CP102B Finals

• Hyperemesis gravidarum


  Severe vomiting and weight loss
• Hormone primarily associated with hyperemesis gravidarum


  Human chorionic gonadotropin (hCG)
• Risk factors for hyperemesis gravidarum


  • Multiple pregnancies
  • Previous history of hyperemesis gravidarum
  • Molar pregnancy
• PROM


  Rupture of membranes before labor begins
• PROM at term


  Rupture of membranes after 37 weeks
• Preterm labor


  Labor that occurs before 37 weeks
• PIH


  Gestational hypertension
• Polyhydramnios


  Excessive amniotic fluid volume
• Dizygotic twin pregnancy


  Two separate placentas
• Postterm pregnancy


  Pregnancy after 42 weeks
• Most common type of anemia in pregnancy

  Iron deficiency anemia
• Key lab finding in iron deficiency anemia

  Low hemoglobin
• Conditions that can lead to high-risk labor

  • Gestational diabetes
  • Hypertension
  • Multiple pregnancies
• Key intervention for shoulder dystocia

  McRoberts maneuver
• Indications for a cesarean section

  • Placenta previa
  • Fetal distress
  • Breech presentation
• Lactational amenorrhea method (LAM)


  Effective for 6 months postpartum
• Long-acting reversible contraceptives (LARCs)


  Implants and IUDs
• Molar pregnancy


  Associated with high levels of hCG
• Hyperkalemia


  Electrolyte imbalance in hyperemesis gravidarum
• Hypokalemia


  Electrolyte imbalance in hyperemesis gravidarum
• Hypernatremia


  Electrolyte imbalance in hyperemesis gravidarum
• Hyponatremia


  Electrolyte imbalance in hyperemesis gravidarum
• Oral antiemetics are ineffective

  Condition requiring hospitalization for hyperemesis gravidarum
• Patient is slightly nauseous

  Condition requiring hospitalization for hyperemesis gravidarum
• Weight gain is observed

  Condition requiring hospitalization for hyperemesis gravidarum
• Mild dehydration is present


  Condition requiring hospitalization for hyperemesis gravidarum
• End of the first trimester

  When hyperemesis gravidarum typically resolves
• Mid-second trimester


  When hyperemesis gravidarum typically resolves
• End of second trimester

  When hyperemesis gravidarum typically resolves
• Third trimester


  When hyperemesis gravidarum typically resolves
• Preterm labor


  Potential long-term consequence of severe, untreated hyperemesis gravidarum
• Fetal growth restriction


  Potential long-term consequence of severe, untreated hyperemesis gravidarum
• Placenta previa


  Potential long-term consequence of severe, untreated hyperemesis gravidarum
• Gestational diabetes


  Potential long-term consequence of severe, untreated hyperemesis gravidarum
• Diet modification


  Preferred initial treatment for hyperemesis gravidarum
• Vitamin B6 and doxylamine


  Preferred initial treatment for hyperemesis gravidarum
• Calcium supplements


  Preferred initial treatment for hyperemesis gravidarum
• Risk factors for PROM

  • History of preterm labor
  • Smoking
  • Multiple pregnancies
• Term PROM


  PROM before 37 weeks
• Preterm PROM (PPROM)


  PROM before 37 weeks