prenatal care part 2 Flashcards
pregnancy increase CO by what percent
40%
What conditions are not advised to get pregnant
primary pulmonary HTN, uncorrected tetralogy of fallout, marfan syndrome, dilated cardiomyopathy
anatomic changes in a pregnant woman
the heart is displaced upward to the left, assume a more horizontal position
Functional changes
increase CO input, can have IVC inclusion in the supine position, uterus receive 2% in 1st trimester and 20% full term
when does bp begin to decrease
week 7
what murmur is not normal in pregnant woman
diastolic murmur
when do anatomical changes occur in a pregnant woman
6 weeks and reaches max at 34/36 weeks
why is a increase risk of thromboembolism
Clotting factors increase with a decrease in key inhibitors of coagulation
what is the most common anemia in pregnant
fe deficiency
function of Fe
it is essential to the increase in red blood cell volume
what is the characteristic of the fetal circulation
right to left shunt
what does the ductus venosus becomes
ligamentum venosum
what does the ductus arteriosus becomes
ligamentum arteriosum
DM mom risk in infants
infants are at 6x risk for congenital anomalies
when does fetus thyroid take over to produce thyroid hormone
12 weeks
1st line agent for pregnancy HTN
labetalol, CCB (nifedipine or amlodipine), methyldopa
Recurrent pregnancy loss
> 2 intrauterine pregnancy losses, does not have to be consecutive, early loss-genetic and autoimmune factors, later loss - anatomic abnormalities
TORCH
toxoplasmosis, others, rubella, CMV, herpes
preeclampsia
progressive disorder characterized by onset HTN & proteinuria or new onset HTN w/end organ dysfunction w/o proteinuria
intrapartum
from onset of labor–> delivery of placenta
