Pregnancy Medicine — Flashcards

Flashcard 31: _____ are first-line in the management of nausea & vomiting in pregnancy/hyperemesis gravidarum.

Answer: Antihistamines (cyclizine/promethazine)

Flashcard 32: Gestational Hypertension is new-onset hypertension after 20 weeks of gestation without any _____

Answer: proteinuria or other systemic features

Flashcard 33: All women admitted with Hyperemesis Gravidarum - should recieve _____ to reduce the risk of Wernicke's encephalopathy

Answer: IV thiamine

Flashcard 34: _____ should also be considered if birth is planned within 24 hours, or if there is concern that a woman may develop eclampsia

Answer: IV magnesium suphate

Flashcard 35: _____ is a crucial neurological sign that may precede eclamptic seizures in pre-eclampsia

Answer: Hyperreflexia

Flashcard 36: Patient with hyperemesis gravidarum who develop diplopia and ataxia is suggestive of _____ and therefore supplementation of Pabrinex (Thiamine, B&C)

Answer: Wernicke's encephalopathy

Flashcard 37: Hyperemesis Gravidarum diagnostic criteria triad is: _____ AND dehydration AND electrolyte imbalance

Answer: 5% pre-pregnancy weight loss

Flashcard 38: Prophylactic low-dose Aspirin is used for the _____ of pre-eclampsia in high-risk patients.

Answer: prevention

Extra: Low-dose aspirin (81 mg/day) is recommended for pregnant individuals at high risk for preeclampsia. It should be initiated between 12 weeks and 28 weeks of gestation (optimally before 16 weeks) and continued daily until delivery.

Flashcard 39: Pregnancy-related hypertension (Preeclampsia/Gestational HTN) typically occurs after _____; if it occurs earlier, suspect Hydatidiform mole.

Answer: 20 weeks

Extra: Standard gestational hypertension and preeclampsia are defined by their onset after 20 weeks of gestation. Occurrence before this threshold is highly suggestive of gestational trophoblastic disease (molar pregnancy) or occasionally underlying chronic hypertension.

Flashcard 40: Consequences of Pre-eclampsia include: _____ pulmonary oedema

Answer: Intra-cerebral, intra-abdominal, placental abruption