Week 6 Flashcards
Research shows that women are being adequeatly screened in depression, but are not ______
beinf followed with tx
what are the five classifications of mental disorders?
- major mood disorders
- anxiety disorders
- personality disorders
- schizophrenia
- substance abuse disorders
Which SSRI’s are safe in depression and pregnancy?
prozac and zoloft
zoloft ans prozac are pregnancy cat __
c
Inhaled corticosteroids are used in pregnancy bc
they have minimal side effects and do not cross the placenta as readily
thromboembolic disease risk increases____times during pregnancy
5 times
what is the gold standard for assessing for DVT in pregnancy?
Ultrasound
POC for DVT in pregnancy
hospitalization, heparin-then lovenox injections regularly
which anticoagulant are contraindicated in pregnancy?
warfarin/coumidin
When is the ideal time for gallbladder removal in pregnany?
second trimester
safe meds for heartburn
tums, pepcid, zantac
bleeding in first trimester causes (2)
miscarriage, ectopic
bleeding in second trimester causes (2)
previa, abruption
bleeding in third trimester causes (1)
abruption
MOST DANGEROUS cause of first trimester bleeding?
ectopic
biochemical markers in ectopic
HCG will be extremly high and progesterone will be low
what two labs are drawn in thyroid disease during pregnancy and how often
TSH and free t4 each trimester
painful uterine bleeding signifies….
abruption
painless uterine bleeding signifies….
placental previa
TORCH stands for….
toxoplasmosis other rubella CMV herpes
varicella is most detrimental in which trimester?
3rd
two vaccines that should NOT be given in pregnancy
varicella and rubella
NUMBER ONE RULE REGARDING RUBELLA
should not get pregnant for 12 weeks after rubella vaccine
at what gestation does the placenta maintain progesterone?
12-14 weeks
What releases progesteron in the beginning before the placenta?
corpus luteum
what is normal progesterone?
15
what happens to HCG with molar pregnancy?
off the charts high because placenta is kicking out so many hormones
why do you monitor hcg after d&c for molar pregnancy?
because there is a high risk of chorionic carcinoma
Hoe long should a patient with a molar pregnancy wait to get pregnant after her d&c?
one year
what is a blighted ovum
gestational sac, but no fetal pole
after sab, weekly quants till
hcg <5
tsh is released from …
anterior pitutary
s/s of hyperthyroidism
hot tachy skinny dry heair anxious
another name for hperthyroidism
graves disease
another name for hypothyroidism
hashimotos
s/s of hypothyroidism
fatigue, cold intolerance, depressed, bradycardia
what is normal tsh?
.5-5.5
which trimester do thyroid levels typically drop
2nd
