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ENRP > Conditions in Pregnancy > Flashcards

Conditions in Pregnancy Flashcards

1
Q

What is Gestational Diabetes?

A

Glucose intolerance recognized during pregnancy

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2
Q

When do you screen for Gestational Diabetes?

A

24-28 weeks

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3
Q

When screening for Gestational Diabetes, the 50gm oral 1 hour glucose is given. Above what number is abnormal?

A

> 130

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4
Q

Once the 50gm oral 1 hour glucose is given, if it comes back abnormal, what is then given in order to confirm Gestational Diabetes?

A

100gm oral 3 hour glucose

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5
Q

With Gestational Diabetes, what is the mother at a very increased risk for?

A

Developing Diabetes later in life

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6
Q

List some fetal complications with Gestational Diabetes? (5)

A 
Macrosomia
Shoulder Dystocia
Still birth
Hypoglycemia
Hyperbilirubinemia
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7
Q

If a neonate has hypoglycemia, his mother probably had?

A

Gestational Diabetes

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8
Q

With Gestational Diabetes, what is the intrapartum management if the patient has a controlled diet/glucose?

A

Glucose testing

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9
Q

With Gestational Diabetes, what is the intrapartum management if the patient is on meds?

A

Insulin drip

Hourly glucose testing

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10
Q

What neonate outcome is linked to an increased glycosylated hemoglobin level of the mother?

A

Birth defects

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11
Q

With Gestational Diabetes, the insulin requirements will ____ postpartum

A

DECREASE

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12
Q

What levels of TSH and T4 define Hyperthyroidism?

A

LOW TSH

HIGH T4

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13
Q

With Maternal Hyperthyroidism, when is Proplythiouracil given?

A

1st trimester

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14
Q

With Maternal Hyperthyroidism, when is Methimazole given?

A

2nd and 3rd trimesters

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15
Q

When the mother is taking medications for her Hyperthyroidism, what can the meds do?

A

Cross the placenta

  • -> Fetal hypothyroidism
  • -> Fetal Goiter maybe
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16
Q

What can trigger a Thyroid Storm?

A

Medication noncompliance

Infection, labor, C-section

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17
Q

What are the signs of a Thyroid Storm?

A

Hyperthermia, sweating
Increased HR
High output cardiac failure

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18
Q

If a mother with Hyperthyroidism presents with hyperthermia, sweating, an increased HR and high output cardiac failure, what is likely?

A

Thyroid Storm

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19
Q

What is Neonatal Thyrotoxicosis?

A

Thyroid stimulating antibodies cross the placenta

– usually transient effects

20
Q

Neonatal Hypothyroidism causes?

A

Developmental retardation

21
Q

What cardiac disease is a CONTRAINDICATION to pregnancy due to decompensation?

A

Primary Pulmonary HTN

22
Q

Describe what happens with Postpartum Cardiomyopathy?

A
  • No previous underlying cardiac disease
  • -> Cardiomyopathy develops at the end/after pregnancy
  • -> 10% fatal
23
Q

If a mother has no underlying heart disease but suddenly develops issues after the delivery of her baby, what is it?

A

Postpartum Cardiomyopathy

24
Q

ALL pregnant cardiac patients must be co-managed with?

A

Cardiologist

25
Q

(+) lupus anticoagulant

(+) anticardiolipin antibody

A

Antiphospholipid Syndrome

26
Q

If a patient has a history of thrombosis, they need full anticoagulation. What immune condition causes issues with pregnancy due to thrombosis?

A

Antiphospholipid Syndrome

27
Q

Renal Disease in pregnant patients =

A

BAD

28
Q

What pathogen causes Asymptomatic Bacteriuria and what 2 infections can develop?

A

E.Coli

–> Cystitis and Pyelonephritis

29
Q

What are the symptoms of Pyelonephritis?

A

Fever

CVA tenderness

30
Q

What 2 lab results will be present with Pyelonephritis?

A

Increased WBC

Abnormal Urinalysis

31
Q

Mothers with Pyelonephritis will likely have what 2 things occur?

A

Preterm labor

Adult RDS

32
Q

What is the treatment for Pyelonephritis in a pregnant woman?

A

Suppression for the REST OF PREGNANCY

33
Q

What is Hyperemesis Gravidarum?

A

Persistent N/V with weight loss, ketonuria and dehydration

34
Q

With persistent N/V that causes more than 5% of pre-pregnancy weight loss, what is the treatment if severe?

A

(hyperemesis gravidarum)

= Nasogastric feeding or parenteral nutrition

35
Q

Mendelson’s Syndrome

A

Acid Aspiration

36
Q

Treatment for Tension Headaches?

A

Acetaminophen

37
Q

During pregnancy, the woman is at a hyper-coagulable state. When is she at the greatest risk for DVT/PE?

A

First 5 weeks after delivery

38
Q

What is Intrahepatic Cholestasis of Pregnancy?

A

Cholestasis and Pruritus in the second half of the pregnancy

39
Q

What is the main symptom with Intrahepatic Cholestasis of Pregnancy?

A

ITCHING

– no rash present

40
Q

Does Intrahepatic Cholestasis of Pregnancy recur?

A

YES

– recurs with each pregnancy usually

41
Q

What is the fetus at risk of if the mother has Intrahepatic Cholestasis of Pregnancy?

A

Increased bile acids in mother

–> FETAL DEMISE (and meconium stained amniotic fluid)

42
Q

A pregnant woman presents with itching all over, no rash and increased bile acids. What is her diagnosis? What is the fetus at risk of?

A

Intrahepatic Cholestasis of Pregnancy

Fetal demise and meconium stained amniotic fluid

43
Q

What occurs with Acute Fatty Liver in Pregnancy?

A

Diffuse fatty infiltration of liver

–> LIVER FAILURE

44
Q

What are the signs of Acute Fatty Liver of Pregnancy?

A 
Abdominal pain
N/V
JAUNDICE
Irritability 
Polydipsia
45
Q

What is the treatment for Acute Fatty Liver of Pregnancy?

A

Termination of pregnancy… deliver

46
Q

Abdominal pain, N/V, Jaundice is likely what scary condition in a pregnant woman?

A

Acute Fatty Liver in Pregnancy

ENRP (45 decks)

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