Pregnancy Flashcards
Hard and painful uterus with PV bleeding in 3rd trimester with dark red blood
Placenta abruption
multipara late in 3rd trimester (> 34 weeks) with painless bright red bleeding
Placenta previa
Preeclampsia always occurs > ____ weeks
20 weeks
Name 3 characteristics of preeclampsia
edema of face/hands
Weight gain of > 2-4 lbs per week
BP > 140/90
Urine protein +1
Headache/visual disturbance
HELLP define
What is this condition associated with?
Hemolysis
Elevated liver enzymes
Low platelets
Preeclampsia
If protein present in u dip on pregnant woman > 20 weeks, what is the next diagnostic test?
24 hour urine protein and creatinine
T/F. MCV is the best way to identify if IDA in pregnancy as HCT and HGB decrease throughout pregnancy
True
All of the following are increased in pregnancy, except:
ESR
TSH
WBC
ALK phos
TSH - unchanged in pregnancy
Serum alpha fetoprotein is produced in the maternal and fetal ____
liver
Identify if high/low AFP in Downs and NTD
Downs - low AFP
NTD - high AFP
Chorionic villus sampling can be completed at ___ to ___ weeks VERSUS amniocentesis that can be performed at __ to __ weeks
10-12 weeks (CVS)
5-18 weeks (amnio)
Do not use doubling of HCG after what week?
12 weeks (only relevant in first trimester)
When to swab for GBS in pregnancy?
35-37 weeks
What 2 medications can be used for HTN in pregnancy?
CCB
Labetalol
All of the following have what in common?
TMP/SMX
ACE
Fluoroquinolones
Tetracyclines
NSAIDs
Sulfa drugs
Not safe to use in pregnancy
After live vaccine, advise females to not get pregnant within ____ weeks for ____ or ____ months for _______ and _____
After live vaccine, advise females to not get pregnant within 4 weeks for MMR or 3 months for varicella and shingles
Normal weight gain in pregnancy is
25-35 lbs
At what week is the uterine fundus at the umbilicus?
At this week FHT can be auscultated using
20 weeks
Stethoscope
Size discrepancy of fetus that is abnormal is > ___ cm
> 2 cm
Nageles rule
EDD = LMP + 9 months + 7 days
If a woman is diagnosed w/ diabetes in the first trimester she has gestational diabetes. True or false?
False, she has DM II
OGTT abnormal fasting result
> 95
OGTT abnormal 1 hour result
180
OGTT abnormal 2 hour result
> 153-155
How to treat pregnant woman w/ UTI if < 38 weeks
Nitro x 5-7 days (increased risk of hyperbilirubinemia late in pregnancy)
A Urine micro of > 10,000 in symptomatic pregnant woman is considered a UTI. T/F?
True
Threatened abortion, cervix open or closed?
Cervic closed
Inevitable abortion, cervix open or closed?
Open
intravaginal ultrasound is contraindicated in placenta previa. T/F?
True ONLY abdominal US
