Medical Conditoons In Pregnancy Flashcards Preview

Repro Clinical Week 2 > Medical Conditoons In Pregnancy > Flashcards

Flashcards in Medical Conditoons In Pregnancy Deck (30)
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1
Q

3 risk factors for developing GDM?

A

Obesity, previous history of GDM, strong family history of DM

2
Q

4 maternal complications of GDM?

A

HTN, preeclampsia, increased risk of c section, risk for diabetes later

3
Q

4 fetal complications because of GDM?

A

Big baby, hypoglycemia, high bilirubin, birth trauma

4
Q

There is a direct link between birth defects and what?

A

Increased hemoglobin A1C.

5
Q

What is the goal for fasting and two hour post prandial glucose levels?

A

Below 95

Below 120

6
Q

How do we make the diagnosis for maternal hyperthyroidism?

A

Elevated T4 and suppressed TSH

7
Q

4 fetal affects to baby because of mom having hyperthyroidism?

A

Hypo with a goiter, prematurity, IUGR, and still birth

8
Q

Big time maternal effect of hyperthyroid?

A

Preeclampsia

9
Q

What corticosteroid do you give in the mix of meds for thyroid storm in pregnancy?

A

Dexamethasone

10
Q

6 risks that can develop with hypothyroidism?

A

Abortion, preeclampsia, abruption, low birth weight, stillbirth, lower intelligence

11
Q

How can babies get thyrotoxicosis? What is the main symptom with neonatal hypo?

A

Thyroid stimulating antibodies crosses placenta

Generalized developmental retardation

12
Q

What is the most common lesion of a pregnant lady with rheumatic heart disease?

A

Mitral stenosis

13
Q

What is a big time contraindication for pregnancy ladies in the cardiopulmonary system?

A

Primary pulmonary HTN

14
Q

What cardiac arrhythmia is most common in pregnancy ladies, what is good about it, and which 2 arrhythmias are we more worried about?

A

Supra ventricular tachycardia

A fib and a flutter

15
Q

What 3 conditions put a lady at risk for developing postpartum cardiomyopathy?

A

Preeclampsia, HTN, poor nutrition

16
Q

All pregnant cardiac patients should be co managed by who?

A

Cardiologist

17
Q

What is going on with immune idiopathic thrombocytopenia? What effect can it have on baby?

A

Immunoglobulins attach to moms platelets

Neonatal thrombocytopenia can occur due to placental transfer of the anti-platelet antibodies

18
Q

5 fetal complications because mom having lupus?

A

Preterm delivery, fetal growth restrictions, still birth, miscarriage, and neonatal lupus

19
Q

3 complications of getting antiphospholipid syndrome?

A

Miscarriage, preeclampsia, and fetal growth restriction

20
Q

What type of renal failure are we concerned about that has a worse prognosis in pregnant patients and what is the serum marker for it?

A

Chronic renal failure

Greater than 1.5 to 2 creatinine

21
Q

Asymptomatic bacteriuria more likely leads to what two conditions in pregnant women and what is the culprit most commonly?

A

Cystitis and pyelonephritis

E. coli

22
Q

Pyelonephritis can lead to what two conditions in mom?

A

Preterm labor and RDS

23
Q

How do we define hyperemesis gravidarum incidence?

A

Persistent NV associated with greater than 5% loss of pregnancy weight, ketonuria, and dehydration

24
Q

What GI disorder is found in over 70% of women?

A

GERD

25
Q

What GI condition may improve because of pregnancy and what is the main treatment?

A

Peptic ulcer

Antibiotics to H pylori

26
Q

What is mendelson’s syndrome also known as, why do pregnant women get it, and what condition can it lead to?

A

Acid aspiration syndrome
Delayed gastric emptying and increased ab pressure
Respiratory distress syndrome

27
Q

What is the concern with Inflammatory bowel disease and pregnancy? What is normal?

A

Really, everything is normal during pregnancy. Treat the flare ups as normal.
What we are concerned about is if the disease is active during conception, there can be a miscarriage.

28
Q

Pregnant lady itches her belly, but has no tummy rash or pain, elevated bile acids and liver enzymes, what does she have?

A

Intrahepatic cholestasis of pregnancy.

29
Q

What are two associations with ICP?

A

Oral contraceptives and multiple births

30
Q

What is a very scary hepatic disorder that pregnant ladies can get? What 4 labs will be elevated?

A

PT, PTT, bilirubin and liver transaminases