Westra: Clinical Aspects of Pregnancy I Flashcards
1
Q
when would you SCREEN for gestational diabetes in an ASYMPTOMATIC woman (with NO risk factors)
A
24-28wks
2
Q
what are gestational DM risks?
A
35 years and older BMI greater than 25 kg/m2 Family history of DM in first degree relative History of previous gestational diabetes Macrosomia in previous pregnancy High-risk ethnic group (Hispanic, Asian, Native American, African American, Pacific Islander)
3
Q
risk factors for preterm labor?
A
Preterm premature rupture of membranes Multiple gestation Previous preterm labor or birth Hydramnios Uterine anomaly History of cervical cone biopsy Cocaine abuse African-American race Abdominal trauma Pyelonephritis Abdominal surgery in pregnancy
4
Q
causes of preterm labor?
A
Urinary Tract Infection Cervical Infection Bacterial Vaginosis Generalized Infection Trauma or Abruption Hydramnios Multiple Gestation Idiopathic
5
Q
infections during pregnancy?
A
UTI
Bacterial vaginosis
Group B Strep
Chorioamnionitis
6
Q
infections affecting the fetus?
A
TORCHES. Herpes Simplex Virus (HSV) Varicella Zoster Virus (VZV) Parvovirus B19 (Fifth Disease) Cytomegalovirus (CMV) Rubella Virus Human Immunodeficiency Virus (HIV) Neisseria gonorrhea Chlamydia trachomatis Hepatitis B Syphilis Toxoplasmosis
7
Q
antepartum bleeding refers to bleeding after ___ weeks gestation. How do you FIRST EVALUATE?
A
- Abdominal Ultrasound. Speculum before any bimanual evaluation.
