Flashcards in c section and systemic disorders of pregnancy Deck (25)
estimated due date?
since LMP, 40 weeks
tobacco/drug use EtOH
weight gain recs
exercise (NO HOT things)
raw dairy, deli meat, fish
Blood and RH
Hep A SAg
Rubella, HIV, Chalmydia, Gonorrhea
optional: trisomy, CF, Fragil X
# prenatal visits 1-2 trimester?
# prenatal visits in 3rd trimester?
FHR, fundal height, glucose
US survey every 20 weeks
AFP measure to screen for
neural tube defects etc
proteinuria, after New onset 20 weeks htn (>140/90), increased FHR
elevated liver enzymes, low platelets
MAY NOT HAVE HTN and PROTEINURIA BEFOREHAND
headache that isn't going away
abnormal _____invasion of the spiral arteries and consequent secretion of _____ factors
placental secretion of angiogenic factors
systemic _______ dysfunction caused by preeclampsia?
mgmt of preeclampsia
magnesium sulfate to prevent
Ddx 3rd trimester bleeding
Ultrasound or digital exam for bleeding in 3rd trimester?
US always first
causes of placental abruption?
htn, cocaine/smoking, abdominal trauma
placenta previa risk factors
prior uterine surgery, many pregnancies, mutliple gestations, smoking, older moms
Vasa previa presentation and risk factors
painless vaginal bleeding
what type of plancental abnormality common to see in preeclampsia?
c section indications
prior myometrial surgery
macrosomia (over 5000 grams)
Active Herpes outbreak
C section tries to avoid what layer of the uterus?
Myometrium which is why it is done int he lower uterine segment