Wk6 Clinical Pregnancy Flashcards Preview

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Flashcards in Wk6 Clinical Pregnancy Deck (19):
1

If maternal glucose levels are elevated after 12 weeks gestation, fetal insulin increase can lead to:

macrosomia --- BIG BABY

2

When to typically screen low risk patient for gestational diabetes?

24-28 weeks

3

Positive screening test for gestational diabetes = glucose one hour challenge > ???

130 mg/dL

4

When is labor typically induced in gestational diabetes?

39 weeks

5

Fetal Fibronectin indicates?

+ = baby coming soon

- = baby not coming soon

6

Give for lung maturation in pre-mature delivery:

corticosteroids

7

Neonate sx in congenital rubella infx:

Classic triad:

1. PDA or hypoplastic pulmonary artery

2. cataracts

3. defness

(4). +/- blueberry muffin rash

8

FIRST thing to do in antepartem vaginal bleeding workup?

abdominal ultrasound

9

Painless vaginal bleeding in pregnancy, think?

placenta previa

**get an US

10

Painful contractions with vaginal bleeding in pregnancy, think?

Placenta abruption

**surgical emergency

11

What NOT to use in peripartum HTN managment?

ACE inhibitors

***TEST***

12

Criteria for pre-eclampsia?

BP > 140/90 in mother who had normal BP prior

> 300 mg protein in 24 hr urine sample

13

Pre-eclampsia + ? = eclampsia

seizure

14

BP drugs for pre-eclampsia:

hydralazine

labetolol

15

Pre-eclampsia seizure prophylaxis:

Mag sulfate

16

HELLP syndrome?

Hemolysis

Elevated Liver enzymes

Low Platelets

17

Bishop's Score for induction:

What does it refer to? What are the 5 parts?

cervix

1. Position

2. Consistency

3. Effacement

4. Dilation

5. Fetal station

18

What does the Bishop score predict?

Likelihood of successful induction

19

Tx for depression during pregnancy?

SSRIs