370 Mat8

Front 1

things that change obstetric norms

Back 1

1. augmentation of labour 2. induction of labour 3. breech present 4. cesarean 5. birth as illness 6. lifestyle

Front 2

labour/birth at risk

Back 2

1. complications = incr perinatal morbidity/mortality risks incr

Front 3

endocrine and metabolic disorders

Back 3

req careful ment to 1. promote mat and fetal well being 2. positive outcome

Front 4

dm

Back 4

most common endocrine disorder assoc preg

Front 5

dm pathogenesis

Back 5

1. hyperglycemia rt defects insuling secretion/action/both

Front 6

dm cause

Back 6

1. impaired insulin secretion 2. decr insulin action in target 3. both

Front 7

gdm

Back 7

any degree of glucose intolerance with onset or recognition during pregnancy

Front 8

prediabetes

Back 8

impared fasting glucose (IFG)

Front 9

pregestational dm

Back 9

1. preconception counseling 2. maternal risks/complications

Front 10

pregestational dm: mat risks and complications

Back 10

1. hydarminos: incr fluid 2. ketoacidosis: incr ketone bodies 3. hypoglycemia

Front 11

major CV disorders

Back 11

1. incr intravascular volume 2. decr systemic vascular resist 3. CO changes during labor/birth (higher after) 4. intravascular volume after birth

Front 12

high risk gestational conditions

Back 12

1. ht in preg 2. surg during preg 3. trauma 4. sti

Front 13

ht in pregnancy

Back 13

1. most common 2. contributes to morb/mortality 3. preeclampsia 12-20% complicates

Front 14

HT systolic

Back 14

<140

Front 15

HT diastolic

Back 15

<90

Front 16

HT MAP

Back 16

<105

Front 17

gestational HT

Back 17

1. onset of ht after 20w preg 2. no proteinuria

Front 18

preeclampsia

Back 18

1. preg specific 2. ht after 20w in normotensive 3. reduce organ perf 4. ht 5. proteinuria

Front 19

eclampsia

Back 19

1. seizure activity 2. coma in woman dx with preeclampsia

Front 20

chronic ht

Back 20

1. present before preg 2. dx before 20w gestation

Front 21

chonic ht with superimposed preeclampsia

Back 21

woman with chronic ht may get preeclampsia/eclampsia

Front 22

preeclampsia etiology

Back 22

1. signs dev during preg 2. disappear after birth 3. assoc risk factors: primigrav, multifetal preg, morbid obese

Front 23

preeclampsia patho

Back 23

1. diff from chronic ht 2. hemolysis 3. incr liv enzymes 4. low platelet

Front 24

preeclampsia assoc risk for

Back 24

1. placental abruption 2. acute renal fail 3. subcapsular hep hematoma 4. hepatic rup 5. recurrent preeclamp 6. preterm birth 7. death

Front 25

preeclampsia physical exam

Back 25

1. dep edema 2. pitting edema 3. deep tendon reflexes

Front 26

preeclampsia plan of care - mild

Back 26

1. activity restriction 2. diet

Front 27

preeclampsia plan of care - severe + hellp

Back 27

1. hospital 2. mg sulfate 3. control bp

Front 28

chronic ht incr risk

Back 28

1. perinatal death 2. rate of preterm 3. SGA

Front 29

chronic ht postpartum

Back 29

1. renal failure 2. pulmonary edema 3. heart fail 4. encephalopathy

Front 30

preterm labor/birth causes

Back 30

1. idiopathic 2. inf 3. preg complications 4. sociodemo

Front 31

sign preterm labor - uterine activity

Back 31

1. uterine contrax more than every 10min for an hour+

Front 32

sign preterm labor - discomfort

Back 32

1. uterine contrax similar to gas pain 2. diarrhea 3. dull intermitt lbp

Front 33

preterm labor - precention

Back 33

1. educate symptoms 2. any symptoms of uterine contrax between 20-37w that do not go away = abnormal

Front 34

PPROM

Back 34

1. rupture before 37w 2. 25% of preterms 3. with inf 4. etiology unknown 5. gush/slow leak

Front 35

tocolytic

Back 35

1. supress uterine activity 2. mg sulfate, terbutaline, nefedipine 3. antenatal gcc IM 24-34w

Front 36

dystocia def

Back 36

1. long, difficult, abnormal labor

Front 37

dystocia from abnormal ut contrax prevents

Back 37

1. cervical dilation 2. effacement/1mary 3. descent/2dary

Front 38

dystocia dysfunctional labor risks

Back 38

1. body build 2. uterine abnormal 3. malpresent fetus 4. overstim oxytocin 5. cephalopelvic disproportion

Front 39

incr risk for dystocia

Back 39

1. mat fatigue 2. dehydrate/electro imbalance 3. inapprop analgesic/anesthetic 4.

Front 40

dystocia 2dary powers

Back 40

1. bearing down efforts compromised when incr analgesia given 2. analgesics block bearing down reflex

Front 41

bearing down reflex

Back 41

valsalva maneuver

Front 42

fetal causes of dystocia

Back 42

1. anomalies 2. cephalopelvic disproportion 3. malposition 4. malpresentation 5. multifetal pregnancy

Front 43

dystocia rt psychologic responses

Back 43

1. hormones and nt released in response to stress cause dystocia

Front 44

oxytocin

Back 44

1. post pit gland hormone 2. stimulate uterine contrax 3. augment labor bc of inadequate ut con

Front 45

augmentation of labor

Back 45

1. stim of ut con after labor, but unsatisfactory 2. ment of hypotonic uterine dysfunc

Front 46

augmentation methods

Back 46

1. oxytocin 2. amniotomy AROM 3. nipple stimulation

Front 47

prolapsed umbilical

Back 47

1. obstetric emergency 2. cord below fetus

Front 48

prolapsed umbilical factors

Back 48

1. long <1m 2. malpresentation/breech 3. transverse lie 4. unengaged presenting part

Front 49

prolapse cord type - occult

Back 49

1. hidden 2. behind baby

Front 50

prolapse cord type - complete

Back 50

1. membranes are intact

Front 51

prolapse cord type - infront of head

Back 51

1. visible in vagina

Front 52

prolapse cord type - frank breech

Back 52

1. cord ahead of bum