medical conditions in pregnancy

Question 1

common risk of CVD in labor

Answer 1

increased cardiac output

Question 2

what fetal investigation does CVD require of the fetus

Answer 2

fetal echo at 20 weeks

Question 3

what is the leading cause of maternal mortality

Answer 3

acute myocardial infartction.

Question 4

what is the first line treatment of VTE

Answer 4

heparin

Question 5

do woman need to be tested for bacteriuria

Answer 5

yes all woman– even if asymotomatic. can lead to a 30 percent risk of pylonephritis

Question 6

what are the impications of thyroid disease

Answer 6

cardiac failure, pre term birth,

Question 7

hypothyroidism is diagnosed —- to pregnancy and is treated with ____

Answer 7

1- prior 2) thyroxine

Question 8

what is the goal of asthma control

Answer 8

is to optimise control of symptoms and encourage compliance with therapy. Any asthma treatment required prepregnancy should be continued during pregnancy.

Question 9

what is the goal of seizure control

Answer 9

lowest dose of ASM with seizure control during pregnancy

Question 10

how long should woman with epilepsy wait prior to concieving

Answer 10

9-12 months with seizures being controlled.
this should be done slowly and under consulation of a neurologist

Question 11

physiological aneamia happens because why and how is it treated

Answer 11

there is a 50% increase in plasma volume and only a 13-80 percent increase in RBC volume this leads to dilution of the RBC

treated with 18-20 mg ferrotab biggest side effect of this is constipation/

Question 12

what are the common defects associated with anti seizure medication

Answer 12

cleft lip or palate, congenital heart anomalies, and neural tube defects.