis, Melena, hematochezia, Hemolysis?
- Hematemesis: blood in vomit - Melena: Black tarry stool - Hematochezia: Fresh blood on lower GI track - Hemolysis: Destruction of RBCs
54
Maternal Effects of IDA
Pallor (Pale skin) Glossitis
55
Management of IDA
Iron supplement Intake Vitamin C-rich foods
56
Distinct Characteristic of Folic Acid. D.A.
Macrocytic
57
Fetal effects of F. A. D. A.
Abortion Neural tube defect
58
Characteristics: - Normochromic, Sickle shaped - Autosomal Recessive Genetic disorder - Causes obstruction - Not smooth flow to Blood vessels - Hemolysis
Sickle Cell Anemia
59
Dx for SCA
- hemoglobin electrophoresis - Sickling test
60
Genetic disorder that involves abnormal synthesis of Alpha or beta chains of hemoglobin leading to alteration in cell membrane and decrease RBC life span - Hypochromic and microcytic
Thalassemia

MCN (1 decks)

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