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….

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?

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
What releases progesteron in the beginning before the placenta?
corpus luteum
26
what is normal progesterone?
15
27
what happens to HCG with molar pregnancy?
off the charts high because placenta is kicking out so many hormones
28
why do you monitor hcg after d&c for molar pregnancy?
because there is a high risk of chorionic carcinoma
29
Hoe long should a patient with a molar pregnancy wait to get pregnant after her d&c?
one year
30
what is a blighted ovum
gestational sac, but no fetal pole
31
after sab, weekly quants till
hcg <5
32
tsh is released from ...
anterior pitutary
33
s/s of hyperthyroidism
``` hot tachy skinny dry heair anxious ```
34
another name for hperthyroidism
graves disease
35
another name for hypothyroidism
hashimotos
36
s/s of hypothyroidism
fatigue, cold intolerance, depressed, bradycardia
37
what is normal tsh?
.5-5.5
38
which trimester do thyroid levels typically drop
2nd