Wk6 Clinical Pregnancy Flashcards
If maternal glucose levels are elevated after 12 weeks gestation, fetal insulin increase can lead to:
macrosomia — BIG BABY
When to typically screen low risk patient for gestational diabetes?
24-28 weeks
Positive screening test for gestational diabetes = glucose one hour challenge > ???
130 mg/dL
When is labor typically induced in gestational diabetes?
39 weeks
Fetal Fibronectin indicates?
+ = baby coming soon
- = baby not coming soon
Give for lung maturation in pre-mature delivery:
corticosteroids
Neonate sx in congenital rubella infx:
Classic triad:
- PDA or hypoplastic pulmonary artery
- cataracts
- defness
(4) . +/- blueberry muffin rash
FIRST thing to do in antepartem vaginal bleeding workup?
abdominal ultrasound
Painless vaginal bleeding in pregnancy, think?
placenta previa
**get an US
Painful contractions with vaginal bleeding in pregnancy, think?
Placenta abruption
**surgical emergency
What NOT to use in peripartum HTN managment?
ACE inhibitors
TEST
Criteria for pre-eclampsia?
BP > 140/90 in mother who had normal BP prior
> 300 mg protein in 24 hr urine sample
Pre-eclampsia + ? = eclampsia
seizure
BP drugs for pre-eclampsia:
hydralazine
labetolol
Pre-eclampsia seizure prophylaxis:
Mag sulfate
