Week 6 Flashcards

1
Q

Research shows that women are being adequeatly screened in depression, but are not ______

A

beinf followed with tx

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2
Q

what are the five classifications of mental disorders?

A
  1. major mood disorders
  2. anxiety disorders
  3. personality disorders
  4. schizophrenia
  5. substance abuse disorders
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3
Q

Which SSRI’s are safe in depression and pregnancy?

A

prozac and zoloft

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4
Q

zoloft ans prozac are pregnancy cat __

A

c

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5
Q

Inhaled corticosteroids are used in pregnancy bc

A

they have minimal side effects and do not cross the placenta as readily

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6
Q

thromboembolic disease risk increases____times during pregnancy

A

5 times

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7
Q

what is the gold standard for assessing for DVT in pregnancy?

A

Ultrasound

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8
Q

POC for DVT in pregnancy

A

hospitalization, heparin-then lovenox injections regularly

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9
Q

which anticoagulant are contraindicated in pregnancy?

A

warfarin/coumidin

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10
Q

When is the ideal time for gallbladder removal in pregnany?

A

second trimester

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11
Q

safe meds for heartburn

A

tums, pepcid, zantac

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12
Q

bleeding in first trimester causes (2)

A

miscarriage, ectopic

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13
Q

bleeding in second trimester causes (2)

A

previa, abruption

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14
Q

bleeding in third trimester causes (1)

A

abruption

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15
Q

MOST DANGEROUS cause of first trimester bleeding?

A

ectopic

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16
Q

biochemical markers in ectopic

A

HCG will be extremly high and progesterone will be low

17
Q

what two labs are drawn in thyroid disease during pregnancy and how often

A

TSH and free t4 each trimester

18
Q

painful uterine bleeding signifies….

A

abruption

19
Q

painless uterine bleeding signifies….

A

placental previa

20
Q

TORCH stands for….

A
toxoplasmosis
other
rubella
CMV
herpes
21
Q

varicella is most detrimental in which trimester?

A

3rd

22
Q

two vaccines that should NOT be given in pregnancy

A

varicella and rubella

23
Q

NUMBER ONE RULE REGARDING RUBELLA

A

should not get pregnant for 12 weeks after rubella vaccine

24
Q

at what gestation does the placenta maintain progesterone?

A

12-14 weeks

25
Q

What releases progesteron in the beginning before the placenta?

A

corpus luteum

26
Q

what is normal progesterone?

A

15

27
Q

what happens to HCG with molar pregnancy?

A

off the charts high because placenta is kicking out so many hormones

28
Q

why do you monitor hcg after d&c for molar pregnancy?

A

because there is a high risk of chorionic carcinoma

29
Q

Hoe long should a patient with a molar pregnancy wait to get pregnant after her d&c?

A

one year

30
Q

what is a blighted ovum

A

gestational sac, but no fetal pole

31
Q

after sab, weekly quants till

A

hcg <5

32
Q

tsh is released from …

A

anterior pitutary

33
Q

s/s of hyperthyroidism

A
hot
tachy
skinny
dry heair
anxious
34
Q

another name for hperthyroidism

A

graves disease

35
Q

another name for hypothyroidism

A

hashimotos

36
Q

s/s of hypothyroidism

A

fatigue, cold intolerance, depressed, bradycardia

37
Q

what is normal tsh?

A

.5-5.5

38
Q

which trimester do thyroid levels typically drop

A

2nd