Pathological OB Flashcards

1
Q

SAD habits of pregnancy

A

smoking, alcohol, drugs

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2
Q

women who smoke during pregnancy
have what

A

SGA or small for gestational age or low birth weight

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3
Q

The use of __ cigarettes/day doubles the risk of
developing low-birth weight infant.

A

5

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4
Q

ingestion by pregnant woman is likely to cause
fetal abnormalities.

A

alcohol

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5
Q

Alcohol is the leading known
_____ in the western world.

A

teratogen which is any substance, agent, or environmental factor that can cause birth defects and fetal abnormalities

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6
Q

Effects of chronic alcoholism

A

Fetal Alcohol Syndrome

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7
Q

Heavy use of alcohol ___ has
___ risk of producing FAS characterized by _____

A

2 or more drinks a day, 10%, retardation and mental delays

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8
Q

Average IQ of ppl with FAS

A

60-65

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9
Q

neurological condition where a baby’s head is smaller than normal for their age and sex. This occurs because the brain does not develop properly in the womb or stops growing after birth

A

microcephaly

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10
Q

Since modern science
has not determined what
level of alcohol is safe for
pregnant women, it is
best for pregnant women
to abstain from alcohol
ingestion, including the
so-called ________-
as this can cause
problems that persist in to
the child’s teenage years
and beyond

A

social drinking

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11
Q

reduce intake
of coffee, tea, colas
and cocoa to ___ of
caffeine per day or no
more than ____ servings
per day

A

300mg or 2-3 servings

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12
Q

should only be
taken by pregnant women
when prescribed by their
physicians

A

drugs

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13
Q

Intake of illicit drugs in
the first trimester can
cause the most

A

adverse fetal malformation

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14
Q

results to neonatal
abstinence syndrome
giving rise to a group of
signs that include:
* Sneezing & irritability
* Vomiting & diarrhea
* seizures

A

heroine

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15
Q

being natural are
not always safe because
of lack of consistent
potency in the active
ingredient and must
be approved and
supervised by health
care provider

A

herbs

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16
Q

Is one in which a concurrent disorder, pregnancy
related complications or external factor
jeopardize the health of the woman, the fetus or
both

A

high risk pregnancy

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17
Q

high risk prenatal categories

A

minimal, moderate, extensive

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18
Q

an inflammatory condition that
affects the connective tissue in which the
heart valves are damage by
Streptococcal bacteria

A

rheumatic heart disease

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19
Q

common laboratory tests

A

1.CBC
2. hemoglobin count
3. urinalysis
4. urine test for protein
5. RBS
6. blood typing

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20
Q

RHD functional capacity class 1

A

Asymptomatic. No limitation of physical activity.

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21
Q

RHD functional capacity class 2

A

Slight limitation of physical activity. Asymptomatic at rest;
symptoms occur with ordinary physical activity.

22
Q

RHD functional capacity class 3

A

Marked limitation of physical activity. Comfortable at rest
but symptomatic during less-than-ordinary physical activity.

23
Q

RHD functional capacity class 4

A

Inability to carry on physical activity without discomfort.

24
Q

symptoms of RHD

A
  1. cough
  2. dyspnea
  3. edema
  4. heart murmurs
  5. palpitations
  6. rales
  7. weight gain
  8. fatigue
25
drug therapy of RHD
1. antibiotic (Penicillin) 2. anticoagulant (Heparin) 3. thiazide diuretics & furosemide 4. digitalis glycoside & antiarrythmic drugs
26
labor and birth for complications
cesarean section delivery low forceps delivery
27
METABOLIC DISORDER DURING PREGNANCY CHARACTERIZED BY DEFICIENCY IN INSULIN PRODUCTION RESULTING IN PROTEIN, FATS AND CHO METABOLISM
Gestational Diabetes Mellitus
28
classic signs of GDM
1. Polyuria 2. Polydipsia 3. Polyphagia 4. Weight loss
29
GDM diagnostic tests
A. GTT (GLUCOSE TOLERANCE TEST 1. FBS – GREATER THAN 95 MG/DL 2. 1 HR. – GREATER THAN 180 MG/DL 3. 2 HRS – GREATER THAN 155 MG/DL 4. 3 HRS – GREATER THAN 140 MG/DL B. 2 – HR POST PRANDIAL BLD. SUGAR 1. GREATER THAN 120 MG/DL
30
Therapeutic Management of GDM
1. Insulin 2. Blood glucose monitoring 3. Tests for placental function and fetal well- being 4. Timing for birth
31
Refers to the continued use of substances (drugs & alcohols) despite related problems in physical, social or interpersonal areas.
substance abuse
32
malnutrition, bone marrow suppression, increased incidence of infection, liver disease; fetal alcohol syndrome
alcohol
33
women have increased incidence of spontaneous abortion, abruptio placenta, preterm birth, & stillbirth; fetus – increased risk of intrauterine growth restriction, small head circumference, cerebral infarctions, shorter body length, altered brain development, malformations of the GUT, and low APGAR scores
cocaine
34
increased risk of intrauterine growth restriction and sudden infant death syndrome
marijuana
35
overdose or psychotic response
Phencyclidine (PCP)
36
long-term impaired memory and learning in the child
MDMA (methylene dioxymethamphetamine)/ Ecstasy
37
–mother: poor nutrition, iron deficiency anemia, preeclampsia; fetus: increased risk for IUGR, meconium aspiration, and hypoxia
heroin
38
preeclampsia, placental problems, abnormal fetal presentation
methadone
39
drugs commonly abused during pregnancy
alcohol, cocaine, marijuana, phencyclidine, methylene dioxymethamphetamine/ecstacy, heroin, methadone
40
a blood disorder that occurs when a mother's and baby's blood types are incompatible
erythroblastosis fetalis or hemolytic disease of the newborn (HDN)
41
a life-threatening condition that occurs when too much fluid builds up in a fetus or newborn.
hydrops fetalis
42
Rh negative woman carries an Rh positive fetus and can also occur if an Rh negative non pregnant woman receives an Rh positive blood transfusion
RH sensitization/Alloimmunization
43
Screening for Rh incompatibility and alloimunization
1. Prenatal visit 2. Indirect Coombs’ test & Direct Coombs’ test
44
Antepartal Management
1. Rh immune globulin (RhoGAM) 2. Doppler 3. Ultrasound
45
Postpartal Management
1. RhoGAM
46
indirect coombs
mother
47
direct coombs
baby
48
hemoglobin less than 10g/dl
anemia
49
insufficient hemoglobin production related to nutritional deficiency
1. Iron Deficiency Anemia 2. Folic Acid Deficiency Anemia
50
hemoglobin destruction in an inherited disorder
sickle cell anemia