AS
N3280 – High Risk Pregnancy Part 1. A+ Graded End
Term Exam with Verified Answer
Questions and Mark scheme
Version: Final 1.1
,fetal risks in controlled asthma - ✔✔low risk
risks for uncontrolled asthma - ✔✔-hypertension
-premature delivery
treatment for asthma during pregnancy - ✔✔inhaled medications are generally preferred due to targeted effect
do symptoms of asthma get worse or better during pregnancy - ✔✔-patient dependent
-worsen between 24-36 weeks
cholestasis - ✔✔-very serious
-slowing of bile from the liver due to hormonal effects on biliary system
-backed up bile in the liver causes inflammation
poor fetal outcomes of cholestasis - ✔✔10x higher risk of fetal demise
cholestasis symptoms - ✔✔-pruritis (palms and soles worse at night)
-jaundice
-dark-colored urine
diagnosis of cholestasis - ✔✔-liver function tests
-serum bile acids
treatment for cholestasis - ✔✔-no cure
-symptoms can be relieved with ursodiol
-early delivery recommended to prevent fetal demise (36-37weeks)
epilepsy - ✔✔-medication compliance is a concern (pts worried about safety)
-some anti seizure medications unsafe
-seizure threshold can change in pregnancy
, multiple sclerosis - ✔✔-many MS medications are unsafe
-most women do fine with pregnancy
-PT can help manage symptoms
-steroids if necessary
bells palsy - ✔✔-facial paralysis cause by inflammation of the facial nerves
-self-limiting (resolved within 2-4 months)
-most common 3rd trimester
-can be warning of impeding hypertension
lupus - ✔✔-autoimmune disorder caused by systemic inflammation
-skin, joints, heart, lungs, brain are most susceptible to damage
increased risk for lupus during pregnancy - ✔✔-HTN
-premature delivery
-renal dysfunction
-fetal demise
-blood clots
treatment for lupus during pregnancy - ✔✔hydroxychloroquine
hyperemesis gravidarum - ✔✔extreme persistent n/v that is accompanied by weight loss (>5% of pregnancy weight)
what can hyperemesis gravidarum lead to - ✔✔-severe malnutrition and dehydration if untreated
-hospitalizations for fluid/electrolyte replacement and enteral nutrition
who is at risk for hyperemesis gravidarum - ✔✔women with motion sickness or migraines outside of pregnancy
when are symptoms the worst and when do they get better for hyperemesis gravidarum - ✔✔between 9-13 weeks,
often improves 14-20 weeks
N3280 – High Risk Pregnancy Part 1. A+ Graded End
Term Exam with Verified Answer
Questions and Mark scheme
Version: Final 1.1
,fetal risks in controlled asthma - ✔✔low risk
risks for uncontrolled asthma - ✔✔-hypertension
-premature delivery
treatment for asthma during pregnancy - ✔✔inhaled medications are generally preferred due to targeted effect
do symptoms of asthma get worse or better during pregnancy - ✔✔-patient dependent
-worsen between 24-36 weeks
cholestasis - ✔✔-very serious
-slowing of bile from the liver due to hormonal effects on biliary system
-backed up bile in the liver causes inflammation
poor fetal outcomes of cholestasis - ✔✔10x higher risk of fetal demise
cholestasis symptoms - ✔✔-pruritis (palms and soles worse at night)
-jaundice
-dark-colored urine
diagnosis of cholestasis - ✔✔-liver function tests
-serum bile acids
treatment for cholestasis - ✔✔-no cure
-symptoms can be relieved with ursodiol
-early delivery recommended to prevent fetal demise (36-37weeks)
epilepsy - ✔✔-medication compliance is a concern (pts worried about safety)
-some anti seizure medications unsafe
-seizure threshold can change in pregnancy
, multiple sclerosis - ✔✔-many MS medications are unsafe
-most women do fine with pregnancy
-PT can help manage symptoms
-steroids if necessary
bells palsy - ✔✔-facial paralysis cause by inflammation of the facial nerves
-self-limiting (resolved within 2-4 months)
-most common 3rd trimester
-can be warning of impeding hypertension
lupus - ✔✔-autoimmune disorder caused by systemic inflammation
-skin, joints, heart, lungs, brain are most susceptible to damage
increased risk for lupus during pregnancy - ✔✔-HTN
-premature delivery
-renal dysfunction
-fetal demise
-blood clots
treatment for lupus during pregnancy - ✔✔hydroxychloroquine
hyperemesis gravidarum - ✔✔extreme persistent n/v that is accompanied by weight loss (>5% of pregnancy weight)
what can hyperemesis gravidarum lead to - ✔✔-severe malnutrition and dehydration if untreated
-hospitalizations for fluid/electrolyte replacement and enteral nutrition
who is at risk for hyperemesis gravidarum - ✔✔women with motion sickness or migraines outside of pregnancy
when are symptoms the worst and when do they get better for hyperemesis gravidarum - ✔✔between 9-13 weeks,
often improves 14-20 weeks
