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1

What causes a hypercoagulable state in pregnancy?

estrogen

2

What is the mask of pregnancy?

hyperpigmentation of face, Malasma

3

Folate recommended in wormen with PNTD?

1mg po

4

what does the fetal spine develope?

5-6 weeks GA

5

what are 3 NTD we check for?

spina bifida, encephalocele, anencephaly

6

What is spina bifida occulta?

open vertebral canal, but spinal cord is in canal.

7

What is meningocele?

intact neural tube with cyst containing meninges

8

Myeloschisis is?

type of spina bifida, neural tube is open

9

Sickle cell crisis manemanet?

hydration, pain medication, possible tranfusion - monthly CBC’s, change to medications, serial US, induced labor @37 weeks

10

what is myelomingocele?

lumbar level dome shaped cyst- contents vary

11

what additional IZ are needed with aplenia

pneumococcal, H. flu, miningococcal

12

what should pregnant women brush with post vomit?

1 tsp baking soda in 8 ox water

13

What is epulis gravidarum?

lobar growth on gumline, benign

14

what is the normal amount of wt to gain during pregnancy?

25-35lbs, twins is 37-54lbs

15

when does mornign sickness typically occur?

first trimester: 4-14 weeks

16

How do you treat morning sickness?

ice chips, candied ginger, preggy-pops, acupressure bands

17

what rx medicaiton can be given to women with severe emesis?

Doxylamine succinate and B6

18

What could you give for hyperemesis gravidarum?

D5W, lactated ringers,

19

What is hyperemesis Gravidarum?

wt loss >5% pre-pregnancy value, protracted vomiting, ketonuria

20

appendicitis in pregnancy women presents as?

N/V, RLQ pain, (no bleeding=r/o abruption)

21

Cholelithiasis in pregnancy?

RUQ pain, F/V, (r/o HELLP)

22

Intrahepatic cholestasis in pregnancy?

build up of bile acids in liver- usual itching, but in hands and feet, dark colored urine, clay feces, anorexia

23

How do you tx intrahepatic cholestatis in pregnancy?

Ursodeoxycholic acid, monitor serum bile and LFTs, NST

24

What is the most common trauma with pregnant women?

MVA, DV/IPV

25

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

26

Kleihauer betke test is?

checks for fetal cells in maternal circulation= Rh sensitization.

27

Asymptomatic bacterirria?

In pregnant women can develope into UTI or pyelonephritis. Do clean catch and culture and sensitivity=>10x5 colonies bacteria on culture

28

how do you treat uti in pregnancy?

cephalosporin or macrodantin

29

How is pyelonephritis treated in pregnancy?

in patient! risk for premature labor

30

No fever, CVA tenderness and blood in urine…you think?

Renal calculi