Other Conditions in Pregnancy

Question 1

What should you have a baseline lab value for in a patient with Lupus?

Answer 1

Proteinuria

Question 2

What is a common why to diagnose unknown Lupus?

Answer 2

Positive RPR (this is positive with syphilis)

Question 3

What is one thing that should be watched with steroid treatment with Lupus?

Answer 3

Blood Sugars- can be hyperglycemic

Question 4

What are symptoms of HYPERthyroidism?

Answer 4

Hot, nervous, insomnia, sweating, missed periods, fine hair, palpitations, tachycardia, exopthalamous.

Question 5

Where is TSH released from?

Answer 5

The pituitary gland- it acts on the thyroid gland to release T3 and T4.

Question 6

What are the symptoms of HYPOthyroidism?

Answer 6

Cold, fatigue, weight gain, dry skin, edema, joint pain, depression, hair loss, bradycardia, goiter, constipation

Question 7

What are the recommended guidelines for taking Synthroid?

Answer 7

Take it in the morning, 1 hour before eating or if they have already ate, wait 2 hours

Question 8

What are the symptoms of gallbladder issues?

Answer 8

RUQ pain, R flank pain, and R shoulder pain

Question 9

What causes gallbladder issues in pregnancy?

Answer 9

Progesterone- it relaxes the bile ducts and this leads to stasis

Question 10

What is the hallmark sign of Intrahepatic Cholestasis?

Answer 10

Intense itching, mainly on the hands and feet.

Question 11

What are the 4 issues you can have with a sick liver?

Answer 11

1. Decreased albumin- this leads to third spacing
2. Decreased ability to clot- this can lead to increased risk of bleeding
3. Decrease in the ability to filter out toxins- this can lead to fatigue
4. Decreased ability to clear ammonia- this can lead to changes in LOC

Question 12

What failed first that results in pulmonary edema?

Answer 12

The Heart- this leads to a backup into the left ventricle and then into the lungs

Question 13

What are the two reasons for increase risk of UTIs and Pyelo in pregnancy?

Answer 13

1. glucose and proteins cause an increase in infections’
2. Dilation of the ureters and renal calyces due to progesterone allows bacteria to more easily ascend.

Question 14

What are four risks of seizures in pregnancy?

Answer 14

1. FHR decelerations
2. Fetal hypoxia
3. Abruption
4. Preterm Delivery

Question 15

What postpartum hemorrhage medication is contraindicated with a patient with asthma?

Answer 15

Hemabate- this can cause bronchospasm

Question 16

What are measurable times for the detection for different drugs?

Answer 16

Alcohol: <24 hours
Amphetamines: up to 3 days
Cocaine: up to 5 days
Opiates: up to 3 days
Marijuana: 1-4+ weeks
LSD: 1-2 days
PCP: up to 1 week
Heroin: 2-3 days

Question 17

True or False: Carbon Monoxide crosses the placenta?

Answer 17

True: this binds to hemoglobin which makes less binding capacity for oxygen

Question 18

What is the biggest risk with Cocaine use in pregnancy?

Answer 18

Abruption

Question 19

What medication can cause immediate withdrawal for those on methadone?

Answer 19

Nubain and Stadol

Question 20

How long should a woman wait to get pregnant after bariatric surgery?

Answer 20

12-24 months

Question 21

What is a common problem after bariatric surgery?

Answer 21

Malabsorption

Question 22

What is the biggest risk for those experiencing domestic violence in pregancy?

Answer 22

Abdominal trauma- abruption risk

Question 23

What kind of pH imbalance are pregnant women in?

Answer 23

Respiratory Alkalosis