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28 Cards in this Set

  • Front
  • Back
Neonatal findings for IUGR:
-loose, dry skin
-thin umbilical cord
-small placenta
-meconium staining
-head disproportionately large compared to rest of the body due to brain sparing
Symptoms of hypoglycemia:
-respiratory distress
Gestational diabetes occurs in the ___ half of pregnancy.
Predisposing factors of gestational diabetes:
-age greater than 35
-prior history of gestational diabetes
-tocolytic drugs
All women are screened for gestational diabetes at ___ - ___ weeks with some sort of glucose challenge.
Abnormal results for glucose challenge: > ___ - ___
Abnormal results for glucose challenge:

-FBS > ___
-1 hr > ___
-2 hr > ___
-3 hr > ___
95; 180; 155; 140
Medical nutritonal therapy for gestational diabtes:

___ cal/kg of actual weight per dayetes:
Neonatal hypoglycemia resulting from ongoing hyperinsulinemia after the placenta is removed.
Type 1 diabetes in pregnancy:
-Poor control in first trimester increases the incidence of anomalies n 6-8%
-N/V predisposes to hypoglycemic episodes
-Placental hormones cause a progressive increase in insulin requirements
-Ketoacidosis can develop (due to hyperglycemia)
-Placental insufficiency due to maternal vascular disease
-Infant may be macrosomic or growth retarded depending on the severity maternal vascular disease
Complications of type 1 diabetes:
PIH triad of symptoms:
Effects of PIH:
-brain: seizures
-kidneys: proteinuria, glomerulosclerosis
-blood vessels: HTN
-uterus: IUGR, fetal distress
Predisposing factors of PIH:
-history of PIH in patient or family (mother or sister)
-chronic HTN
-teens, elderly gravidas
-poor nutrition
-type 1 diabetics
Treatment of mild PIH:
-Bed rest
-lateral position
-high protein, no salt restriction (due to decreased blood volume PIH)adequate calories
-push fluids
-serial weights (to detect excessive wt. gain resulting from edema)
-fetal movement counting
-fetal surveillance testing
-assess BP frequently
-serial sonograms for growth
-monitor reflexes (hyperreflexia is a sign of severe preeclampsia)
-dipstick urine for protein
-CBC, SMAC, clotting studies
Treatment for severe preeclampsia:
-hospitalized, stabilize and deliver
-prefer vaginal delivery
-MGSO4 to prevent seizures, 24-48 hr PP
-apresoline, labetalol for BP control
-treat diastolics greater than 110
-watch fluid closely, strict I&O
-epidurals used cautiously
-hemodynamic monitoring
Magnesium sulfate:

___ g loading dose over ___ -
___ minutes

Maintain on ___ - ___/h by pump piggybacked into main line
4; 15; 20
What is the antagonist of magnesium sulfate?
calcium gluconate
HELLP syndrome is associated with ___?
severe preeclampsia
High dose ___ are used to enhance fetal lung maturity?
Group B Streptococcus is normal flora for abou 10-30% of women
Diagnosis of Group B streptococcus is made by a ___.
vaginal/rectal culture
Group B streptococcus: Treat culture moms in labor with IV ___.
Syphilis is treated with ___.
Benzathine Penicillin G
Treat gonorrhea with ___.
Treat chlamydia with ___ or ___ during pregnancy.
tetracycline; azithromycin
Hepatitis A is spread by the ___ route.
Hepatitis B is spread like ___.