Prenatal Care Flashcards
What are complications with adolescent pregnancy?
Poor compliance Poor nutrition Pre-eclampsia Preterm delivery STDs Increased perinatal morbidity and mortality
What are complications of an advanced maternal age?
increased frequency of medical illnesses (gestational diabetes and chronic HTN)
Increased frequency of karyotype abnormalities
What is the age specific risk of a karyotype abnormality of a 45 year old mother?
trisomy- 1:30
all abnormalities: 1:15
What are several prenatal care effects of race?
Access to care Medical conditions (sickle cell, thalassemia, CF)
What are several prenatal care effects of religion?
Genetics disorders (Tay-Sachs in Jews)
Transfusion (Jehovah’s Witnesses)
Abortion (Catholics and Evangelical Christians)
Gravidity
number of pregnancies
Parity
number of birth events
What goes into an prenatal abortion history?
Type of abortion
Trimester
Complications
In the assessment of menstrual pattern in prenatal care we need to look at:
LMP
Regularity
OC use
Timing of intercourse
What are common prenatal care childhood illnesses?
CHD
Viral illnesses
What is the most common type of connective tissue disease in the prenatal setting?
SLE- lupus
What previous surgeries should we be aware of in prenatal care?
Tubal surgery- possible risk of ectopic pregnancy
Uterine surgery- possible risk of uterine rupture
What can valproic acid cause?
Spina bifida
What can carbamazepine cause?
Spina bifida, facial malformations
What can antineoplastic agents cause?
Varied defest
What can warfarin cause?
facial deformity, intracranial bleeding
What can lithium cause?
cardiac malformation
What can tetracycline cause?
straining of teeth
What can quinolones cause?
cartilage injury
What can ace inhibitors and ARBs cause?
Renal injury