Term
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Definition
| age of fetus from first day of last menstuation |
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Term
|
Definition
| number of times a woman has been preggo |
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Term
|
Definition
| numner of preggo exceeding 20 weeks |
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Term
|
Definition
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Term
| causes of congential malformations-4 |
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Definition
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Term
duirng what weeks do stuctural anomolies occur?
what about functional? |
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Definition
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Term
| during what time is the fetus very suscpitble to terotengenic risk? |
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Definition
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Term
| preggo category: harm shown in animal study but no harm shown with preggo women |
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Definition
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Term
preggo category:
animal studies show no harm, but no studies done in women |
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Definition
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Term
preggo categpory:
no studies done in animals or women |
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Definition
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Term
preggo category:
animals studies show harm, women study not done |
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Definition
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|
Term
preggo category:
study shows human risk |
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Definition
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Term
what 3 meds do you insisit birth control?
-3 |
|
Definition
| accutane, methotrexate, thalidomide |
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Term
| drugs that need speical handling -4 |
|
Definition
finasteride
testosterone
ganciclovir
flurourical |
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Term
| should preggos self medicate? |
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Definition
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Term
| women of child bearing age should get how much folic acid? |
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Definition
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|
Term
for smoking cessation in preggo what is first line?
what is last? |
|
Definition
cognitive, behavior
pharmacologic |
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|
Term
| what immunizations should preggo womenhave? -3 |
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Definition
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Term
| can you take prenatal vitamines with food? |
|
Definition
| yes- use to help stomach upset |
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Term
| if the prenatal vitmains are Rx what vitamin dosage is higher? |
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Definition
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|
Term
| important prenatal vitamins |
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Definition
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|
Term
| first line treatment for constipation-3 |
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Definition
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|
Term
| pharmacology for constipation? - |
|
Definition
fiber + stool softener
osmo laxatives (short term) |
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Term
| what is the osmotic laxative |
|
Definition
|
|
Term
| what are the stool softeners-2 |
|
Definition
|
|
Term
what two meds should you avoid in constipations?
why? |
|
Definition
mineral oil
castor oil
reduce nutrient absrpotion |
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|
Term
|
Definition
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|
Term
| pharmacotherapy fr GERD if needed-4 |
|
Definition
anatacids
H2 antags
promotility
PPI (severe case only) |
|
|
Term
| what is the antacids given in preggo for GERD?- 2 |
|
Definition
calcium carbonate
sulcralfate |
|
|
Term
| what are the H2 anatags for GERD |
|
Definition
ranitidine/zantac
cimetidine/tagamet |
|
|
Term
what med do you avoid in GERD
why? |
|
Definition
sodium bicarb
alkolosis and fluid excess |
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|
Term
| first line to decrease Nausea vomitting |
|
Definition
| freqient small meals, avoid fatty |
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|
Term
| meds used for nausea vomitting -5 |
|
Definition
pyridoxine
antihistamines
dopamine antags
serotonin antags
corticosteroids |
|
|
Term
| what are the antihistamines |
|
Definition
doxylamine/unisom
dimenhydramine/dramamine |
|
|
Term
| what are the dopamine antags-3 |
|
Definition
phenothiazine/compazine
promethazine/phenergan
benzamiide/reglan |
|
|
Term
| what are the serotonin antags? |
|
Definition
|
|
Term
| what herabl can be used for N/V |
|
Definition
|
|
Term
| you screen for undetected type 2 diabetes when? |
|
Definition
| 1st prenantal visit in those with risk factors |
|
|
Term
in preggo women not known to have diabetes when do you screen for gestational DM?
using what diagnostic? |
|
Definition
|
|
Term
what shows GDM being positive?
fasting>
1 hr>
2 hr> |
|
Definition
|
|
Term
|
Definition
| deit mdoification and additional calorie restirciton |
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|
Term
what levels show you are not at goal for GDM and need meds?
fasting>
1 hr>
2 hr> |
|
Definition
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|
Term
| first line meds for GDM- 3 |
|
Definition
insulin
metformin
glyburide |
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|
Term
| diasoltic BP above _ increases risk of placental abruption/growth restriciton |
|
Definition
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|
Term
| systolic BP above _ increases risk for maternal intracerebal hemoorahge |
|
Definition
|
|
Term
Chronic HTN in preggo goals
diastolic
systolic |
|
Definition
|
|
Term
| you add meds for a chronic HTN preggo when BP is |
|
Definition
>160
or DBP is greater than 110 |
|
|
Term
| what meds are used for chronic HTN in preggo |
|
Definition
methyldopa
labetoelol
nifedipine |
|
|
Term
| what is the definiton of gestastional HTN-2 |
|
Definition
HTN fond after 20 weeks
normalizes postpartum |
|
|
Term
| 1/_ will get preeclampsia that are diagnosed with gestational HTN |
|
Definition
|
|
Term
how muhc of Ca should be given to reduce preeclampsia?
Aspririn is given when? |
|
Definition
1 gm
after 12 weeks- 81 mg |
|
|
Term
| If have hypothyoidism what do you do to the dose levothyroxine during preggo? |
|
Definition
|
|
Term
| if have hypothyoidism and become preggo what should you do about TSH monitoring |
|
Definition
| monitor every 4 weeks during first half then 1x btwn 26-32 wks |
|
|
Term
| what malformation occurs due to epilepsy |
|
Definition
|
|
Term
| if have epeilipsy what therapy is used? |
|
Definition
monotherapy:
cabmezapine
lamotrigine |
|
|
Term
| waht antiepeleptic drug do you avoid? |
|
Definition
|
|
Term
| what do you supplement with to help with epilepsy before adn thru 1st trimester |
|
Definition
|
|
Term
if preggo has mental health problem what meds do you use?
which do you avoid? |
|
Definition
|
|
Term
| benefits to mom for breast feeding -4 |
|
Definition
-weight loss
less bone loss
-type 2 DM
-cancer |
|
|
Term
Lactation risk scale:
L1 is?
L5 is? |
|
Definition
|
|
Term
post partum depression - do you treat?
what are the nonpharm options? -3 |
|
Definition
YES!!!
exercise, massage, counseling |
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|
Term
what are the meds of choice for Ppost partum depression?
what are 2 ex of this class? which is preferred? |
|
Definition
SSRIs
sertraline
paroxetine
sertraline |
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