Flashcards in Physiology of pregnancy -Table 1 Deck (53)
What causes a hypercoagulable state in pregnancy?
What is the mask of pregnancy?
hyperpigmentation of face, Malasma
Folate recommended in wormen with PNTD?
what does the fetal spine develope?
5-6 weeks GA
what are 3 NTD we check for?
spina bifida, encephalocele, anencephaly
What is spina bifida occulta?
open vertebral canal, but spinal cord is in canal.
What is meningocele?
intact neural tube with cyst containing meninges
type of spina bifida, neural tube is open
Sickle cell crisis manemanet?
hydration, pain medication, possible tranfusion - monthly CBC’s, change to medications, serial US, induced labor @37 weeks
what is myelomingocele?
lumbar level dome shaped cyst- contents vary
what additional IZ are needed with aplenia
pneumococcal, H. flu, miningococcal
what should pregnant women brush with post vomit?
1 tsp baking soda in 8 ox water
What is epulis gravidarum?
lobar growth on gumline, benign
what is the normal amount of wt to gain during pregnancy?
25-35lbs, twins is 37-54lbs
when does mornign sickness typically occur?
first trimester: 4-14 weeks
How do you treat morning sickness?
ice chips, candied ginger, preggy-pops, acupressure bands
what rx medicaiton can be given to women with severe emesis?
Doxylamine succinate and B6
What could you give for hyperemesis gravidarum?
D5W, lactated ringers,
What is hyperemesis Gravidarum?
wt loss >5% pre-pregnancy value, protracted vomiting, ketonuria
appendicitis in pregnancy women presents as?
N/V, RLQ pain, (no bleeding=r/o abruption)
Cholelithiasis in pregnancy?
RUQ pain, F/V, (r/o HELLP)
Intrahepatic cholestasis in pregnancy?
build up of bile acids in liver- usual itching, but in hands and feet, dark colored urine, clay feces, anorexia
How do you tx intrahepatic cholestatis in pregnancy?
Ursodeoxycholic acid, monitor serum bile and LFTs, NST
What is the most common trauma with pregnant women?
How do you manage a pregnant women post trauma?
maternal stabilization, then work on fetus: US, electronic monitoring 2-6 hrs s/p mild trauma up to 24hrs
Kleihauer betke test is?
checks for fetal cells in maternal circulation= Rh sensitization.
In pregnant women can develope into UTI or pyelonephritis. Do clean catch and culture and sensitivity=>10x5 colonies bacteria on culture
how do you treat uti in pregnancy?
cephalosporin or macrodantin
How is pyelonephritis treated in pregnancy?
in patient! risk for premature labor