8/19/13 Lecture Flashcards
Until what week can you travel on an airplane while pregnant?
Week 36
What is one of our biggest teratogens?
too much glucose
If there is placenta previa at 24 weeks what should you do?
Get an US a little later to make sure the placenta has moved
What does breast feeding help with?
Involution of the uterus
passive immunity
weight loss for mom
bonding
How much exercise can pregnant women do?
About 30 minutes a day;
No supine or extreme weight lifting
What are some absolute contraindications for exercise in pregnant women?
lung dz severe heart dz incompetent cervix multi-fetal gestation vaginal bleeding placenta previa preterm labor, ROM HTN disease of IUP
What are the crucial weeks for organogenesis?
weeks 5-9
what should fetal exposure to ionizing radiation be limited to?
< 5 rads accumulation
In the 1st 2 weeks after fertilization when do major effects of ionizing radiation occur?
> 10 rads
In the 1 trimester when will there be major effects of ionizing radiation?
> 25 rads
In the 2nd and 3rd trimester fetal exposure above what has major effects?
> 100 rads
12 oz of what type fish are good for pregnant women (per week)?
shrimp light tuna salmon pollock catfish
6 oz of what type fish are good for pregnant women (per week)?
albacore tuna
What does fetal alcohol syndrome look like?
IUGR stunted growth post birth low set ears mild-facial hypoplasia microcephaly mental retardation
What are some things that are teratogens (herbal)?
Echinacea black cohosh (estrogenic) garlic (supplements) (anti coag) willow bark (anti coag) gingko (anti coag) licorice (HTN) blue cohosh (UC's)
What category is okay for pregnant women?
Category A
What category is contraindicated (only use if risk outweighs benefit)?
Category X
What category is where animal studies ahve shown fetal harm and no adequate studies/ pregnant women or there are no animal studies or well conducted studies in pregnant women (can’t rule out risk)
Category C
What is the category for aminoglycosides (streptomycin, gentamycin)?
Category X
Can warfarin be used in pregnant women?
No (especially in weeks 6-9)
Can lithium be used in pregnant women?
No
What HTN drugs can’t be used in pregnancy?
ACEIs and ARBs
What neuroleptics shouldn’t be used in pregnancy?
valproic acid
carbamazepine
phenytoin
Can retinoids be used during pregnancy?
No; women must be on two forms of birth control while they are on it
