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Common Comp

MAMC exam 9 common complications of pregnancy

QuestionAnswer
categories of pregnancy complications unique to pregnancy can occur at any time, but are complications when in conjunction with pregnancy
danger signals in pregnancy vaginanl bleeding fluid from vagina swelling of fingers or puffiness of face & eyes persistent headache visual disturbances severe ABD/epigastric pain chills/fever pain/burning with urination persistent vomiting changes in fetal movement
signs & symptoms of preterm labor uterine contractions cramps constant/irregular low backache pelvic pressure watery vaginal discharge
types of diagnostic testing US doppler US blood flow assessment alpha-fetoprotein screening chorionic villus sampling amniocentesis non-stress test VAS test contractions stress test biophysical profile umbilical cord sampling kick count
uses of ultrasound confirm pregnancy location of pregnancy fetal viability detect/compare growth multi-fetal gestations id fetal structure abnormalities guide needle placement gestational age location of uterus/cervix/placenta amount of amniotic fluid
uses for doppler ultrasound blood flow assessment complications of HTN, fetal growth restriction
elevated levels of alpha-fetoprotein associated with open neural tube defects anencephaly gastroschisis
low levels of alpha-fetoprotein associated with chromosome abnormalities
chorionic villus sampling fetal tissue analyzed to diagnose chromosomal, metabolic, or DNA abnormalities
when is chorionic villus sampling performed? 10-12 weeks of gestation
amniocentesis amniotic fluid contains cast-off fetal cells & various other fetal products
when is amniocentesis best performed? between 15-20 weeks gestation
midtrimester uses of amniocentesis chromosomal abnormalities fetal condition in women sensitized to Rh+ diagnose intrauterine infections investigate AFP
third trimester uses of amniocentesis asses fetal lung maturity test for fetal hemolytic diseases when Rh incompatibility suspected
non-stress test (NST) identifies how fetal heart rate responds to fetal movement
vibroacoustic stimulation test (VAS) fetus stimulated with sound; expected response is acceleration of fetal heart rate
contraction stress test evaluation of fetal heart rate response to mild uterine contractions
biophysical profile group of 5 fetal assessments: FHR & reactivity, fetal breathing movements, gross fetal body movements, fetal muscle tone, volume of amniotic fluid
percutaneous umbilical blood sampling aspiration of fetal blood from the umbilical cord for prenatal diagnosis or fetal therapy
uses of percutaneous umbilical blood sampling management of Rh disease Dx abnormal blood clotting factors acid-base status of fetus clarify questionable results of genetic testing treat blood diseases & deliver therapeutic drugs that can't be delivered to the fetus in another way
kick counts mother counds fetal movements in a prescribed period of time daily evaluation of movement provides way of evaluating fetus
define hyperemesis gravidarum presistent, unctrollable vomiting begins first weeks of pregnancy can have serious consequences
most common cause of spontaneous abortion severe congenital abnormalities incompatible with life
define abortion loss of pregnancy before fetus is viable, or capable of living outside the uterus
when is a fetus not viable? less than 20 weeks gestations weighing less than 500g
6 subgroups of spontaneous abortions threatened inevitable incomplete complete missed recurrent
define ectopic pregnancy implantation of a fertilized ovum outside the uterus
where does >98% of ectopic pregnancy occur? fallopian tube
causes of ectopic pregnancy scarring/abnormality in tube additional causes
define disseminated intravascular coagulation (DIC) life-threatening defect in coagulation that may occur with several complications of pregnancy
define placenta previa implantation of the placenta in the lower uterus; as a result the placenta is closer to the internal cervical os than the presenting part of the fetus
types of placenta previa marginal/low lying partial total
define abruptio placentae premature separation of a normally implanted placenta from the uterine wall
categories of HTN disorders of pregnancy gestational preeclampsia eclampsia chronic`
gestational HTN HTN with NO protein in urine
preeclampsia SBP >= 140 DBP >=90 significant proteinuria
ecamplsia progression of preeclampsia to generalized seizures seizures CAN occur postpartum
chronic HTN high BP known to exist before pregnancy
define HEELP syndrome acronym that refers to a life-threatening occurance that complicates about 10% of pregnancies
HEELP stands for Hemolysis Elevated Liver enzymes Low Platelet count
Created by: ealongo