Ch 54 - High Risk Pregnancy

List 4 MATERNAL factors that can make someone a “high risk”

• advanced _____ ____ (UT “old”)

• abnormal ___ (testing)

• ____ ____ (common in 1st trimester)

• ______ (think compressed IVC)

maternal age, labs, vag bleeding, hypertension

Gestational Diabetes is associated with

• ____

• _____ (large birth weight) 

polyhydramnios, macrosomia 

Glucose fuels fetal ____

growth

List 2 MATERNAL risk factors for gestational diabetes

• _____

• ______ (big baby)

infection, macrosomia

List 3 FETAL risk factors for gestational diabetes

• _____ (small baby)

• fetal ___

• _____/____ tube defects

IUGR, demise, hydrops/neural 

IUGR is associated with 

• ____hydramnios 

• ___ birth weight

oligo, small

Premature labor is ____ (common/uncommon) and is when labor occurs BEFORE ___ wks

common, 37

List 2 premature infant problems

• _____ ____ syndrome 

• _____ problems 

respiratory distress, feeding 

List 3 causes of PREMATURE labor

• _____/___ (High school senior) 

• ____ (think infection) 

• _____ (common in first tri) 

PROM/PPROM, TORCH, bleeding 

HELLP = _____,______ _____ enzymes, ____ _____ count 

hemolysis, elevated liver, low platelet 

HELLP is associated with _____ _____

organ damage

Advanced maternal age = ____ y/o

35+

List the 4 things the Quad screen test for

AFP, hCG, estriol, inhibin A

Sono Fetal Death

• absence of ____

• ____ of heart difficult to see

• Overlapping skull bones “_____ _____”

• Extreme ______ of spine

HRT, clotting, spalding sign, curve

______ = seen with proteinuria + swelling

Preeclampsia

Preeclampsia BP = ____/___ and is seen with ______ + swelling

140/90, proteinuria

Severe Preeclampsia = 

• BP = ___/__ on ___ occasions

• _____/ Epigastric pain + impaired _____ function

160/110, 2, RUQ, liver

____ = preeclampsia + seizures

Eclampsia

Eclampsia

• BP = ___/___

• Headaches , ______, n/v, _____, coma 

170/110, dizziness, seizures 

____ previa = cord covering internal os 

Vasa 

Vasa Previa = cord covering ____ ____

internal os

MC cause of VASA PREVIA = _____ _____ of cord

velamentous insert

_____ Previa = MOST COMMON cause of bleeding in 2nd/4rd trimester

Placenta 

Placenta previa = ____ bleeding + ____ red blood

painless, bright

Placental ____ = painful bleeding + is categorized as either Retro or Marginal

abruption

Placental ABRUPTION = _____ bleeding

painful

Placental abruption is associated with ______ (think BP) + _____ umbilical cord (short/long) 

hypertension, short

Retro v Marginal 

RETRO Placental Abruption = ____ pressure bleed 

Marginal Placental Abruption = ______ pressure bleed 

high, low 

____ _____ (HG) = extreme vomiting → dehydration

Hyperemesis Gravidarum

_____ _____ syndrome = compression of IVC due to baby size

supine hypotensive

Supine HYPOtensive syndrome can lead to _____, occurs in the ___ trimester, and happens due to the ____ of blood back to the _____

abruption, 3rd, lack, heart 

To reduce Supine Hypotensive syndrome you should ____ the patient into ____

roll, LLD

What side is Maternal Hydronephrosis more commonly on?

right