Flashcards in Commonprobsofpregnancy-Table 1 Deck (134)
Where are the areas most commonly affected by striae (stretch marks) during pregnancy?
Abdomen, thighs, breast
What is raccoon face?
Mask of pregnancy, melasma, cholasma
Hyperpigmentation of skin on forehead, upper lip, and cheeks caused by the steep rise in estrogen levels, which stimulate excess melanin
Should go away
what is PUPPP?
Pruritic urticarial papules and plaques of pregnancy
Itchy, raised rash most commonly appearing on the abdomen, thighs, arms, and butt
When is PUPPP more common?
Third trimester and in moms carrying multiple fetus’s
What are tx options for PUPPP?
Emollient creams, OTC antihistamine, compress etc
What are tx options for striae?
Creams, laser tx…all kinda depends
What is the rule of 3 in regards to asthma during pregnancy?
1/3 of women… get better, get worse, or stay the same
When should a serial US and antenatal testing be done in pregnant asthmatics?
At >/= 32 weeks to make sure baby is receiving enough O2
If HTN is present before 20 wks GA, is it caused by pregnancy?
NO, most likely chronic HTN and unrelated
What is hypertensive dz of pregnancy and when does is manifest?
Types of htn dz: Preclampsia, eclampsia, HELLP syndrome (severe pre-eclampsia)
After 20 wk GA
What is a common maternal arrhythmia? What do you need to rule out if this is present?
Paroxysmal atrial tachycardia (PAT)
r/o underlying pathology vs secondary strenuous exercise
When does peri-partum cardiomyopathy kick in? how long does it last?
Last month through the first 6 mo pp
What are the S/S of peri-partum cardiomyopathy?
fatigue, palpitations, nocturia, ankle edema, DOE, SOB/supine
How is peri-partum cardiomyopathy tx?
Tx the heart failure and hope heart returns to normal size….
Why does physiologic anemia happen in pregnancy?
d/t dilution effect on increasing plasma volume in greater amount than increasing RBC
What is in PN vitamins that helps to prevent iron def anemia?
60-65mg elemental iron
What should you make sure to remind mom about when giving ferrous sulfate tablets?
Why is folate supplementation so important in pregnancy?
To prevent NTD
When does the neural tube form?
What are the types of NTD?
Spina bifida, encephalocele, anencephaly
What is a cyst containing only meninges with an intact neural tube?
What is myeloschisis?
Neural groove open at one or several thoracolumbar levels
What is the dome shaped cyst frequently at the lumbar level that can contain neural, leptomeninges, and glial tissue?
What constitutes spina bifida occulta?
vertebral arches unfused & underdeveloped, vertebral canal is open but meninges & spinal cord in canal, site covered w/skin
What hx might your preggo lady present with if she is being evaluated for materal sickle cell disease?
pre-existent underlying organ dysfunction, prior multiple transfusions, VTE, spleen status, iron storage, acute chest syndrome
What are the fetal risks of maternal sickle cell disease?
utero-placental insufficiency, alloimmunization, asymmetric IUGR, anemia, stillbirth, opioid exposure/withdrawal
How is maternal sickle cell disease managed?
Materal-fetal and hem consutl/specialist
D/C: hydroxyurea, chelating agents and ACEI- cant use these if preggo
Switch to low dose ASA after 1st trimester or LMWH during and post partum if they have a hx of VTE
What should be done if preggo with maternal sickle cell disease has a vaso-occlusive episode?
- O2, opiod analgesia, fluids, and transfusion
What should be drawn monthly in maternal SCD?
Cbc to check ferritin level