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25 Cards in this Set
- Front
- Back
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How do you diagnose chronic hypertension?
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Systolic blood pressure of over 140 OR diastolic of over 90 and present BEFORE 20 weeks of gestation
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What is gestational hypertension?
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Hypertension in pregnancy with onset after 20 weeks of gestation. No significant proteinuria. Systolic greater than 140 and diastolic greater than 90
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How long do you have to wait between blood pressure readings if screening for hypertension?
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Six hours
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What is pre-eclampsia?
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High blood pressure accompanied by proteinuria. Can occur up to 48 hours post partum.
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What are the triad symptoms associated with pre-eclampsia?
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-Hypertension
-Proteinuria -Edema |
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What is mild pre-eclampsia and how is it managed?
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BP between 140-160/90-110
+1 protein moderate puffiness deep tendon reflexes WNL Can be managed at home with bed rest |
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What is severe pre-eclampsia and how is it managed?
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BP greater than 160/110, 3+ or higher protein, hyperreflexive, generalized edema, oliguria
Need to be managed in the hospital and on bed rest, seizure precautions |
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What is eclampsia?
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Pre-eclampsia with convulsions. Need magnesium sulfate therapy given IV. Initial loading dose of 4-6 grams in 100-250 cc over 15-30 minutes.
Maintain dose of 40 grams/1000 cc lactated ringers Goal is to prevent and control convulsions |
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What is HELLP syndrome?
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Life threatening occurrence that happens in about 10% of women with high blood pressure in pregnancy
H-emolysis E-levated L-iver enzymes L-ow P-latelets |
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What is a spontaneous abortion (SAB)?
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Pregnancy that ends before 20 weeks
-Early prior to 12 weeks -Late 12-20 weeks |
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What is a complete SAB?
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All products of conception are expelled. Everything is out and the woman has completed aborted the baby. The cervix is closed. No need for treatment
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What is an incomplete SAB?
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Some, but not all products of conception are expelled from the uterus. Major manifestation is bleeding and cramping. Cervix is opened
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What is a threatened SAB?
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Vaginal bleeding occurs but the products of conception are not expelled. Hospitialization and bed rest
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What is an inevitable SAB?
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Abortion cannot be stopped when their is a rupture of membranes and dilation of cervix.
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What is a missed SAB?
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The fetus dies but the products of conception are retained.
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What is a recurrent SAB?
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Three or more consecutive pregnancies end in SAB (back to back)
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What is an incompetent cervix?
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Passive and painless dilation of the cervix in the second trimester. Manage with cerclage.
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What are some signs and symptoms of a molar pregnancy?
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-Vaginal bleeding
-elevated hCG (rising high and rapidly) -Severe nausea and vomitting -uterus is large for dates -no fetal heart tones or activity |
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What is placenta previa?
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Placenta partially or completely covers the internal cervical os. It is PAINLESS
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What is the difference between GCT and GTT?
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GCT is a screen, GTT is a diagnostic test
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What is IUGR
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A pathological condition which decreases O2 and nutrients to fetus
-symmetric is small all over -asymmetric is small body large head |
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Is SGA pathological?
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NO
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What is oligohydroamnios?
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AFI fluid less than 5. Associated with marked perinatal mortality.
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What is polyhydroamnios?
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AFI greater than 20. Excessive amount of fluid surrounding the fetus.
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What is post-term pregnancy?
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Pregnancy that extends after 42 weeks of gestation
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