High Risk Pregnancy (AI made these) Flashcards
(48 cards)
What is Preterm Labor?
Labor (cervical change) between 20 and 36 6/7 weeks gestation.
Leading cause of fetal/infant mortality and morbidity in the US.
List three signs and symptoms of Preterm Labor.
- More than 6 uterine contractions in an hour
- Cramping
- Leaking of fluid
What are the risk factors for Preterm Labor?
- Prior history of incompetent cervix or preterm delivery
- Infections: BV, STI, HPV
- Multiple pregnancy
Fill in the blank: To prevent Preterm Labor, obtain good _______.
[prenatal care]
What is Preterm Premature Rupture of Membranes (PPROM)?
Rupture of the amniotic sac prior to 37 weeks gestation.
Signs include leaking of fluid from the vagina.
What is the management approach for PPROM?
- Active vs. expectant management
- Prevention of infection
- Bedrest
What are the types of Hypertensive Disorders in Pregnancy?
- Chronic Hypertension
- Gestational Hypertension
- Preeclampsia
What is a significant risk factor for Preeclampsia?
Pre-gestational hypertension or diabetes.
Other factors include obesity and extremes of age.
True or False: Preeclampsia can present with severe features.
True
What is the recommended treatment for severe Preeclampsia?
- Monitor for worsening symptoms
- Administer Magnesium Sulfate
- Fetal monitoring
Fill in the blank: Normal levels of magnesium are _______.
[1.5-2.5]
What are the risks associated with Diabetes in Pregnancy?
- Preterm Labor
- Increased risk for preeclampsia/eclampsia
- Macrosomia
What is the management strategy for Gestational Diabetes?
- Diet control
- Insulin therapy
- Glucose monitoring
What is Placenta Previa?
Placenta partially or completely covers the os, or opening of the cervix.
Can present with painless, bright red bleeding.
What is the primary management for a patient with Placenta Previa?
- No vaginal exams
- Maintain large-bore IV access
- Frequent monitoring of vital signs
List the causes of Placental Abruption.
- Abdominal trauma
- Vasospasm
- Preeclampsia or HTN
What is the hallmark sign of Placental Abruption?
Painful, dark red bleeding in smaller amounts than previa.
Can lead to maternal shock and fetal distress.
What is Rh factor incompatibility?
Rh negative mothers with Rh positive babies, leading to maternal antibody formation.
Subsequent pregnancies can be affected.
What is the purpose of administering Rhogam?
To prevent Rh factor incompatibility complications.
Administered at 24-28 weeks gestation and within 72 hours of delivery.
What infections are included in the TORCH complex?
- Toxoplasmosis
- Other infections
- Rubella
- Cytomegalovirus (CMV)
- Herpes Simplex Virus
What is the consequence of contracting Toxoplasmosis during pregnancy?
Causes intellectual disability in the baby if contracted prenatally.
True or False: The MMR vaccine is contraindicated during pregnancy.
True
What is the management for a woman with Herpes Simplex Virus during pregnancy?
- Valcyclovir for suppression
- Cesarean for active outbreak
What is the goal of HIV management in pregnancy?
Healthy mom, no vertical transmission to fetus/newborn.
