OB 3 Flashcards
(10 cards)
0
Q
When do you do a gestational diabetes screening
A
24-28 weeks
1
Q
Risk factors for gestational diabetes
A
Fam history Age Obesity Prior polyhydramnios Prior stillbirth Prior macrosomia Hypertension Ethnicity Pcos Multiple generations Molar pregnancies
2
Q
Complications of gestational diabetes
A
Macrosomia Polyhydramnios Delayed pulmonary maturity Utero placental insufficiency Traumatic delivery Delayed neurologic maturity Respiratory distress syndrome Hypoglycemia
3
Q
Signs of pregestational diabetes
A
Polyuria
Polydipsia
Vasculopathies
4
Q
Pregestational diabetes - fetal complications
A
Cardiac defects (TOF, transposition)
Neural tube defects
Sacral agenesis
Renal agenesis
5
Q
Risk factors for pre eclampsia
A
Pre existing hypertension Nulliparity Prior history of pre eclampsia Extremes of age Multiple gestations Vascular disease Renal disease Diabetes Obesity African Americans
6
Q
Signs of pre eclampsia
A
Edema in hands and face Rapid weight gain Headache Visual disturbances Hyperreflexia Seizures Epigastric or ruq pain (vasospasm of liver)
7
Q
Creatinine level in pre eclampsia
A
Normal or elevated (usually low in pregnancy because it’s diluted)
8
Q
How long should you give magnesium to an eclampsia patient after delivery
A
48 hours
9
Q
How long should you give magnesium to a pre eclampsia patient after delivery
A
24 hours
