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Flashcards in Exam 2 Deck (29)
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1

progesterone

helps with uterine lining, decreases uterine contractions, develops breast alveoli

2

estrogen

helps with uterine growth, placental flow, stimulates uterine contraction

3

hCG

stimulates corpus luteum to make progesterone which supports ovum and implantation (until placenta takes over)

4

gravida

number of pregnancies

5

para

number of infants

6

pre-term

20-37 weeks

7

Nagele's Rule

first day of last period, minus 3 months + 7 days. this determines expected due date. most accurate if menstruation is regular

8

term birth

38-40 weeks

9

abortion/miscarriage

loss at less than 20 weeks

10

ultrasonography

measure echos undetectable by human ears to get real-time image of fetus. confirms viability, multiples, dates, abnormalities, visualization during invasive testing

11

hyperemesis gravidarum

vomit a lot during pregnancy, dehydration, ketosis, electrolyte imbalances. can progress to liver/kidney damage.

12

ectopic pregnancy

implantation outside of uterus (like fallopian tubes, cervix, ovary, etc)

13

molar pregnancy / hydatidiform mole / gestational trohpolastic disease

abnormal proliferation of trophoblastic tissue, placenta develops grapelike clusters. often require D&C bc it can cause cancer

14

diagnosis of molar pregnancy

very rapid fundal growth, spotting, high hCG, hyperemesis, high BP

15

management of molar pregnancy

monitor hCG levels, chest xray, possible hysterectomy

16

gestational hypertension

HTN w/o proteinuria after 20 wks. resolves postpartum. systolic BP > 140 or diastolic > 90. up to 25% will develop proteinuria (and pre-eclampsia)

17

pre-eclampsia

HTN and proteinuria after 20 weeks. systolic BP 140/90 to 160/110. Or > 300 mg protein in 24 hr urine. output > 30 ml/hr or 650 ml/24 hr. Edema 1+ or 2+

18

severe pre-eclampsia

at least one of: systolic > 160 or diastolic > 110, proteinuria > 5 g in 24 hr, oliguria < 500 ml/24hr, cerebral or visual disturbances (headache)

19

severe pre-eclampsia symptoms

pulmonary edema, cyanosis, epigastric or RUQ pain, impaired liver function, thrombocytopenia, IUGR (small baby)

20

eclampsia

new onset of grand mal seizures in women with pre-eclampsia

21

Apresoline/hydralazine

BP medication

22

magnesium sulfate

helps pregnant mother's reflexes and seizures

23

calcium gluconate

reverses/antidote for mg sulfate

24

HELLP syndrome

Hemolysis, Elevated lab work, Liver enzymes, Low Platelet count

25

thromboxane

"bad". vasoconstrictor, stimulant of platelet aggregation, uterine stimulating prostaglandin

26

prostacyclin

"good". vasodilator, inhibitor or platelet aggregation, uterine relaxing prostaglandin

27

pre-eclampsia symptoms

headache, confusion, convulsion, respiratory symptoms, visual disturbances, N/V, RUQ pain, decreased urine output

28

HELLP s/s

epigastric or RUQ pain, N/V, headache, weakness, jaundice, hematuria

29

hyperemesis gravidarum treatment

frequent small meals, anti-emetics, avoid iron, IV fluids, ginger