3rd Trimester Conditions Flashcards Preview

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Flashcards in 3rd Trimester Conditions Deck (82)
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1

If pregnancy induced HTN doesn't resolve 6wk post delivery it is likely .....

It preexisted

2

What is the name of the condition that causes HF in the 3rd trimester and presents with orthopnoea?

Peri-partum cardiomyopathy

3

What is the strongest RF for PET pre-eclampsia?

PMH of PET

4

Risk factors for pre-eclampsia:
-Parity [high/0]
-[<25/>40yr]
-[Long/short] interval
-[High/low] BMI

(Other risk factors include CKD, HTN, SLE, APS, DM and a FH)

Risk factors for pre-eclampsia:
-Parity 0
->40yr
-LONG interval
-HIGH BMI

(Other risk factors include CKD, HTN, SLE, APS, DM and a FH)

5

If PET RF are established at the booking appointment, what prophylaxis should be commenced?

Low dose aspirin

6

What is the triad of pre-eclampsia PET?

HTN + oedema + proteinuria

7

What is stage 1 pre-eclampsia?

Placental ischemia

8

What is stage 2 pre-eclampsia?

Multi-system endothelial dysfunction

(Anti-angiogenic)
(Placenta spiral A narrow)

9

What is the mechanism causing oedema in pre-eclampsia?

Decreased GFR
Retain Na and H2O

10

Where is oedema most commonly in pre-eclampsia?

Hands and face

11

How does pre-eclampsia present?

Screening
Edema
HA
Vision
Epigastric/RUQ pain
N&V

12

How is pre-eclampsia screened for?

BP and urinalysis at every antenatal appointment

13

Pre-eclampsia can be early or late. What week gestation separates them?

34 weeks

14

Is early or late onset pre-eclampsia more common? Which one has the highest eclampsia risk?

Late onset more common
Late onset higher eclampsia risk

15

What is the only cure for pre-eclampsia?

Birth

16

What should aim for BP to be in PET Mx?

140-150/90-100

17

What Ix are done for PET to monitor the health of the baby?

US, CTG

18

What blood tests are done when investigating PET?

FBC, U+E, urate, LFT, coag screen

19

What drugs should be avoided in PET?

ACEI and diuretics

20

What are the 1st line options for the drug Mx of PET?

Methyldopa (CI depression)
OR
Labetolol (CI asthma)
OR
Nifedipine

21

What class of drugs is methyldopa?

Alpha agonist

22

What class of drugs is labetolol?

Alpha + beta agonist

23

What class of drugs is nifedipine?

CCB

24

-Cortical blindness
-CN palsy
-ICH
-Encephalopathy
-ARDS,
-Fetal growth restriction
-Abruption
-Intrauterine death
... Are all complications of what?

Pre-eclampsia

25

What is the presentation of eclampsia?

Tonic clonic seizures and big increase in BP

(Or coma)

26

Eclampsia occurs antepartum. T or F

False, can occur ante, intra or postpartum

27

What is the Mx of eclampsia?

IV labetalol OR hydralazine
IV Mg sulfate
Fluid balance
Birth

28

What is the triad of HELLP syndrome and what condition is it a complication of?

Haemolysis
Elevated liver enzymes
Low platelets

Pre-eclampsia

29

Define antepartum haemorrhage

Bleeding from or into the genital tract at >24wk gestation before 2nd stage labour

30

What is the commonest cause of antepartum haemorrhage?

Placental abruption