T4 High Risk Perinatal Care - Gestational Conditions

• What metabolic changes happen during the 1st trimester of pregnancy?

  Rise of estrogen and progesterone.
• When does the diabetogenic effect start?

  2nd and 3rd trimesters.
• Which trimester requires less insulin?

  1st trimester.
• What is hyperemesis gravidarum?

  Nausea between 4 - 8 weeks of gestation that causes weight loss, electrolyte imbalance, nutritional deficiencies, and ketonuria.
• How do you treat hyperemesis gravidarum?

  IV fluids, electrolyte replacement, antiemetics.
• What is no longer advised with someone who is on progesterone therapy and had a cerclage placed?

  Bed rest.
• When is the cerclage removed?

  36 weeks.
• What is measured weekly after an ectopic pregnancy?

  HCG levels.
• How long should you avoid pregnancy after an ectopic pregnancy?

  3 months.
• What is a sign of molar pregnancy?

  Bright red to dark brown vaginal bleeding and hyperthyroidism.
• Is molar pregnancy and ectopic pregnancy and early or late kind of bleeding?

  Early.
• What is a sign of placenta previa?

  Painless bright red vaginal bleeding during the 2nd or 3rd trimester.
• What are signs of abruptio placentae?

  Painful and dark red bleeding with rigid abdomen.
• What clotting problem is related to preeclampsia?

  DIC.