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ObGyn Lecture > 8/19/13 Lecture > Flashcards

8/19/13 Lecture Flashcards

1
Q

Until what week can you travel on an airplane while pregnant?

A

Week 36

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2
Q

What is one of our biggest teratogens?

A

too much glucose

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3
Q

If there is placenta previa at 24 weeks what should you do?

A

Get an US a little later to make sure the placenta has moved

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4
Q

What does breast feeding help with?

A

Involution of the uterus
passive immunity
weight loss for mom
bonding

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5
Q

How much exercise can pregnant women do?

A

About 30 minutes a day;

No supine or extreme weight lifting

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6
Q

What are some absolute contraindications for exercise in pregnant women?

A 
lung dz
severe heart dz
incompetent cervix
multi-fetal gestation
vaginal bleeding
placenta previa
preterm labor, ROM
HTN disease of IUP
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7
Q

What are the crucial weeks for organogenesis?

A

weeks 5-9

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8
Q

what should fetal exposure to ionizing radiation be limited to?

A

< 5 rads accumulation

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9
Q

In the 1st 2 weeks after fertilization when do major effects of ionizing radiation occur?

A

> 10 rads

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10
Q

In the 1 trimester when will there be major effects of ionizing radiation?

A

> 25 rads

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11
Q

In the 2nd and 3rd trimester fetal exposure above what has major effects?

A

> 100 rads

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12
Q

12 oz of what type fish are good for pregnant women (per week)?

A 
shrimp
light tuna
salmon
pollock
catfish
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13
Q

6 oz of what type fish are good for pregnant women (per week)?

A

albacore tuna

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14
Q

What does fetal alcohol syndrome look like?

A 
IUGR
stunted growth post birth
low set ears
mild-facial hypoplasia
microcephaly
mental retardation
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15
Q

What are some things that are teratogens (herbal)?

A 
Echinacea
black cohosh (estrogenic)
garlic (supplements) (anti coag) 
willow bark (anti coag) 
gingko (anti coag) 
licorice (HTN) 
blue cohosh (UC's)
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16
Q

What category is okay for pregnant women?

A

Category A

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17
Q

What category is contraindicated (only use if risk outweighs benefit)?

A

Category X

18
Q

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)

A

Category C

19
Q

What is the category for aminoglycosides (streptomycin, gentamycin)?

A

Category X

20
Q

Can warfarin be used in pregnant women?

A

No (especially in weeks 6-9)

21
Q

Can lithium be used in pregnant women?

A

No

22
Q

What HTN drugs can’t be used in pregnancy?

A

ACEIs and ARBs

23
Q

What neuroleptics shouldn’t be used in pregnancy?

A

valproic acid
carbamazepine
phenytoin

24
Q

Can retinoids be used during pregnancy?

A

No; women must be on two forms of birth control while they are on it

25
Q

If a pregnant women has GERD what should you use?

A

Antacids and dietary modifications
restrict before bedtime
Use H-2 blockers

26
Q

What are some H-2 blockers that can be used in pregnancy?

A

Ranitidine
Famotidine
PPI: omperazole (C)

27
Q

What can a pregnant women do for constipation?

A

Fluids, fiber
avoid aluminum based antacids
Metamucil
Stool softener= docusate (Colace)

28
Q

What should pregnant women avoid for constipation?

A

Castor oil

milk of magnesia

29
Q

What can pregnant women do with hemorrhoids?

A 
Avoid constipation
Sitz bath (sit in warm water) 
Tucks pads (witch hazel)
Preparation H 
Anusol suppositories (zinc) 
rubber band ligation (extremes)
30
Q

What should you use for 1st line therapy in T2DM pregnant women?

A

Insulin or oral (glyburide (C, but doesn’t cross placenta), metformin (B) )

31
Q

How do you treat GDM?

A

Diet and weight control

32
Q

Is it better to use glyburide or metformin for T2DM?

A

Glyburide (C) because it doesn’t cross the placenta

33
Q

What meds can you use for HTN pregnancy women?

A

Beta blockers: labetalol, propranolol, hydralazine, nifedipine

34
Q

What is 1st line therapy for pregnant women with thromboembolic events?

A

Heparin (doesn’t cross placenta)

35
Q

What meds can be used in pregnant women for asymptomatic bacteriuria or UTI?

A

Penicillins
Cephalosporins
Nitrofuratoin

36
Q

what antibiotics should be avoided in pregnant women?

A

TCN (tetracycline- bad teeth)
fluoroquinolones
trimethoprim (folate antagonist)
sulfamethoxazole (last trimester- hyperbilirubemia)

37
Q

What can be used in pregnant women for asthma?

A

Inhaled cromolyn
Inhaled steroid: budesonide (B),
Albuterol (C)- severe
Oral corticosteroids shouldn’t be withheld

38
Q

What can be used for acne treatment in pregnant women?

A

Erythromycin, clindamycin, benzoyl peroxide (C)

39
Q

Pregnant women who use SSRIs (paroxetine) have babies at increased risk for what?

A

Ventral and atrial septal defects

neonatal behavior syndrome for all SSRIs

40
Q

What is the 1st line therapy for migraines in pregnant women?

A

Acetaminophen

41
Q

Do migraines generally improve with pregnancy?

A

Yes (can get worse in first trimester though)

ObGyn Lecture (21 decks)

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