Clinical aspects of Pregnancy II Flashcards Preview

HRM - Medicine > Clinical aspects of Pregnancy II > Flashcards

Flashcards in Clinical aspects of Pregnancy II Deck (17)
Loading flashcards...
1

What are drugs that should NOT be given to a pregnant mom for hypertension?

ACE inhibitors

2

What do ACE inhibitors cause in infants?

Oligohydramnios and neonatal renal failure

3

What is the definition of Pre-eclampsia?

>140/90 BP after 20 weeks
Proteinuria

4

What reduces risk for pre-eclampsia

Calcium supplementation
Low-dose aspirin

5

What is eclampsia?

Pre-eclampsia with onset of grand mal seizures

6

How do you treat pre-eclampsia?

Hydralazine or labetolol
Magnesium sulfate

7

What is HELLP syndrome?

Hemolysis
Elevated Liver enzymes
Low Platelet count

8

Should counting fetal movement be recommended?

No. Raises anxiety.

9

When a nonstress test is nonreassuring, what should be done?

Oxytocin stress test
(assesses FHT after oxytocin injection)
Should show variability without decels

10

What are the components of Bishop's score for induction?

Position
Consistency
Effacement
Dilation
Fetal station

11

What are the scores for position?

0: Posterior
1: Intermediate
2: Anterior
3: -

12

What are the scores for consistency?

0: Firm
1: Intermediate
2: Soft

13

What are the scores for effacement?

0: 0-30%
1: 40-60%
2: 60-80%
3: >80%

14

What are the scores for dilation?

0: 0 cm
1: 1-2 cm
2: 3-4 cm
3: >5 cm

15

What are the scores for fetal station?

0: -3
1: -2
2: -1, 0
3: +1. +2

16

What can be given for cervical ripening?

Mechanical (balloon catheter)
Oxytocin
Prostoglandins (Dinoprostone or Misoprostol)

17

What are good pregnancy antidepressant drugs?

Some SSRI's
Buproprion
(Tricyclics?)