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46 Cards in this Set

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What does the infant of a diabetic mother look like?

What can this cause at birth?
Macrosomial.

Birth Trauma (ex: shoulder dystosia)
When the pancreas doesn't make enough insulin and the body breaks down protein what's it called?
What if it's breaking down fat?
negative nitrogen balance

Ketosis
Frequent urination - H2O not reabosrbed in tubules d/t osmotic activity of glucose
Polyuria
Excessive thirst d/t dehydration
Polydipsia
Excessive hunger d/t tissue loss & cell starvation
Polyphagia
Why might a diabetic experience weight loss?
d/t use of fat and muscle tissue for energy
Normal blood glucose level
Euglycemia
When do doctors test for diabetes during pregnancy?
26-28 weeks of gestation
Excessive amniotic fluid; greater than 2000 ml
Hydramnios
Inability of the heart to maintain a sufficient cardiac output is called _________.

Psysiologic stress on the heart is greatest between week __ and __ because the cardiac output is at its peak.
Cardiac Decompensation.
28, 32
What happens in each class in the symptoms for cardiovascular disorders
Class 1: asymptomatic
Class 2: symptomatic with normal activity
Class 3: symptomatic with less than normal activity.
Class 4: symptomatic at rest

determined at 3 mos. and again at 7 or 8 mos as progession may occur.
Cardiac disorder characterized by the development of congestive heart failure in the last month of pregnancy or within 5 pospartum months, lack of another cause for heart failure, and the absense of heart disease before the last month of pregnancy; etiology for the disorder may be related to genetic predisposition, autoimmunity, and viral infections.
Peripartum Cardiomyopathy
Damage of the heart valves and the chordae tendineae cordis as a result of an infection originating from an inadequately treated group A B-hemolytic strep infection of the throat
Rheumatic Heart Disease (rare)
Hyperthyroidism
Exopthalmos (big eyes)
Pt. tend to lose weight due to increased metabolism from over excretion of thyroid hormone. Graves disease is 90-95% of the cases.
Hypothyroidism
pt tend to gain weight. Pt. tend to be lethargic.
Phenylketonuria
recognized cause of mental retardation caused by deficiency in enzyme phenylanine hydrolase.
Cardiovascular disorders are associated with:
increased incidence of miscarriage
-preterm labor and birth more prevalent
-intrauterine growth restriction is more common
-incidence of congential heart lesions increased in children of mothers with congenital heart disease.
Narrowing of an opening of the valve between the left atrium and the left ventricle of the heart by stiffening of the valve leaflets, which obstructs blood flow from the atrium to the ventricles;
Mitral valve stenosis
Narrowing of the opening of the aortic valve
Aortic stenosis
Inflammation of the innermost lining of the heart caused by invasion of bacteria
infective endocarditis
Common, usually benign, cardiac condition that involves the protrusion of the leaflets of the mitral valve back into the left atrium during ventricular systole, allowing some backflow of blood
Mitral valve prolapse
____ is a hemogloin level of less than 11g/dl or a hematocrit of less than 33% in the pregnant woman, usually the result of ____
Anemia; iron deficiency
Relatively common anemia in which an insufficient amount of globin is produced to fill red blood cells.
Thalassemia
In pt who has received a heart transplant..which type of delivery is preferred?
Vaginal birth, but transplant recipients have an increased rate of cesarean birth.
How long after a heart transplant should conception be postponed?
1 year.
What should mothers who have had a heart transplant know in regards to breastfeeding?
Breastfeeding is not advised for infants of mothers taking cyclosporine (drug that prevents organ rejection)
Does heparin cross the placenta?
No
Cycstic Fibrosis
(infants will be carriers)

Exocrine glands produce excessive viscous secretions.
Granuloma inguinale
Donovan bodies (sexually transmitted disease that is rarely seen in the United States)
Condylomata acuminata
genital warts
Erythema multiforme
skin disorder due to an allergic reaction or infection
Neurofibromatosis
Von Recklinghausen's disease;a genetically-inherited disorder in which the nerve tissue grows tumors that may be benign or may cause serious damage by compressing nerves and other tissues.
What is common in epilepsy patients?
Failure to take medications.
How are actue exacerbations of multiple sclerosis treated?
bed rest and steroids
Idiopathic facial paralysis that can occur during pregnancy, especially in the third trimester and puerperium.
Bell's palsy
Systemic Lupus Erythematosus (SLE)
chronic, multisystem, inflammatory disease characterized by autoiuumne antibody production that affects the skin, joints, kidneys, lungs, CNS, liver, other organs . Autoimmune diseases are illnesses that occur when the body's tissues are attacked by its own immune system.
Myasthenia gravis (MG)
autoimmune motor (muscle) endplate disorder.
Muscle weakness in eyes, face, neck, limbs, and respiratory muscles.
Usually tolerate pregnancy well.
What are some complications of smoking?
bleeding, miscarriage, stillbirth, prematurity, placenta previa, placental abruption, low birth weight, sids
What are T-ACE and TWEAK used for?
tests that identify Alocohol use during pregnancy
What's a realistic goal for a mother who's on drugs?
decrease substance use
When are women most receptive to quit taking drugs?
during pregnancy
Cholelithiasis
Presence of gallstones in the gallbladder
Cholecystitis
inflammation of gallbladder
Eisenmenger's syndrome
a right to left or bidirectional shunting thatn can be at the atrial or ventricular level and is combined with elevated pulmonary vascular resistance. Mortality rate of 50% termination of pregnancy may be recommended if a woman has significant pulmonary hypertension
Tetralogy of Fallot
Includes several abnormalities caused by maldevelopment of the truncus arteriosus.
Marfan syndrome
autosomal dominant genetic disorder. characterized by generalized weakness of the connective tissue, resulting in joint deformities, ocular lens dislocation and weakness of the aortic wall and root. Excruciating chest pain/ sudden cardiac decompensations most common symptoms.