OB/GYN test III

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Author:
mowgli
ID:
227710
Filename:
OB/GYN test III
Updated:
2013-07-21 01:25:39
Tags:
gest DM
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Description:
maternity test III
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  1. insulin needs of 1st trimester
    maternal needs decrease
  2. maternal insulin needs of 2nd &3rd trimester
    • increased placental hormones cause insulin-resistant state
    • insulin dose increases
  3. what type of DM does gestaitonal DM (GDM)mimic?
    Type 2
  4. What are pregestational DM I woman higer risk of
    • spontaneous abortion
    • congenital anomalies
    • still birth
    • polyhydramnios-excess levels of amniotic fluid
    • preterm delivery
    • shoulder dystocia
    • HTN disorders

    C-section
  5. pregestational DM effects on fetus
    • low maternal fetal circ
    • chronic fetal hypoxemi
    • growth retardatoin
    • large fetus-b/c elevated maturn glucose lvl
    • increased incidence of plcental insufficency'
  6. what are GDM moms increased risk of
    DM II after pregnancy
  7. what is the diabetogenic effects of pregnany?
    • mild hypoglycemia when fasting
    • mild hyerglycemia after meals
    • hyperinsulinemia after meals
  8. what is the greatest fetal risk of women with GDM
    • excessive growth
    • --macrosomia-large birth weight

    birth trauma(shoulder dystocia)
  9. When is GDM screeened
    24-28 wk gestation
  10. how often does a pregnant DM have to check blood sugar
    • several times a day
    • (~7 X)
  11. what is the main form of DM control for
    DM I
    GDM
    DM!- insulin, diet exercise

    • GDM- diet and exercise
    •    insulin if others don't work
  12. when is alpha -fetoprotein measured
    16-20wk gest
  13. When do DM moms initiate daily fetal activity counts
    28wk gestation
  14. Why are DM infants predisposed to respiratory distress
    elevated maternal glucose can delay fetal lung maturation

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