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First Aid Reproductive > Pregnancy Complications > Flashcards

Pregnancy Complications Flashcards

1
Q

BP >140/90 after the 20th week of gestation. No pre-existing HTN, No proteinuria

A

Gestational HTN

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2
Q

Tx of Gestational HTN

A

alpha-methyldopa, labetalol, hydralyzine, nifedipine; deliver at 39weeks

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3
Q

HTN >140/90 and proteinuria after 20th week gestation to 6weeks post partum

A

Preeclampsia

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4
Q

Caused by abnormal placental spiral arteries, results in maternal endothelial dysfunction, vasoconstriction or hyperreflexia

A

Preeclampsia

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5
Q

Increase the incidence of preeclampsia

A

preexisiting HTN, diabetes, chronic renal disease, or autoimmune disorders

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6
Q

Complications associated with preeclampsia

A

placental abruption, coagulopathy, renal failure, uteroplacental insufficiency or eclampsia

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7
Q

Tx of Preeclampsia

A

alpha-methyldopa, labetalol, hydralyzine, nifedipine; IV magnesium sulfate to prevent seizure
Deliver at 34weeks if severe
Deliver at 37 weeks if mild

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8
Q

Preeclampsia + seizures

A

Eclampsia

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9
Q

Tx of eclampsia

A

antihyptertensives; Mg-sulfate and immediate delivery

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10
Q

HELLP syndrome

A

Hemolysis, Elevated liver enzymes, Low Platelets

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11
Q

Death of healthy infant 1month to 1year without cause

A

SIDS

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12
Q

Gestation pathway of Choriocarcinoma

A

Responds well to chemo

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13
Q

Germ cell pathway of Choriocarcinoma

A

Does not respond well to chemo

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14
Q

Premature separation of placenta from uterine wall before delivery of infant (bleeding can be concealed or apparent depending attachment site)

A

Placental abruption

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15
Q

Placenta attaches to myometrium without penetrating it

A

Placenta accreta

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16
Q

Placenta invades into myometrium

A

Placenta increta

17
Q

Placenta penetrates through the myometrium and into uterine serosa

A

Placenta percreta

18
Q

No separation of placenta after delivery, massive bleeding

A

Placenta accreta/increta/percreta

19
Q

Attachment of placenta to lower uterine segments near the os, partially over the os, or completely over the os

A

Placenta previa

20
Q

Miscarriage of fetus 20weeks before gestation

A

Spontaneous abortion

21
Q

Most common site of ectopic pregnancy

A

Ampulla of fallopian tube

22
Q

> 1.5-2L of amniotic fluid

A

Polyhydraminos

23
Q
A

Oligohydraminos

24
Q

esophageal/duodenal atresia, anencephaly, maternal diabetes, fetal anemia, multiple gestations

A

Causes of Polyhydraminos

25
Q

Placental insufficiency, BL renal agenesis or posterior urethral valves in males

A

Causes of Oligohydraminos (if profound will lead to potter sequence)

26
Q

secondary amenorrhea due to loss of basalis as a result of D&C

A

Asherman Syndrome

First Aid Reproductive (15 decks)

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