Clinical aspects of Pregnancy I Flashcards Preview

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Flashcards in Clinical aspects of Pregnancy I Deck (17)
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1

What are the five complications that account for 80% of maternal deaths?

Severe bleeding
Infections
High blood pressure during pregnancy
Obstructed labor
Unsafe abortion

2

At what point can maternal glucose cross the placenta?

12 weeks

3

How many deliveries of women with GDM are larger than normal?

20%

4

What are some risk factors for gestational diabetes?

35 years or older
BMI > 25
Family hx of DM in 1° relative
Macrosomia in previous pregnancy
Hx of gestational DM
High risk ethnic group

5

What medications are often used in GDM treatment?

Glyburide
Metformin

6

What is defined as preterm labor?

labor prior to 37 weeks

7

What is the incidence of preterm labor in the US?

11% of pregnancies

8

What should you do with a patient when evaluating preterm labor?

Speculum exam, cultures, fetal fibronectin
Ultrasound
Digital exam

9

How long should the cervix be when considering cerclage?

<16 mm

10

What has the best predictive value when considering imminent delivery?

Fetal fibronectin
High Negative predictive value

11

What drugs are often given for lung maturation?

Betamethasone or dexamethasone

12

What does placenta previa present as?

Painless bleeding

13

What does placenta abruption present as?

painful contractions

14

How do you evaluate antepartum bleeding first?

Ultrasound. Before anything else. Then speculum

15

What is the treatment for placenta previa?

C section delivery

16

What is placenta accreta?

Invasion of placenta into uterus

17

Which are the more likely fetal presentations to do a C section?

Face presentation
Shoulder presentation
Breech presentation