c section and systemic disorders of pregnancy Flashcards Preview

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Flashcards in c section and systemic disorders of pregnancy Deck (25)
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1

estimated due date?

since LMP, 40 weeks

2

initial counseling

violence

tobacco/drug use EtOH

weight gain recs

exercise (NO HOT things)

3

dietary restrictions?

raw dairy, deli meat, fish

4

initial test:

Blood and RH

AB screen

Hep A SAg

Rubella, HIV, Chalmydia, Gonorrhea

A1C

optional: trisomy, CF, Fragil X

5

# prenatal visits 1-2 trimester?

1/4weeks

6

# prenatal visits in 3rd trimester?

1/2weeks

7

prenatal visits

FHR, fundal height, glucose

8

Dx eval

US survey every 20 weeks

flu vaccine

9

AFP measure to screen for

neural tube defects etc

10

preeclampsia?

proteinuria, after New onset 20 weeks htn (>140/90), increased FHR

11

HELLP syndrome?

hemolysis
elevated liver enzymes, low platelets

MAY NOT HAVE HTN and PROTEINURIA BEFOREHAND

12

headache that isn't going away

edema?

severe preeclampsia

13

abnormal _____invasion of the spiral arteries and consequent secretion of _____ factors

trophoblast invasion

placental secretion of angiogenic factors

14

systemic _______ dysfunction caused by preeclampsia?

endothelial dysfunction

15

mgmt of preeclampsia

magnesium sulfate

16

magnesium sulfate to prevent

seizures

17

Ddx 3rd trimester bleeding

MAIN ONES

Placental abruption
PRevia
Vasa Previa
Uterine rupture

18

Ultrasound or digital exam for bleeding in 3rd trimester?

US always first

19

causes of placental abruption?

htn, cocaine/smoking, abdominal trauma

20

placenta previa risk factors

prior uterine surgery, many pregnancies, mutliple gestations, smoking, older moms

21

Vasa previa presentation and risk factors

painless vaginal bleeding

multiple gestations

VERY EMERGENT

22

what type of plancental abnormality common to see in preeclampsia?

placental abruption

23

c section indications

breech presentation

abnormal placentation

prior myometrial surgery

macrosomia (over 5000 grams)

HIV

Active Herpes outbreak

24

C section tries to avoid what layer of the uterus?

Myometrium which is why it is done int he lower uterine segment

25

vaginal delivery after c section poses what risk?

uterine rupture (.5%)