Update) Primary Care of Childbearing Woman
Review| Qs & As | Grade A| 100% Correct (Verified
Answers)- Regis
NU 661 Final exam
alcohol and pregnancy
Have a higher rate of spontaneous abortion
Infants born to drinking mothers have a high probability of being afflicted with FAS
FAS is characterized by facial deformities, growth deficiency, and CNS problems.
The severity of FAS is dose-related.
cocaine and pregnancy
unable to detox the drug
smaller head
spontaneous abortion
low birth weight
strokes
premature labor
respirator distress
SID risk
fetal demise
congenital abnormalities
Heroin and pregnancy
premature birth weight, tremulous behavior, poor sleep, poor sucking and feeding, risk of SIDS
Withdrawal, NAS
Risk of PTL
risk of PTB
Miscarriage
, suboxone in pregnancy
used in MAT program for women
Fetus will need to be monitored for NAS symptoms
Labor pain relief will be complicated at patient has a higher tolerance ( epidural will offer pain
relief)
heroine withdrawal in pregnancy
symptoms like tachycardia, hypertension, nausea, vomiting, chills, etc.
OXYCODONE PREGNANCY
Maternal risk : symptoms like tachycardia, hypertension, nausea, vomiting, chills, etc.
Fetal risk : miscarriage, premature rupture of membranes, placental abruption, and neonatal
death, Neonatal abstinence syndrome (NAS), Skin problems, neuro problems, high pitched cry,
problems breathing
marijuana and pregnancy
PTL
IUGR
Neonatal morbidity
NICU admission
NAS
cerclage placement
suture is placed around the cervix to "close" the internal os to prevent premature rupture of
membranes and preterm birth , performed between 16-24 week gestation. contraindicated if signs
of labor or ROM, and if over 28 weeks.
Cerclage indication
prior PTB
cervical trauma
progressively earlier birth
consecutive 2 trimester losses