CMN 568 UNIT 6
What antibiotics can be given to treat mastitis? - ANSWERS-
Cephalosporins, Methicillin, Dicloxacillin. If MRSA suspected:
Bactrim DS
What are the risks for endometritis? - ANSWERS-cracked nipples,
underwire bras, stress, fatigue, postpartum depression, first three
months postpartum
What percentage of women does postpartum thyroiditis occur? -
ANSWERS-5-10%
Describe the first phase of postpartum thyroiditis? - ANSWERS-1-4
month postpartum- hyperthyroidism- elevated T4, suppressed TSH
What are the s/s of the first phase of postpartum thyroiditis? -
ANSWERS-hyperthyroidism= agitation, fatigue, tachycardia, possible
goiter
Describe the second phase of postpartum thyroiditis? - ANSWERS-4-
8 months pp- hypothyroidism- suppressed T4, elevated TSH
What are the s/s of the second phase of postpartum thyroiditis? -
ANSWERS-fatigue, weight gain and depression
,What type of imaging is used to detect pp thyroiditis? - ANSWERS-
u/s
How is postpartum thyroiditis treated? - ANSWERS-Treatment Phase
1: beta blockers if needed for symptoms
Treatment Phase 2: levothyroxine - titrate dose by repeat TSH every
6-8 weeks
When does postpartum thyroiditis usually resolve? - ANSWERS-by 1
year
Women with a history of giving birth to a child with a neural tube
defect or a strong family history should take how much Folic Acid? -
ANSWERS-4mg/day beginning several months before pregnancy.
Women with insulin-dependent diabetes and those taking Valproic
acid and Carbamazepine for seizure disorder should take how much
folic acid? - ANSWERS-at least 1mg/day
All women with no known risk factors should take how much folic
acid? - ANSWERS-0.4mg/day starting at least 1 month prior to
conception.
When is a quadruple screening performed during pregnancy? -
ANSWERS-Quadruple screening (15-20 weeks gestation, ideally 16-
18 weeks)
, Describe first trimester screening - ANSWERS-uses a combination of
a fetal nuchal translucency measurement and maternal serum analysis
of pregnancy associated plasma protein A (PAPP-A) and B-HCG, then
a maternal AFP should be drawn at 15-18 weeks to screen for neural
tube defects
When is the second step of the stepwise integrated screening process
done? What is looked at? - ANSWERS-between 15 and 18 weeks
gestation;
Quadruple screening or maternal AFP to detect open neural tube
defects
What is the schedule interval for prenatal visits? - ANSWERS-Every
month until 32 weeks
Every two weeks from 32-36 weeks
Every week from 36-40 weeks
Twice weekly if greater than 40 weeks
When can fundal height be measured? - ANSWERS-after 18 weeks
When can heart tones be heard with a doppler? - ANSWERS-usually
after 10-12 weeks
When is a stable lie usually present? - ANSWERS-by 34 weeks
What antibiotics can be given to treat mastitis? - ANSWERS-
Cephalosporins, Methicillin, Dicloxacillin. If MRSA suspected:
Bactrim DS
What are the risks for endometritis? - ANSWERS-cracked nipples,
underwire bras, stress, fatigue, postpartum depression, first three
months postpartum
What percentage of women does postpartum thyroiditis occur? -
ANSWERS-5-10%
Describe the first phase of postpartum thyroiditis? - ANSWERS-1-4
month postpartum- hyperthyroidism- elevated T4, suppressed TSH
What are the s/s of the first phase of postpartum thyroiditis? -
ANSWERS-hyperthyroidism= agitation, fatigue, tachycardia, possible
goiter
Describe the second phase of postpartum thyroiditis? - ANSWERS-4-
8 months pp- hypothyroidism- suppressed T4, elevated TSH
What are the s/s of the second phase of postpartum thyroiditis? -
ANSWERS-fatigue, weight gain and depression
,What type of imaging is used to detect pp thyroiditis? - ANSWERS-
u/s
How is postpartum thyroiditis treated? - ANSWERS-Treatment Phase
1: beta blockers if needed for symptoms
Treatment Phase 2: levothyroxine - titrate dose by repeat TSH every
6-8 weeks
When does postpartum thyroiditis usually resolve? - ANSWERS-by 1
year
Women with a history of giving birth to a child with a neural tube
defect or a strong family history should take how much Folic Acid? -
ANSWERS-4mg/day beginning several months before pregnancy.
Women with insulin-dependent diabetes and those taking Valproic
acid and Carbamazepine for seizure disorder should take how much
folic acid? - ANSWERS-at least 1mg/day
All women with no known risk factors should take how much folic
acid? - ANSWERS-0.4mg/day starting at least 1 month prior to
conception.
When is a quadruple screening performed during pregnancy? -
ANSWERS-Quadruple screening (15-20 weeks gestation, ideally 16-
18 weeks)
, Describe first trimester screening - ANSWERS-uses a combination of
a fetal nuchal translucency measurement and maternal serum analysis
of pregnancy associated plasma protein A (PAPP-A) and B-HCG, then
a maternal AFP should be drawn at 15-18 weeks to screen for neural
tube defects
When is the second step of the stepwise integrated screening process
done? What is looked at? - ANSWERS-between 15 and 18 weeks
gestation;
Quadruple screening or maternal AFP to detect open neural tube
defects
What is the schedule interval for prenatal visits? - ANSWERS-Every
month until 32 weeks
Every two weeks from 32-36 weeks
Every week from 36-40 weeks
Twice weekly if greater than 40 weeks
When can fundal height be measured? - ANSWERS-after 18 weeks
When can heart tones be heard with a doppler? - ANSWERS-usually
after 10-12 weeks
When is a stable lie usually present? - ANSWERS-by 34 weeks
