prenatal care part 2 Flashcards

1
Q

pregnancy increase CO by what percent

A

40%

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2
Q

What conditions are not advised to get pregnant

A

primary pulmonary HTN, uncorrected tetralogy of fallout, marfan syndrome, dilated cardiomyopathy

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3
Q

anatomic changes in a pregnant woman

A

the heart is displaced upward to the left, assume a more horizontal position

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4
Q

Functional changes

A

increase CO input, can have IVC inclusion in the supine position, uterus receive 2% in 1st trimester and 20% full term

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5
Q

when does bp begin to decrease

A

week 7

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6
Q

what murmur is not normal in pregnant woman

A

diastolic murmur

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7
Q

when do anatomical changes occur in a pregnant woman

A

6 weeks and reaches max at 34/36 weeks

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8
Q

why is a increase risk of thromboembolism

A

Clotting factors increase with a decrease in key inhibitors of coagulation

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9
Q

what is the most common anemia in pregnant

A

fe deficiency

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10
Q

function of Fe

A

it is essential to the increase in red blood cell volume

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11
Q

what is the characteristic of the fetal circulation

A

right to left shunt

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12
Q

what does the ductus venosus becomes

A

ligamentum venosum

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13
Q

what does the ductus arteriosus becomes

A

ligamentum arteriosum

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14
Q

DM mom risk in infants

A

infants are at 6x risk for congenital anomalies

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15
Q

when does fetus thyroid take over to produce thyroid hormone

A

12 weeks

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16
Q

1st line agent for pregnancy HTN

A

labetalol, CCB (nifedipine or amlodipine), methyldopa

17
Q

Recurrent pregnancy loss

A

> 2 intrauterine pregnancy losses, does not have to be consecutive, early loss-genetic and autoimmune factors, later loss - anatomic abnormalities

18
Q

TORCH

A

toxoplasmosis, others, rubella, CMV, herpes

19
Q

preeclampsia

A

progressive disorder characterized by onset HTN & proteinuria or new onset HTN w/end organ dysfunction w/o proteinuria

20
Q

intrapartum

A

from onset of labor–> delivery of placenta