pregnancy Flashcards

0
Q

rate of C-section?

A

30%

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1
Q

smoking is ___ for pre-eclampsia

A

protective

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2
Q

risks of obesity in pregnancy

A
  • difficult getting pregnant
  • Deep Venous Thrombosis, Pulmonary Embolism
  • preterm delivery
  • C-section
  • shoulder dystocia for baby
  • stillbirth
  • hypertensive disorders
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3
Q

rate of C-section for first birth?

A

20%

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4
Q

why are babies of diabetic moms big?

A

baby makes a lot of insulin to combat extra sugar (insulin doesn’t cross the placenta), insulin functions as a growth factor

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5
Q

___ medications are commonly implicated as teratogens

A

anti-seizure

also warferin/coumadin (blood thinners), ace inhibitors, retinoic acid

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7
Q

“post-term” means

A

42 weeks

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8
Q

preterm is classified as

A

20 - 36 wk

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9
Q

term is considered between ___

A

37- 41 wk

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9
Q

when can you find a heart beat?

A

6 weeks

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10
Q

current limit of viability for preterm baby is around …

A

24 wk

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11
Q

low Vitamin D may be associated with __

A

still birth, pre-term

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12
Q

how much more do you need to eat to support a fetus?

A

300-400 kcal

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13
Q

how much weight should you gain?

A

25 lbs

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14
Q

what medication is used to treat ectopic pregnancies?

A

Methotrexate, a chemotherapy agent

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15
Q

a common cause of a large gestational sac with nothing you can see is:

A

twins

17
Q

tocolytics

A

medications used to suppress pre-term labor

17
Q

preterm labor is responsible for what % of preterm deliveries?

A

45%

leading cause, then ob intervention for maternal/fetal issues 30%

18
Q

preterm premature rupture of membranes (PPROM) is responsible for what % of preterm deliveries?

A

25%

19
Q

if premature membrane rupture happens prior to ___ weeks, expectant management is recommended

A

34 weeks

20
Q

placenta abruption

A

premature separation of a normally implanted placenta

21
Q

eclampsia is the presence of new-onset ____ in a woman with preeclampsia

A

grand mal seizures

22
Q

___ may actually extend the length of gestation/ prevent premature birth

A

obesity

23
Q

placenta previa

A

placenta implants in lower prt of uterus, covers cervix, emergency

24
Q

pprom vs prom

A
  • preterm premature rupture of membranes (prior to 34 wk)

- - premature rupture (> 1 hr bf labor)

25
Q

FGR

A

fetal growth restriction – estimated weight is

26
Q

smoking during pregnancy

A

birth defects, stillbirth, sudden infant death

FGR, prematurity

27
Q

Fetal alcohol syndrome

A

FGR
microencephly
CNS abnormalitis
facial abnormalities

28
Q

Pre eclampsia

A

hypernsive disorder of pregnancy

BP&raquo_space;> 140/90 after 20wk of gestation

29
Q

leading cause of maternal and perinatal morbidity and mortality

A

pre-eclampsia

30
Q

critical time for drug teratogen effects on fetus

A

3-8 wk –> organ malformation

before this abortion, after this funcitonal issues

31
Q

G, T-P-A-L =

A

Gravida (total # of pregnancies), Term births-Preterm births-Abortions/Miscarriages-Living children