8/19/13 Lecture Flashcards Preview

ObGyn Lecture > 8/19/13 Lecture > Flashcards

Flashcards in 8/19/13 Lecture Deck (41):
1

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

Week 36

2

What is one of our biggest teratogens?

too much glucose

3

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

4

What does breast feeding help with?

Involution of the uterus
passive immunity
weight loss for mom
bonding

5

How much exercise can pregnant women do?

About 30 minutes a day;
No supine or extreme weight lifting

6

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

7

What are the crucial weeks for organogenesis?

weeks 5-9

8

what should fetal exposure to ionizing radiation be limited to?

< 5 rads accumulation

9

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

> 10 rads

10

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

>25 rads

11

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

>100 rads

12

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

shrimp
light tuna
salmon
pollock
catfish

13

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

albacore tuna

14

What does fetal alcohol syndrome look like?

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

15

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)

16

What category is okay for pregnant women?

Category A

17

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

Category X

18

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

19

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

Category X

20

Can warfarin be used in pregnant women?

No (especially in weeks 6-9)

21

Can lithium be used in pregnant women?

No

22

What HTN drugs can't be used in pregnancy?

ACEIs and ARBs

23

What neuroleptics shouldn't be used in pregnancy?

valproic acid
carbamazepine
phenytoin

24

Can retinoids be used during pregnancy?

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

25

If a pregnant women has GERD what should you use?

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

26

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

Ranitidine
Famotidine
PPI: omperazole (C)

27

What can a pregnant women do for constipation?

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

28

What should pregnant women avoid for constipation?

Castor oil
milk of magnesia

29

What can pregnant women do with hemorrhoids?

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

30

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

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

31

How do you treat GDM?

Diet and weight control

32

Is it better to use glyburide or metformin for T2DM?

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

33

What meds can you use for HTN pregnancy women?

Beta blockers: labetalol, propranolol, hydralazine, nifedipine

34

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

Heparin (doesn't cross placenta)

35

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

Penicillins
Cephalosporins
Nitrofuratoin

36

what antibiotics should be avoided in pregnant women?

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

37

What can be used in pregnant women for asthma?

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

38

What can be used for acne treatment in pregnant women?

Erythromycin, clindamycin, benzoyl peroxide (C)

39

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

Ventral and atrial septal defects
neonatal behavior syndrome for all SSRIs

40

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

Acetaminophen

41

Do migraines generally improve with pregnancy?

Yes (can get worse in first trimester though)