Preg Flashcards
Gestation diabetes screen is done when and with what test (preferably)?
24-28 wks
OGTT
What 2h OGTT is diagnostic of diabetes
> 200
What are the fasting glucose targets in gestational diabetes and the 1&2h post prandial targets?
Fasting- <95
1h PP- <140
2h PP- <120
HELP Syndrome components
Hemolysis
Elevated Liver enzymes
Low Platelet
Can cause end organ vasospasm ie. seizures
Suspected miscarriage with open cervical Os =
Inevitable absorption
Differences between placenta previa and abruptio placenta
Placenta previa- painless bleeding, non tender uterus and often fetal VS will be fine (initially)
Abruptio placenta - bleeding, painful uterus
Prophylactic HSV treatment can be initiated when
36 weeks
Treatment of eclampsia
Mag sulf
Delivery
Control BP
When to screen for post party depression
6 weeks post partum
Postpartum blues resolve by ——?
2 weeks
Pt with normal BMI has recommended weight gain of what during pregnancy?
25-35 lbs
Tubal scarring from PID or hx of c-section increases risk of what
Ectopic preg
3rd trimester
Upper R quad pain
Itching in hands and feet
Elevated bile acids
Elevated liver enzymes (<2x)
Inteahepatic cholestasis in preg
Ursodeoxycholic acid is treatment for what
Intrahepatic cholestasis of preg
Pregnancy rhinitis treatment
Saline nasal spray
Regular exercise to increase physiologic vasoconstrict and prevent epistaxis
Pt is RH pos - what’s the risk of Rh(D) alloimunization?
None
Risk only in Rh Neg parent
Anti D Immunoglobulins are given to who and when (routinely)
Rh Neg pregnant with no immunity
At 28 weeks and within 72h of delivery
+ VDRL & + FTA-ABS
Treatment?
Penicillin G
Allergic and preg- get skin test and desensitization therapy to penicillin
Allergic and non preg- doxy
Which of the following abx classes can be given in preg;
Fluroquinalones
Macrolides
Tetracyclines
Cephalosporins
Macrolides and cephalosporins
When are pts screened for GBS?
36-38 weeks
Treatment- penicillin
3ed trimester pruritic rash on abdomen, near striae, spares umbilicus
Polymorphic eruption of pregnancy
Treatment is topical steroids
Normal Beta HCG trend in 1st trimester
Should increased by at least 50% a 48-72h for initial 6-8 weeks
Common causes of Metabolic Alkalosis during preg?
What metabolic shift is more common in preg and considered physiologic variant?
Metabolic Alkalosis- hyperemesis gravidarum
Respiratory alkalosis is more common in preg
DVT treatment in preg?
Low molecular weight herparin ie. enoxaparin
Flu like symptoms,localized pain and welling to breast, cessation in breast feeding in hx
Tx?
Lactational mastitis
Tx- abx ie. dicloxacillin or cephalexin and keep breastfeeding to clear!
Pre-eclampsia prevention
Daily ASA started at 12 wks
Asymptomatic bacteruria is screened for when-
Defined as what count-
Treatement-
12-16 wks
>100 000
Cephalexin or amoxi-clav or nitrofurantoin
Nausea and vomitting in 1st trimester preg treatment after lifestyle interventions
Vit B6 & H1 antihistamine ie. promethazine
Naegeles rule
First date of LMP - 3 months + 7d
