Anemia and Pregnancy Flashcards

1
Q

What are the important components of blood

A

white cells
platelets
plasma
red blood cells

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2
Q

What is the life span of RBC cells?

A

120 days

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3
Q

What protein chemical does RBC have?

A

hemoglobin

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4
Q

What does hemoglobin contain?

A

iron

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5
Q

What is Anemia?

A

when you have too few rbc in the body

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6
Q

What are the predisposing factors for anemia?

A

twin or multiple pregnancy
smoking
use of anticonvulsant meds
heavy menstrual flow before pregnancy

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7
Q

What are the signs and symptoms of anemia?

A
pale skin, lips, nails, underside of eyelids
fatigue
labored breathing
tachycardia
headaches
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8
Q

What are the types of anemia?

A

iron deficiency

folic acid deficiency

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9
Q

What is the most common type of anemia during pregnancy?

A

iron deficiency anemia

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10
Q

what is the percentage of complications of pregnancies due to iron deficiency anemia

A

15-25%

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11
Q

Characteristics of iron deficiency anemia

A

microcytic

hypochromic anemia

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12
Q

What does microcytic mean?

A

small rbc

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13
Q

what does hypochromic anemia mean?

A

less hemoglobin that average in the rbc

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14
Q

What are the risk factors for iron deficiency anemia?

A

low iron in diet
heavy menstrual periods
low socioeconomic level
being pregnant less than 2 years before the current pregnancy

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15
Q

What is the effect of iron deficiency anemia in mothers?

A

pica
extreme fatigue
poor exercise tolerance

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16
Q

What is the effect of iron deficiency anemia in the fetus?

A

poor growth
low birth weight
preterm birth

17
Q

How can you prevent iron deficiency anemia?

A

prenatal iron supplementation of 27

having diet high in iron

18
Q

what is the drug used for iron deficiency anemia?

A

ferrous sulfate/gluconate 120-200 mg/day

19
Q

What is folic acid deficiency anemia?

A

a megaloblastic anemia that is apparent in the 2nd trimester

20
Q

What are the predisposing factors for folic acid deficiency anemia?

A

having multiple pregnancies
2 degree hemolytic illness
those taking hydantoin
intake of oral contraceptives

21
Q

What are the complications for mothers with folic acid deficiency anemia?

A

early miscarriage

premature separation of placenta

22
Q

What are the complications for the fetus with folic acid deficiency anemia?

A

Neural tube defect
cleft lip
atrial septal defect

23
Q

What are some preventions for folic acid deficiency anemia before pregnancy?

A

taking 400ug of folic acid supplement daily

eating folic rich foods

24
Q

What are some preventions for folic acid deficiency anemia before pregnancy?

A

taking 600 ug folic acid supplements daily

taking vitamins designed for pregnancy

25
Q

what are the diagnostic tests for anemia?

A

blood test that look at the RBC, hemoglobin, hematocrit iron, and folic acid levels