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Pregnancy Risks > Pregestational Problems > Flashcards

Pregestational Problems Flashcards

0
Q

Cocaine/crack

Ecstasy

A

Stimulant

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1
Q

Alcohol

A

Depressant

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2
Q

Marijuana

PCP

A

Psychotropic

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3
Q

Heroin

A

Narcotic

Methadone tx

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4
Q

Methadone

A

Blocks withdrawal symptoms of opioids
Crosses the placenta
Frequent urine drug screens (methadone positive)

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5
Q

Pregnancy influence on Diabetes

A 
Increase Vascular diseases: 
Increase BP
Neuropathy 
Retinopathy
Ketoacidosis ( high BS, polydipsia, polyphagia, weakness, fruity breathe, confusion
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6
Q

Diabetes influence on pregnancy:

Maternal/ fetal

A

MATERNAL: hydraminos( excess fluid), preeclampsia-eclampsia, ketoacidosis, retinopathy

FETAL: congenital anomalies, feeding issues, slow/difficult labor (dystocia), macrosomia

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7
Q

When do u screen for gestational diabetes?

A

24-28 weeks

High risk if over 25

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8
Q

Glucose:
Fasting
2hrs after meal
Hypoglycemia

A

Fasting= <50

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9
Q

Insulin requirements in 2nd trimester…?

A

Increase

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10
Q

What is an inadequate level of Hb in pregnant woman?

Causes?

A 
<11
Iron or frolic acid deficiencies
Hb destruction (sickle cell anemia/ thalassemia
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11
Q

Anemia risks maternal/ fetal?

A

MATERNAL: preeclampsia, infection, post hemorrhage, delayed healing, tired

FETAL: low birth weight, prematurity, stillbirth

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12
Q

PO iron side effects?

A

Vomiting, diarrhea, constipation
Black stools
TTAKE WITH VITAMIN C

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13
Q

Folic Acid deficiencies leads to…?

A

NEURAL TUBE DEFECTS

spina bifida, anencephaly- born without parts of brain or skull, meningomyelocele

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14
Q

Folic acid recommendations and diet?

A

0.4 mg/daily

Green leafy, legumes, red meats, veggies, fish, poultry

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15
Q

Sickle cell crisis trigger and position?

A

Infection can trigger crisis ( pneumonia, UTI, osteomyelitis)

Place in left lateral

May have premature delivery

16
Q

Sickle cell anemia patho?

A

HgS causes RBC to be crescent in SPLEEN, BONE MARROW, PLACENTA

17
Q

Sickle cell anemia maternal/ fetal risks and s/s?

A

MATERNAL: abd, joint pain, undernourished, ulcers on ankles, VASO-occlusive Crisis (pain), infection

FETUS: prematurity, IUGR, fetal death ( sickle cell placenta)

18
Q

What must all practitioners test pregnant women for at initial prenatal screening?

A

AIDS
HEPATITIS
SYPHILLIS
( Must get consent)

19
Q

When is it optimal to give birth for woman with HIV?

A

Elective C/S at 38wks, before ROM

20
Q

When should u screen for HIV?

A

First and third trimester

21
Q

Peripartum Cardiomyopathy s/s?

A

CHF symptoms

Symp. attributed to chronic HTN, , mitral stenosis, obesity, viral myocarditis

22
Q

Eisenmenger Syndrome cause and complication?

heart disease

A

Develop from cardiac lesions

Cause left to right shunting and Pulmonary HTN

23
Q

Mitral Valve Prolapse s/s and tx?

A

Usually a symptomatic
Or palpitations, chest pain, dyspnea
Tx: propanolol, ABX NOT RECOMMENDED

24
Q

HEART DISEASE -CLASSIFICATION:

Class III and IV Labor and childbirth?

A

Hospitalized before onset of labor
Cardiovascular stabilization
May need to limit maternal pushing

25
Q

What is the key clinical therapy for pregnant women and heart disease?

A

Minimize workload of the heart and promote tissue perfusion to placenta!!!

Prevent anemia
Prevent infection
Limit moms activity and weight gain

26
Q

Fetal effect of asthma?

A

Can cause prematurity and low birth weight

27
Q

Fetal effect of epilepsy?

A

Congenital anomalies

28
Q

When is fetus highest risk for Hep B transmission?

Treatment?

A

Infants infected perinataly at highest risk

* Vaccinate mom if needed

29
Q

Pregnant mom with RA may have…?

A

Remission during pregnancy and relapse during postpartum

*Prednisone causes PROM or early labor

Pregnancy Risks (2 decks)

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