Miscellaneous Flashcards
N/V up to 16 weeks is considered _____.
Morning sickness
Severe, excessive N/V associated with weight loss and electrolyte imbalance that persists > 16 weeks is known as _____.
HEG- Hyperemesis Gravidarum
*Multiple gestations and molar pregnancies are RFs
Acidosis (from starvation) and metabolic hypochloremic alkalosis (from vomiting) are associated with ____.
HEG
1st line antiemetics during pregnancy are:
- Pyridoxine (Vitamin B6)
- Doxylamine (antihistamine)
- Promethazine
Fetal Hydrops is fluid accumulation in 2 or more spaces including:
*May be associated with effects of Rh alloimmunization on subsequent newborns
- pericardial effusion
- ascites
- pleural effusion
- subcutaneous edema
Rhogam is given at ___ weeks gestation AND within ___ hours of delivery of an Rh positive baby OR after any potential mixing of blood.
RhoGAM given at 28 weeks and within 72 hours of delivery
How is erythroblastosis fetalis treated?
Antigen-negative RBCs through US-guided umbilical vein transfusion
When do you screen for gestational DM?
24-28 weeks gestation through 50g oral glucose challenge test
If blood glucose is ≥ ____ mg/dL after 1 hour then you should perform 3 hour oral GTT.
140
_____ is the gold standard for diagnosing gestational DM.
3 hour 100g oral GTT
Positive if:
- Fasting > 95
- 3 hour > 140
_____ is treatment of choice for gestational DM.
Insulin (doesn’t cross placenta)
*Glyburide doesn’t cross placenta but there’s a higher risk of eclampsia
Treatment goal for gestational DM is fasting glucose < ____.
95 mg/dL
If gestational DM is uncontrolled/macrosomia then labor induced at ___ weeks. If it is controlled and there is no macrosomia then at ___ weeks.
Uncontrolled- 38 weeks
Controlled- 40 weeks
Mothers with gestational DM have a ___ chance of developing DM post-baby and a ___ chance of recurrence with subsequent pregnancies.
50%
*Mothers should be screened at 6 weeks postpartum for DM and yearly afterwards
HTN with NO proteinuria AFTER 20 weeks gestation is known as _____.
Gestational (Transitional) HTN
*Resolves 12 weeks postpartum
HTN with proteinuria +/- edema AFTER 20 weeks gestation is known as _____.
Preeclampsia
Mild preeclampsia defined by a BP ≥ ___ / ___.
140/90
Severe preeclampsia defined by a BP ≥ ___ / ____.
160/110
- May have thrombocytopenia +/- DIC
- *May have HELLP Syndrome–> Hemolytic anemia, Elevated Liver enzymes, Low Platelets
Management of mild and severe preeclampsia…
Mild: Delivery @ 37 weeks gestation
Severe: PROMPT DELIVERY ONLY CURE + Mag Sulfate to prevent eclampsia szs
BP Meds: Hydralazine and Labetalol
Preeclampsia + Seizures is known as ____.
Eclampsia
Management of eclampsia…
ABCDs
- Mag sulfate for szs
- Deliver fetus once patient is stabilized
- BP meds!
HTN BEFORE 20 WEEKS gestation or before pregnancy is known as ____.
Chronic HTN
How is mild HTN monitored?
Weekly NST during 3rd trimester, serial BP, and urine protein
How is moderate/severe HTN managed?
Meds if BP ≥ 150/100
- METHYLDOPA is treatment of choice
- Labetalol good option too
