Unit 6 Q&A Flashcards
What is the best contraceptive for women with seizures disorders?
Depot medroxyprogesterone acetate because its level of progestin raises the
seizure threshold
What is the presenting clinical triad for abruptio placentae?
fetal
distress or death, tetanic uterine activity (contractions), and uterine bleeding
(concealed or external
Your patient walks in with complaint of painless vaginal bleeding and is in her third trimester. What do you suspect?
Placenta previa
Uterine perforation is highest when IUD insertion is performed when after delivery? Is the risk greater in lactating or non-lactating women?
Highest when inserted in the first 1-8 weeks after delivery, greater risk in lactating
women (because of accelerated uterine involution)
Your patient presents with complaints of severe abdominal itching. You note erythematous,
pruritic papules that coalesce into plaques along her stretch marks. What do you diagnose her with and what treatments could you give?
PUPPS (pruritic urticarial papules and plaques of pregnancy). Can treat with topical steroids, Sarna lotion and antihistamine
What is the different between pregnancy induced hypertension vs. pre-eclampsia?
Pre-eclampsia has proteinuria
PUPPS, usually disappear when?
2 weeks postpartum (usually appears during 3rd trimester)
When is ectopic pregnancy usually occur?
rupture normally occurs between 6-12 weeks gestation
what are the risk pregnancy complications for anemia?
preterm labor and intrauterine growth restrictions
define chronic hypertension in pregnancy
BP > 140/90 before pregnancy or before the 20th week of pregnancy / presence of persistent hypertension >12 weeks
what re the 2 BP medications contraindicated in pregnancy?
ACEI
ARBS
what is the diagnoses criteria for pre-eclampsia?
BP>140/90 on 2 occasions + proteinuria of >300mg/24hrs
How can we truly diagnose pre-eclampsia?
2 criteria: elevated BP >140 systolic or >90 diastolic on two occasions 6 hours
apart and proteinuria > 300mg in 24 hour specimen. (
all > are equal to or greater
than)
What are the s/s of sever pre-eclampsia?
BP > 160/110, proteinuria > 5g/d (3+), oliguria, headache, RUQ/epigastric pain,
liver dysfunction, vision changes, thrombocytopenia, & pulmonary edema.
What is the difference between threatened and inevitable abortion?
In threatened the cervix stays closed
Name one the teratogen medication that cause spontaneous abortion
Dilantin (yes, seizure medications)
True or False, Placenta previa, the initial bleeding is usually after 24
wks and it painless
True
What is the color of the bleeding for cervical lesions?
pinkish
What type of discharge is bloody show consist of?
pink to red mixed with mucous
What antibiotic is use common and safe to treat UTI in pregnancy
Cephalosporin like K
eflex. Amoxicillin and nitrofurantoin as well. But do not
use nitrofurantoin in the last weeks of pregnancy. Keflex is safer and cheaper.
Raber mentioned Keflex several times in the lecture. I think she likes that one
What drugs should pregnant
women avoid during the third trimester because they can cause
neonatal jaundice?
sulfonamides
What medication can be used for N/V during pregnancy?
Small frequent meals, dry crackers before getting out of bed.
Doxylamine (Unisom) and B6.
Lastly Zofram ODT
4mg prn nausea and vomiting
What is the most common anemia in pregnancy?
Iron deficiency anemia (hypocromic and microcytic
What are some diet high in iron?
Green leafy vegetables, beans, beef, whole grain, and nuts