Week 4 Formative Assessment - Pregnancy Flashcards
learning points from the Formative on Moodle
How should a women with Pre-Eclampsia be managed when she is having Twins and one of which is in a Breech position.
The Women would need admitted and given Anti-Hypertensives. (likely Labetolol or Nifedipine)
Magnesium sulphate IV would also be started and delivery would be planned for.
What is Methyldopa used for in Pre-Eclampsia management?
Used 3rd line after Labetolol then Nifedipine.
It has to be stopped within 2 days of the baby being born.
How is IV Hydralazine used in the Management of Pre-Eclampsia?
May be used as an Anti-hypertensive in critical care of Severe Pre-Eclampsia or Eclampsia.
How is IV Magnesium Sulphate used in the management of Pre-Eclampsia?
It is given during labour and in the 24 hrs after birth to prevent Seizures.
How is Fluid restriction used in the management of Pre-Eclampsia and Eclampsia?
It is used in severe disease during labour to avoid fluid overload.
What should be given in to mothers who are forced to have a premature birth due to Pre-Eclampsia/ Eclampsia to help mature the foetal lungs?
Corticosteroids.
What happens to contractility of the heart during pregnancy?
It is increased.
(contractility refers to the ability of the heart muscle to contract and generate force)
What is the first line management of A pregnant women with a High Bp and headaches with visual disturbance who has a history of Asthma?
Nifedipine 10mg po.
Labetolol contra-indicated in patients with a history of Asthma.
What Is the correct method of assessing foetal growth from external measurement.
Symphyseal - Fundal height in cm.
Which is not a cause for “large for dates”?
- Polyhydraminos.
- Multiple Pregnancy.
- Placenta Praevia.
- Fibroid Uterus.
- Foetal Macrosomia.
Placenta Praevia.
- A fibroid Uterus can cause “large for dates”
What happens to the Functional residual capacity during pregnancy?
It Decreases during pregnancy.
What are the boundaries of the Pelvic Outlet?
The Pubic arch anteriorly.
The Ischial tuberosities laterally.
The Coccyx Posteriorly.
What are some risk factors for developing Pelvic Girdle Pain (PGP)?
- Increased BMI before pregnancy.
- History of Low back and pelvic pain or pelvic trauma.
- Hard Physical job / Poor work ergonomics.
- PGP in Previous Pregnancy.
Time since Last pregnancy isn’t thought to affect devlopment.
When is nuchal thickness measured by ultrasound for screening in Downs Syndrome?
11 - 14 wks gestation.
Why is 5mg Folic acid taken from before pregnancy until 3 months after conception?
What does it reduce the risk of?
Reduces the risk of Spina Bifida.
