Anemias
The most common cause of anemia during pregnancy
What is iron deficiency anemia?
The primary goal of asthma management during pregnancy is to maintain this for both mother and fetus.
What is optimal maternal oxygenation?
This autoimmune disorder causes fluctuating skeletal muscle weakness that may make pushing during the second stage of labor difficult.
What is Myasthenia Gravis?
This hallmark symptom of intrahepatic cholestasis of pregnancy is often worse at night and typically occurs without a rash.
What is intense itching (pruritus), especially on the palms of the hands and soles of the feet?
Anemia associated with neural tube defects if untreated
What is folate deficiency anemia?
Poorly controlled asthma during pregnancy increases the risk of this fetal outcome.
What is SGA, IUGR, preterm birth? (Name at least one)
This autoimmune disorder increases the risk of recurrent pregnancy loss.
What is Antiphospholipid Syndrome (APS)?
Because this condition increases the risk of fetal complications, management often includes medication to reduce bile acids and delivery around 37 weeks', depending on severity.
What is Intrahepatic Cholestasis of Pregnancy (ICP)?
Pain crises and increased maternal/fetal complications
What is sickle cell anemia?
True or False: Most inhaled asthma medications should be stopped during pregnancy because of fetal risk.
What is False? Almost all standard asthma medications are considered safe, and uncontrolled asthma is a greater risk than the medications.
Because maternal muscle weakness can limit effective pushing, this may be needed during vaginal delivery to shorten the second stage of labor.
What is an assisted vaginal delivery (vacuum or forceps)?
After a pregnant patient undergoes a laparoscopic cholecystectomy, this postoperative assessment is a priority to evaluate fetal well-being.
What is fetal heart rate monitoring?
Serum ferritin is usually low.
What is iron deficiency anemia?
This monitoring tool should be used during labor to ensure adequate maternal oxygenation in patients with asthma.
What is pulse oximetry?
For a pregnant patient with APS and a history of thromboembolic events, this medication should be given daily throughout pregnancy.
What is heparin?
A pregnant patient has urinary frequency, urgency, and dysuria but no fever or flank pain. This type of urinary tract infection is the most likely diagnosis.
What is cystitis?
Requires high-dose folic acid supplementation during pregnancy
What is sickle cell anemia?
Name at least two medications that should generally be avoided in pregnant patients with asthma.
What are Hemabate (carboprost), morphine, and meperidine (Demerol)?
For a pregnant patient with APS whose history includes recurrent pregnancy loss.
What is low-dose aspirin (81 mg daily)?
A pregnant patient presents with fever, chills, costovertebral angle (CVA) tenderness, nausea, and flank pain. This serious urinary tract infection often requires hospitalization and IV antibiotics.
What is pyelonephritis?