Week 5 - Second Trimester

Question 1

what dose of calcium has been shown to decrease the risk of gestational HTN?

Answer 1

1gm/d

Question 2

what is a sx that indicates uterine round ligament pain?

Answer 2

pain < movement

Question 3

ddx round ligament pain

Answer 3

erupted ectopic pregnancy (u/s)
appendicitis
UTI/kidney stones (WBC on urinalysis)
inguinal hernia
ovarian cysts
endometriosis
preterm labour pain

Question 4

acupuncture point to symptomatically tx constipation?

Answer 4

TW 6

Question 5

TCM for hemorrhoids?

Answer 5

BL57; GV 20

Question 6

what are helpful in maintaining vein health?

Answer 6

support hose
pelvic tilt rocks
trendelenburg position
supine w/feet 15-20 degrees higher than head

Question 7

ss/sxs of abruption?

Answer 7

abdominal pain &/or backache
uterine tenderness
increased uterine tone
uterine irritability/contractions

Question 8

ss/sxs of placenta previa?

Answer 8

painless
uterus soft (not tender)
no irritability/contractions

Question 9

ddx b/w abruption and previa

Answer 9

both bleed
abruption is tender; previa is not tender
abruption is painful; previa is not painful

Question 10

what are risk factors for gestational diabetes mellitus?

Answer 10

• increase inure-pregnancy weight bw initial and subsequent pregnancies
• asian ethnicity
• aboriginal ethnicity esp. w/obesity
• excess food, fam hx, increasing age, stress sedentary, obesity

NOT PCOS!!!

Question 11

ss/sxs of gestational HTN

Answer 11

high BP, edema, sudden weight gain

Question 12

define gestational HTN

Answer 12

HTN with onset AFTER 20 wks gestation

before 20 wks is called pre-existing HTN

Question 13

BP criteria for dx of HTN in pregnancy

Answer 13

diastolic >90mmHg based on average of at least 2 measurements taken in same arm >5 mins apart after initial rest period of >5mins

Question 14

what is considered severe HTN in pregnancy?

Answer 14

systolic >160

diastolic >110

Question 15

severe HTN, repeat measurement to confirm, when?

Answer 15

after 15 mins