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Pediatric Written 1 > pregnancy > Flashcards

pregnancy Flashcards

1
Q

gallbladder changes

A

delayed, slowed, incomplete emptying

thick bile, increased gallstone risk

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2
Q

cavities and dental problems caused by

A

inc salivation and pH change

more vitC needed

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3
Q

anemia common, with SOB, fatigue due to

A

inc RBC volume 33%

rx: B12, green leafy veg, egg, beef, turkey

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4
Q

1st try nausea caused by

A

DEC stomach acid, INCR gastrin

emptying slows, fetal pressure

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5
Q

1st tri nausea tx

A

cal/mag citrate, enzymes, choline

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6
Q

fertilized ovum

A

zygote

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7
Q

ball of cells, 3 day post conception

A

morula

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8
Q

_____ is cells when they become implanted into the uterus

A

blastocyst

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9
Q

life at wk 2-8 post conception is called :

A

embryo

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10
Q

life at 8-9 wk post-conception til birth is called:

A

fetus

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11
Q

ages from birth-2m is called

A

neonate

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12
Q

ages from 2m-2y is called

A

infant

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13
Q

ages walking-2y are called

A

toddler

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14
Q

ages 2.5-12/13y are called

A

child

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15
Q

ages 9-14y are called

A

preadolescent

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16
Q

adolescent ages (m/f)

A

f: 10-18
m: 15-20

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17
Q

weight gain avg during preg

A

30 lb

bt 15-50lb

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18
Q

time since onset of LMP (2w pre fert)

A

Gestational age

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19
Q

actual age of fetus since fertilization

A

Embryonic age

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20
Q

__ wk of embryonic age is __ wk of gestational age

A

1st

3rd

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21
Q

nagel’s rule (due date)

A

LMP + 9m + 7d

LMP - 3m + 7d

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22
Q 
nidation
spontaneous abortion
cervical lesion
placenta previa
Can all cause:
A

Bleeding in pregnancy

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23
Q

early bleeding cause

A

miscarriage
ectopic preg
implantation
infx

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24
Q

late bleeding cause

A

placenta previa (no pn) or abruptio (pn)

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25
Q 
stomach flu
liver dz
gb dz
infx
All ddx for:
A

morning sickness

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26
Q

hyperemesis gravidarum can lead to

A

seizure (electrolyte imbalance), dehydration

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27
Q

to rule our pancreas, thyroid, gb and liver issues with HG you must

A

percuss abdomen, check liver borders

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28
Q

weak, heavy legs, contrx with pn, stalled labor, ant abd and leg pn

A

buckled sacrum

tx: 3x S->I down sacrum

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29
Q

L2, S2 dx

A

urinary incontinence

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30
Q

MCC ectopic preg

A

PID

usually RIGHT tube affected

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31
Q

ruptured corpus lute cyst
tube/ovary torsion
threatened/incomplete abortion

Ddx for:

A

Ectopic preg

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32
Q

MCC of 2nd tri loss

A 
cervical incompetence (premature dilation)
painless, gradual, tx with bed rest
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33
Q

spontaneous abortion/miscarriage occurs when

A

<20w

back pn, maybe bleeding

34
Q

placenta attaches lower, usually in multiparae women, painless bleeding in 3T

A

placenta previa

tx: c-sec

35
Q

premature separation from uterine wall in last 12w

A

abruptio placenta

36
Q

BV and other parts of placenta grow too deeply into uterine wall

A

placenta accreta

37
Q

amniotic fluid not brought in thru baby nose/mouth, too much AF in uterus

A

polyhydramnios (bigger belly)

-some AF excreted thru kidneys

38
Q

amniotic fluid NOT excreted thru kidneys, too little AF in uterus

A

oligohydramnios (bumpy belly)

39
Q

HTN, swelling, proteinuria >20w

A

preeclampsia

B6, mg

40
Q

HELLP

A

Hemolysis
Elevated Liver enzymes
Low Platelets

41
Q

mom older and overweight with blurry vision, fatigue, freq resp infx, n/v, weight loss

A

gestational diabetes

-no PPP

42
Q

preg DM1 moms at inc risk of (5)

A 
diabetic ketoacidosis
10+lb baby
macrosomia
hypoglycemia
birth injury
43
Q

3rd tri dark urine, itching on hands/feet/yellowish, inc bile salts

A

intrahepatic cholestasis of pregnancy

-usually resolves 48-96h postpartum

44
Q 
3rd tri sudden onset 
7TH CN (facial) + temporal bone from inc fluid, swelling, dec IS, tase lost (CN VII)
A

Bells Palsy

45
Q

bells palsy in mom ddx

A

lyme dz, stroke, shingles (HZ), sublux

often occurs with DM

46
Q

meralgia paresthetica MC occurs when

A

3rd tri

47
Q

DT pn injections or knees up position, M/S issues at L5/S1/S2, foot drop, femoral/obturator neuropathy, usually unilateral

A

obstetric palsy aka traumatic neuritis

48
Q

innervates fallopian tubes

infertility, ectopic preg, miscarriage, ovary/uterus/teste issues

A

T12 sublux

49
Q

infertility, innervates prostate

A

L4

50
Q

infertility, 2T miscarriage, innervates cervix

A

sacrum/coccyx sublux

51
Q

keep getting preg but lose baby bt 7-8w

A

anterior coccyx

52
Q

Dz that causes inc risk of fetal death, IUGR, preterm delivery

A

syphilis

1/3 infected stillborns

53
Q

bact infx causing preterm labor, PROM

A

mycoplasma

54
Q

Rh factor

A

issue if mom Rh- dad Rh+

RHOGAM shot after 28w and again after delivery

55
Q

rhesus or ABO incompatibility causes

A

erythroblastosis fetalis

56
Q

asthma is worst during weeks ___ - ___, sometimes gets better with preg

A

24-36

57
Q

warm, anxious, weakness, rapid HR
weight LOSS, preeclampsia, severe HG
loss of concentration

A

hyperthyroiditis (graves)

58
Q

anemia, PP bleeding, myopathy/cramping
mem loss, miscarriage, constipation
weight GAIN, tired, low BW, CHF, cold intolerance

A

Hypothyroiditis (hashimotos)

59
Q

prolactin (produce/prohibit)

A

ANTERIOR pituitary
PROduces milk, min of suckling to cause
PROhibits ovulaiton

60
Q

oxytocin (milk out baby out)

A

POSTERIOR pituitary
milk let down, via suckling
causes uterine contractions

61
Q

stage one of labor

A

onset through 10 cm

latent: 0-3cm
active: 3-10cm

62
Q

stage 2 of labor

A

full dilation to delivery of baby

63
Q

stage 3 of labor

A

delivery of placenta and fetal membranes

64
Q

false labor

A
  • irregular contractions that dont get closer, strengthen or lengthen
  • stop with rest
  • felt in LOWER abd
65
Q

true labor

A
  • regular contractions, getting closer, unaffected by movement
  • gradually strengthen and lengthen
  • felt in UPPER abd then move DOWN
66
Q

cardinal movements of labor

A 
engagement
descent 
flx
int rotation
ext
external rotation
expulsion
67
Q

if baby hasn’t turned in 2w of websters suspect:

A

wrapped/short cord, scoliosis, congenital anomaly

68
Q

slowing and decreasing contx intensity (exhausted uterus) caused by bandl’s ring, cervical dystocia, uterine colic

A

hypotonic uterine intertia

69
Q

breech with arms flexed, both legs extended

A

frank breech

70
Q

muscle constriction at jxn of upper and lower uterine segments, restricts fetal or placental descent

A

bandl’s rings

71
Q

rigid, previous sx, scarring, lack of neural supply

edema trapped with pushing

A

Cervical dystocia

72
Q

infx assoc with preg dt retained placental components, moms temp >100.4 for 2d after 24h pp

A

puerperal sepsis

6-7%, doubles with c-sec

73
Q

used to increase milk supply

A

galactogogues

74
Q

3 breastfeeding problems babies can experience

A

oral aversion (desensitize)
tongue thrusting
suck/swallow incoordination

75
Q

will only eat in football hold indicates

A

AS occiput

76
Q

mastitus tx

A

continue nursing
1h/d cabbage bra, warm compress/massage
dandelion tea

77
Q 
orbicularis oris
levator labii superioris
depressor labii inferioris
levator anguli oris
depressor anguli oris
Are all:
A

Latching muscles

78
Q

tongue movement/sucking control

A

CN XII

hypoglossal

79
Q

swallow control

A

CN IX, X

glossopharyngeal, vagus

80
Q

gag reflex

A

CN X

vagus

81
Q

signs to indicate ok to introduce solids

A

sit without support
no tongue thrust with food in mouth
reach for food/show interest
teeth (variable)

Pediatric Written 1 (11 decks)

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