Maternal and Fetal Health Flashcards Preview

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Flashcards in Maternal and Fetal Health Deck (16):
1

"embryo" is from ___ to ___, "fetus" is from ___ to ___, "neonate" is from ___ to ___

conception; 10 weeks gestation; 10 weeks gestation; birth; birth; 28 days after birth

2

define maternal mortality ratio

number of maternal deaths in a population per 100,000 live births in the same population during a given period

3

define neonatal mortality rate

number of neonatal deaths per 1000 LIVE births

4

define perinatal mortality rate

number of neonatal deaths plus fetal deaths per 1000 TOTAL births

5

changes in glucose metabolism during pregnancy

higher circulating glucose in fed state, hyperinsulinemia, insulin resistance

6

changes in lipid metabolism during pregnancy

lipid catabolism is accelerated, hypertriglyceridemia, hyperlipidemia

7

fetal outcome of gestational diabetes

macrosomia, polyhydramnios, neonatal hypoglycemia (due to hyperinsulinemia), long term risk of metabolic disorders

8

what vaccinations should be updated during preconception?

chickenpox (varicella), German measles (rubella), hepatitis B

9

why is there increased circulating TBG during pregnancy?

pregnancy-associated increase in estrogen causes decreased clearance of TBG

10

increased production of T3/T4 during pregnancy is partly due to stimulation of TSH receptor by ___ from the placenta

hCG

11

dx: goiter during pregnancy

hypothyroidism caused by iodine deficiency

12

what 2 conditions are caused by excess hCG in the mother?

gestational hyperthyroidism and hyperemesis gravidarum

13

hemodynamic adaptions in pregnancy

increased capacity and decreased resistance

14

medication used for fetal lung maturation

betamethasone

15

seizure prophylaxis in expectant mothers with pre-eclampsia; serious side effects of this medication

magnesium sulfate; decreased tendon reflexes, respiratory depression

16

fetal outcome in pre-eclampsia

fetal growth restriction, oligohydramnios