Shared Flashcard Set

Details

Pregnancy
Downstate > MS2 Endocrine > Pregnancy
22
Medical
Graduate
03/01/2011

Additional Medical Flashcards

 


 

Cards

Term
T/F: A woman is not at risk for pre-eclampsia after delivery.
Definition
FALSE
Term
preeclampsia increases risk for:
Definition
placental abruption, cerebral hemorrhage, DIC, acute renal failure
Term
when is the pt at greatest risk of developing pre-eclampsia?
Definition
2nd and 3rd trimester
Term
musculoskeletal changes in pregnancy (2)
Definition
lower center of gravity (greater risk of falling when walking down stairs), edematous fascia -> carpal tunnel syndrome
Term
3 causes of heartburn
Definition
increased gastric acid secretion, delayed gastric emptying, relaxed LES
Term
4 GI complications due to pregnancy
Definition
reflux, displaced appendix, gallstones/cholecystitis, aspiration
Term
3 urinary complications due to pregnancy
Definition
hydroureter, hydronephrosis, increased risk for UTIs
Term
kidney function tests in pregnancy
Definition
increased urinary bicarbonate, decreased creatinine, increased GFR
Term
how do RR, tidal volume, minute ventilation, TLC, FRC, and RV change in pregnancy?
Definition
RR does not change; tidal volume and minute ventilation increase; TLC, FRC, and RV decrease
Term
how does peripheral vascular resistance and cardiac output change in pregnancy?
Definition
decreased PVR (especially in 2nd trimester), increased CO (8-9L)
Term
what is the physiology behind anemia of pregnancy?
Definition
plasma increases more than erythrocytosis -> decreased hematocrit
Term
when is iron requirement highest?
Definition
2nd trimester
Term
how does BP change throughout pregnancy?
Definition
increased in 1st trimester, decreases in 2nd trimester, normalized in 3rd trimester
Term
cause of insulin resistance
Definition
human placental lactogen (HPL), estrogen, progesterone
Term
neonatal complications of gestationl diabetes
Definition
fetal macrosomia, neonatal hypoglycemia
Term
FPG and 2hPG in pregnancy
Definition
fasting hypoglycemia; post-prandial hyperglycemia
Term
avg weight gain
Definition
25-35lbs
Term
weight gain is composed of...
Definition
a lot of water retention + uterus, fetus...
Term
skin changes in pregnancy
Definition
linea nigra, chloasma, angiomas, palmar erythema
Term
cervical changes in pregnancy
Definition
Hedgar and Chadwick signs (softening and purpling of cervix), thick cervical mucus plug
Term
Braxton Hicks
Definition
irregular contractions that occur in 1st trimester
Term
complications of uterine dextrorotation
Definition
compression of IVC (fainting spells), compression of ureter (hydroureter, UTI)
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