Final Exam: NU661/ NU 661 (New Update)
Primary Care of Childbearing Woman
Review| Qs & As | Grade A| 100% Correct
(Verified Answers)- Regis
QUESTION
facts regarding adolescent pregnancy
Answer:
more at risk for c/s, htn, systemic infections, postpartum hemorrhage
QUESTION
causes of constipation in pregnancy
Answer:
increase in progesterone causes decreased gastric motility
QUESTION
treatment of constipation in pregnancy
Answer:
Fluids
Physical exercise
High fiber foods
Bulk-forming laxatives
Stool softeners
Milk of magnesia
No enemas or strong stimulant laxatives w/o MD approval
,QUESTION
Contraindications to breastfeeding
Answer:
1) HIV
2) galactosemia in baby
3) HSV if lesions on breast
4) HBV until neonate has received HBV vaccine
5) Acute maternal disease if absent in infant (e.g., tuberculosis , sepsis)
6) Breast cancer receiving tx
7) Substance abuse
8) Drugs
QUESTION
GBS education for patients
Answer:
causes sepsis and meningitis in baby, can be transmitted via birth, IV abx during labor, testing at
35-37 weeks
QUESTION
Oligohydraminos
Answer:
low amniotic fluid, less than 5 cm
QUESTION
polyhydraminos
Answer:
too much amniotic fluid, greater than 25 cm
,QUESTION
dietary guidelines for gestational diabetes
Answer:
33-40% carbs, 20% protein, 40% fats
about 2000-500 cal per day
QUESTION
glucose goals for gestational diabetes
Answer:
fasting: less than 95
1hr postprandial: less than 140
2hr postprandial: less than 120
QUESTION
placenta previa
Answer:
placenta implanted over or near cervical os, painless bleeding
QUESTION
placental abruption
Answer:
Premature separation of the placenta from the uterine wall after 20 weeks' gestation and before
the fetus is delivered, painful bleeding
, QUESTION
what does HELLP stand for?
Answer:
hemolysis, elevated liver enzymes, low platelets
QUESTION
what labs are done for HELLP?
Answer:
hgb/hct, cbc, bili, coags, ast alt, ldh, ptt
QUESTION
Intrahepatic cholestasis of pregnancy (ICP)
Answer:
intense pruritis without lesions on hands and feet in third trimester
QUESTION
labs for ICP
Answer:
elevated AST/ALT, elevated serum bile acids, low vit K
QUESTION
what is the treatment for ICP