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10 Cards in this Set
- Front
- Back
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G _ P ( _ _ _ _) how does this work?
G3 P2,1,1,2? |
G is the # of preg, P (# of births, # of preterm births, a is abortions, l is number of living children) ex, G2 P0020
3 preg, 2 births, 1 preterm, 1 abortion, 2 living children. |
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Is out of control diabetes a teratogen?
- lvls above recommended of HbA1c are associated most commonly w/ which types of defects? |
yes. HbA1C goal is <7%
cardiac and spinal defects. |
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Re: pregnancy & dz, what sorts of things should we keep in mind?
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Can affect mom, can affect fetus... dz is now interacting w/ pt in altered state b/c of pregnancy.
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What is the main risk for the baby if the mom is constantly hyperG?
- what are some neonatal complications seen in these babies? |
fetal macrosomnia.
- hypoG, b/c baby is overcompensating.. + Respiratory distress sx, hypomagnesmia, hyperbilirubinemia & polycythemia probably due to hypoxia. |
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Baby is born >4 KG BIRTHWEIGHT
DIFFICULT DELIVERIES WITH SHOULDER DYSTOCIA AND CESEAREAN SECTION ... what's going on? - what is this child likely at risk of? |
fetal macrosomnia
obesity for the rest of life. |
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What is preeclampsia?
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pregnancy condition in which high blood pressure and protein in the urine develop after the 20th week (late 2nd or 3rd trimester) of pregnancy
- signs: Swelling of the hands and face/eyes (edema) Weight gain More than 2 pounds per week Sudden weight gain over 1 - 2 days ... notice this might be hard to distinguish from normal pregnancy. |
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Is pregnancy associated w/ increased risk of developing retinopathy in diabetics? How about worsening it if they already have it? Renal dz development risk?
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No, yes.
No increase. |
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What does bhCG do to the TSH receptor?
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Stim it, causing decreased TSH production.
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@ what age does the fetal thyroid begin working by itself?
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18wks.
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Just remember:
Increased risk of birth defects in hyperT untreated women. HypoT will need to increase dose in first 6-8wk of pregnancy. |
no answer.
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