Exam 2 Flashcards
Complete molar pregnancy.
An egg with no genetic information is fertilized by a sperm. It does not develop into a fetus but continues to grow as a lump of abnormal tissue that looks a bit like a cluster of grapes and can fill the uterus.
Partial molar pregnancy.
An egg is fertilized by two sperm. The placenta becomes the molar growth. Any fetal tissue that forms is likely to have severe defects.
choriocarcinoma
baseline CXR, follow hCG levels for six months, hormonal contraception (BCP’s or IUD) is curable if recognized early and treated properly
hyperemesis gravidarum
severe n/v during pregnancy; suggest ginger root, saltine crackers (before you lift your head off pillow in the morning- acid from empty stomach goes up your throat and you puke). Meds if losing weight (Zofran, if that doesn’t work, admit to hospital, worst case scenario, TPN nutrition)
gestational hypertension
elevated BP more than 140/90 after week 20, without the presence of proteinuria. one third of these women develop preeclampsia
preeclampsia
development of hypertension WITH proteinura after week 20. Either mild or severe. Severe includes HA, blurry vision, epigastric pain. definitive cure is delivery
eclampsia
onset of seizures in a pregnant woman after week 20 when no other reasonable explanation is present
chronic hypertension
HTN before preggo, or before week 20. At risk for preeclampsia
HELLP Syndrome
Hemolysis
elevated liver enzymes
Elevated platelets
can lead to DIC and death
Threatened abortion -
back pain, cramping, bleeding
Imminent Abortion
back pain, cramping, bleeding, cervix is open
incomplete -
placenta remains, must go for a D&C, dilate the cervix, scrape out the uterus
Missed abortion -
baby died in utero, but mom’s body has not expelled it, can lead to infection so must perform a D&C
Complete abortion -
baby and everything is expelled
habitual abortion - 3 or more miscarriages r/t to hormonal imbalance or genetic probs b/w mom & dad
septic abortion - mom has become infected
Any bleeding episode during pregnancy and mom is Rh-,
mom will get rhogam
Etopic pregnancy -
most common place - fallopian tube, but it’s considered any pregnancy that occurs outside of the uterus; risk factors - smoking, old maternal age, previous infections r/t PID; treated w/ surgery or methotrexate ( folic acid maker)
Gestational trophoblastic disease (hydrops or molar pregnancy or hydatitaform) -
grossly elevated HCG levels, uterus larger than the date due to hydropic growth of cells; mom will have signs of hyperemesis graviderum due to high levels of HCG; “prune juice bleeding”, might be anemic due to blood loss; increases with age of mother; can cause coriocarcinoma - 20% are metastatic; will follow HCG levels for 6 months after
HA, blurry vision, hyperreflexia, epigastric pain
severe preeclampsia
treatment for preeclampsia
give steriods if less than 34 weeks gestation (improve lung development in case we deliver early)
monitor baby’s movement
magnesium toxicity
Tx for preeclampsia
respiratory depression
check reflexes
slurred speech
eclampsia tx
magnesium sulfate running via IV and take to the OR for c-section