Nagels rule
Date of last period
Add seven days
Minus three months
Add a year
Cardiovascular system in pregnancy
BV& Cardiac Output Increases by 50%
Decreased Vascular resistance
Increased cardiac output
Cardiomyopathy
Heart muscle disease.
Rheumatic heart disease
disease that can result from inadequately treated strep throat or scarlet fever.
Mitral Valve Stenosis
is when the mitral valve opening in the heart is narrowed, usually due to rigidity or scarring. The mitral valve is located on the left side of your heart, between two chambers: the atrium and the ventricle
Eisenmengers syndrome
Eisenmenger syndrome is a condition that includes a collection of symptoms: cyanosis (pale blue or grayish skin due to decreased oxygen in the blood), pulmonary hypertension (high pressure in the blood vessels of the lungs), and erythrocytosis (increased number of red blood cells due to decreased oxygen in the blood
Marian syndrome
An inherited disorder that affects connective tissue.
Asthma treatment
Medications
Inhalers
Increase calorie intake
Gastrointestinal disorder-Gallbladder-
- decreased muscle tone Increased thickening of bile Increased emptying time Treatment Low fat diet Increased fluid Surgery 2nd trimester
Recurrent seizures
Treatment
Benefits outweigh the risks
Safety of mom and baby
Endocrine-hypothyroidism
Fatigue Heat intolerance Tachycardia Decreased weight Untreated baby can have hyperthyroidism will correct
Hypothyroidism
Fatigue Increased weight Cold intolerance Constipation Muscle weakness
Diabetes
Goal-BS normal to prevent hypoglycemia and hyperglycemia
Metabolic changes
Early-hormones cause increased insulin and decreased glucose causing hypoglycemia
Late-hormone may block causing insulin resistance
Risk gestational diabetes
Heart anomalies in fetus Hyperglycemia Hypoglycemia Increased risk for type 2 diabetes Stillbirth Infection Macrosomia C-section Operative delivery Pre-eclampsia IUGR
Goals for diabetes
Control glucose levels
Diet
Oral meds/insulin
Education
Lupus
Connective tissue disorder affecting skin,joints,kidneys,lungs,CNS and liver S/s Fatigue Fever Skin rashes Weight loss Joint pain
AIDS/HIV
Not recommended
Maternal circulation
100% transmission rate
Torch infections
T-toxoplasmosis-cat litter/raw meat/tampon
O-other-syphillis/varicella/parvovirus B19
R-rubella
C-cytomegalovirus-bad cold/effects baby brain(mental retardation)
H-herpes (C section)/ (acyclovir) transmit to baby
Substance use (drug&alcohol)
Cocaine Amphetamines Marijuana PCP Narcotics Inhalants Alcohol Everything mom does affects the baby.
