Pregnancy Flashcards
How early can you detect fetal heart tones?
10 weeks
How does CV system change during pregnancy?
maternal blood volume increases, hemoglobin/hematocrit decrease, decrease in SVR
How does the respiratory system change with pregnancy?
frequently dyspnea, increased tidal volume and increased minute ventilation volume, respiratory alkalosis is normal state
How does the urinary system change with pregnancy?
increased GFR, increased Cr clearance, decreased serum creatinine. Ureters dilate - dilation greater on right. Decreased bladder tone with increased urinary frequency
What is epulis gravidarum?
benign tumor of ginivosa during pregnancy
What are common GI symptoms during pregnancy?
heartburn, constipation, cholestasis leading to cholecystitis, gallstones etc.
How do prolactin and oxytocin levels change throughout pregnancy?
prolactin - milk production, oxytocin responsible for milk letdown
How does TSH change during pregnancy?
doesn’t change; Thyroxine binding globulin levels increase, total thyroxine levels increase; free remains the same
How do you calculate expected due date?
LMP + 1 year + 7 days - 3 months
How do HCG levels change with pregnancy?
double every 2 days for first 10 weeks
At what level of HCG is the gestational sac visualized?
1500
What is the level of the uterus at 20 weeks?
umbilicus
What are some of the nutritional needs of pregnant women?
300 extra calories/day, iron (30mg), 400micrograms folate
A patient presents with syncope and pelvic pain as well as cervical motion tenderness 6 weeks after LMP. This is..
ruptured ectopic
A patient presents with fever, chills and lower abdominal pain following an abortion. This is..
septic abortion
