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Questions and Answers
Which of the following is a symptom of hyperthyroidism?
Which of the following is a symptom of hyperthyroidism?
What is the primary treatment for hyperthyroidism during pregnancy?
What is the primary treatment for hyperthyroidism during pregnancy?
Which of the following is NOT a potential risk associated with hyperthyroidism during pregnancy?
Which of the following is NOT a potential risk associated with hyperthyroidism during pregnancy?
What is the primary concern regarding the use of Methimazole and PTU during pregnancy?
What is the primary concern regarding the use of Methimazole and PTU during pregnancy?
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Which of the following statements about endocrine system disorders during pregnancy is TRUE?
Which of the following statements about endocrine system disorders during pregnancy is TRUE?
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What is a common consequence of the increased insulin resistance during pregnancy?
What is a common consequence of the increased insulin resistance during pregnancy?
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Which of these placental hormones contributes to the development of insulin resistance during pregnancy?
Which of these placental hormones contributes to the development of insulin resistance during pregnancy?
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At what stage of pregnancy does insulin resistance typically peak?
At what stage of pregnancy does insulin resistance typically peak?
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What is the primary reason for the increased insulin dosage required in gestational diabetes during the second and third trimesters?
What is the primary reason for the increased insulin dosage required in gestational diabetes during the second and third trimesters?
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What is the implication of the increased glomerular filtration of glucose during pregnancy?
What is the implication of the increased glomerular filtration of glucose during pregnancy?
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What is the typical occurrence of gestational diabetes after delivery?
What is the typical occurrence of gestational diabetes after delivery?
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Why is it important for pregnant women with hypothyroidism to receive adequate thyroid hormone replacement?
Why is it important for pregnant women with hypothyroidism to receive adequate thyroid hormone replacement?
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What is the primary reason for the increased thyroid gland size during normal pregnancy?
What is the primary reason for the increased thyroid gland size during normal pregnancy?
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What is the primary circulatory issue that arises in the context of right-sided heart failure during pregnancy?
What is the primary circulatory issue that arises in the context of right-sided heart failure during pregnancy?
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Which of the following situations can contribute to the development of right-sided heart failure during pregnancy?
Which of the following situations can contribute to the development of right-sided heart failure during pregnancy?
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What is the primary reason why pregnant women with right-sided heart failure require close monitoring and oxygen therapy?
What is the primary reason why pregnant women with right-sided heart failure require close monitoring and oxygen therapy?
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What is the primary action of Digoxin in the context of right-sided heart failure?
What is the primary action of Digoxin in the context of right-sided heart failure?
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What is the most definitive treatment option for right-sided heart failure in pregnant women?
What is the most definitive treatment option for right-sided heart failure in pregnant women?
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How does pregnancy contribute to the increased risk of venous thromboembolism (VTE)?
How does pregnancy contribute to the increased risk of venous thromboembolism (VTE)?
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Which of the following is NOT a contributing factor to venous stasis during pregnancy?
Which of the following is NOT a contributing factor to venous stasis during pregnancy?
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What is the primary goal of early ambulation after delivery in preventing venous thromboembolism?
What is the primary goal of early ambulation after delivery in preventing venous thromboembolism?
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What is a common characteristic associated with gestational diabetes mellitus risk factors?
What is a common characteristic associated with gestational diabetes mellitus risk factors?
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At what gestational age is routine screening for gestational diabetes typically performed?
At what gestational age is routine screening for gestational diabetes typically performed?
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What glucose level at 1 hour indicates a need for further testing according to the oral glucose tolerance test?
What glucose level at 1 hour indicates a need for further testing according to the oral glucose tolerance test?
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Which factor is NOT a risk factor for gestational diabetes?
Which factor is NOT a risk factor for gestational diabetes?
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What is the criteria for diagnosing gestational diabetes related to fasting glucose levels?
What is the criteria for diagnosing gestational diabetes related to fasting glucose levels?
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What characterize Type 1 Diabetes Mellitus as described in the content?
What characterize Type 1 Diabetes Mellitus as described in the content?
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Which of the following ethnic groups is categorized as high risk for diabetes?
Which of the following ethnic groups is categorized as high risk for diabetes?
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What procedure is involved in the oral glucose tolerance test after the 50-g glucose loading?
What procedure is involved in the oral glucose tolerance test after the 50-g glucose loading?
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What risk is associated with blockage in blood vessels during pregnancy?
What risk is associated with blockage in blood vessels during pregnancy?
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What is a major complication that can occur due to sickle cell anemia during pregnancy?
What is a major complication that can occur due to sickle cell anemia during pregnancy?
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Which of the following is NOT advised for the care of a pregnant woman with cardiovascular disease?
Which of the following is NOT advised for the care of a pregnant woman with cardiovascular disease?
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What is a potential outcome of anemia during pregnancy?
What is a potential outcome of anemia during pregnancy?
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What is the recommended daily dosage of folic acid for women planning to become pregnant?
What is the recommended daily dosage of folic acid for women planning to become pregnant?
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What should a pregnant woman with sickle cell anemia closely monitor for?
What should a pregnant woman with sickle cell anemia closely monitor for?
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Which dietary item is particularly encouraged for a patient with sickle cell anemia to increase their iron intake?
Which dietary item is particularly encouraged for a patient with sickle cell anemia to increase their iron intake?
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Which of the following is important to teach a patient with sickle cell anemia regarding food preparation?
Which of the following is important to teach a patient with sickle cell anemia regarding food preparation?
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Which factor can increase blood viscosity in sickle cell anemia?
Which factor can increase blood viscosity in sickle cell anemia?
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What is a serious complication that pregnant women with sickle cell anemia may face?
What is a serious complication that pregnant women with sickle cell anemia may face?
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What maternal condition is responsible for approximately 5% of maternal deaths during pregnancy?
What maternal condition is responsible for approximately 5% of maternal deaths during pregnancy?
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Which vitamin should individuals with sickle cell anemia consume to enhance iron absorption?
Which vitamin should individuals with sickle cell anemia consume to enhance iron absorption?
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What is a commonly observed danger of sickle cell anemia during pregnancy?
What is a commonly observed danger of sickle cell anemia during pregnancy?
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What precaution should a patient with sickle cell anemia take to prevent urinary tract infections?
What precaution should a patient with sickle cell anemia take to prevent urinary tract infections?
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What is an essential dietary element for managing constipation often caused by iron supplementation in sickle cell anemia patients?
What is an essential dietary element for managing constipation often caused by iron supplementation in sickle cell anemia patients?
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What aspect of sickle cell anemia does not affect the pregnancy itself but poses risks during it?
What aspect of sickle cell anemia does not affect the pregnancy itself but poses risks during it?
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Flashcards
Hyperthyroidism
Hyperthyroidism
An endocrine disorder with excessive hormone production leading to hypermetabolism.
Symptoms of Hyperthyroidism
Symptoms of Hyperthyroidism
Includes heat intolerance, tachycardia, exophthalmos, palpitation, weight loss.
Risks of Hyperthyroidism
Risks of Hyperthyroidism
Can lead to heart failure, preterm labor, IUGR, and gestational HTN.
Hypersecretion vs Hyposecretion
Hypersecretion vs Hyposecretion
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Gestational Diabetes Mellitus
Gestational Diabetes Mellitus
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Insulin Resistance
Insulin Resistance
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Hyperglycemia
Hyperglycemia
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Osmotic Diuresis
Osmotic Diuresis
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Glucosuria
Glucosuria
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Incidence of GD
Incidence of GD
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Thyroid in Pregnancy
Thyroid in Pregnancy
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Hypothyroidism Risks
Hypothyroidism Risks
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Sinus Headaches
Sinus Headaches
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Folic Acid Supplementation
Folic Acid Supplementation
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Sickle Cell Anemia
Sickle Cell Anemia
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Veno-Occlusive Crisis
Veno-Occlusive Crisis
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Dietary Recommendations for Sickle Cell
Dietary Recommendations for Sickle Cell
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Managing Iron Intake Side Effects
Managing Iron Intake Side Effects
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Vitamin C in Sickle Cell Diet
Vitamin C in Sickle Cell Diet
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Hygiene and Infection Prevention
Hygiene and Infection Prevention
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Fetal Compromise Signs
Fetal Compromise Signs
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Blockage Risks
Blockage Risks
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Preterm Labor Signs
Preterm Labor Signs
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Care for Pregnant Women with Cardiovascular Problems
Care for Pregnant Women with Cardiovascular Problems
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Complications of Sickle Cell in Pregnancy
Complications of Sickle Cell in Pregnancy
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Pregnancy Anemia
Pregnancy Anemia
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Management of Anemia
Management of Anemia
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Risk Factors for Gestational Diabetes
Risk Factors for Gestational Diabetes
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Oral Glucose Tolerance Test (OGTT)
Oral Glucose Tolerance Test (OGTT)
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Timing of OGTT Screening
Timing of OGTT Screening
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Procedure of OGTT
Procedure of OGTT
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Gestational Diabetes Criteria
Gestational Diabetes Criteria
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Type 1 DM
Type 1 DM
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Macrosomia
Macrosomia
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Population Risk for Diabetes
Population Risk for Diabetes
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Impaired Blood Flow to Uterus
Impaired Blood Flow to Uterus
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Right-Sided Heart Failure
Right-Sided Heart Failure
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Causes of Right-Sided Heart Failure
Causes of Right-Sided Heart Failure
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Management of Right-Sided Heart Failure
Management of Right-Sided Heart Failure
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Digoxin
Digoxin
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Heart Transplant
Heart Transplant
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Virchow's Triad
Virchow's Triad
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Prevention of VTEs in Pregnancy
Prevention of VTEs in Pregnancy
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Study Notes
Endocrine Disorders in Pregnancy
- Endocrine disorders often involve hormone imbalances, either too much or too little secretion.
- Common endocrine diseases in pregnancy include hypersecretion (too much hormone) and hyposecretion (too little hormone), and diabetes and thyroid disease are the most common.
Gestational Diabetes Mellitus
- Pathologic changes and defective insulin secretion, as well as peripheral insulin resistance, impact glucose control during pregnancy.
- Insulin resistance increases during pregnancy.
- Incidence: 2-3% of pregnant women develop gestational diabetes.
- This usually resolves after childbirth, but it's a risk factor for developing type 2 diabetes later in life (50-60%).
Thyroid Diseases
- Normal pregnancy: Thyroid gland enlarges (thyromegaly).
- Hypothyroidism: Risk for anovulatory menstruation and spontaneous abortion, as thyroid hormone is critical for pregnancy maintenance.
- Treatment with levothyroxine, a synthetic thyroid hormone. Increased dosage (25-30%) is often needed during pregnancy.
- Hyperthyroidism: Hypermetabolism, often displayed by heat intolerance, tachycardia (rapid heart rate), and weight loss. Other potential complications include heart failure, preterm labor, and intrauterine growth restriction (IUGR).
- Treatment usually involves medication like methimazole or PTU, which crosses the placenta potentially causing congenital hypothyroidism or goiter.
- Thyroid medication must be carefully monitored within a low range to avoid potentially severe outcomes.
Risks During Pregnancy
- Gestational Diabetes Mellitus: Risks include macrosomia (large baby), polyhydramnios (excess amniotic fluid), and complications during labor.
- Thyroid Diseases: Risks with poorly controlled thyroid disease include anovulatory menstruation and spontaneous abortion.
- Poorly controlled hyperthyroidism can increase risk for maternal and fetal complications.
Impaired Glucose Tolerance/Homeostasis
- Impaired fasting glucose (110-125 mg/dl)
- Impaired glucose tolerance (140-200 mg/dl)
Gestational Diabetes Mellitus Diagnostic Findings
- Oral Glucose Tolerance Test (OGTT): screening done typically at 24-28 weeks gestation evaluates blood glucose levels after glucose intake.
Gestational Diabetes Mellitus Classifications
- Type 1: insulin-dependent diabetes; beta cell destruction.
- Type 2: non-insulin dependent diabetes; insulin resistance.
Gestational Diabetes Mellitus Management
- Diet modification, exercise, and in some cases, insulin therapy help manage gestational diabetes.
Asthma
- Management often involves corticosteroids, mast cell stabilizers, beta-agonists, and leukotriene receptor antagonists.
Anemia in Pregnancy (Iron Deficiency Anemia)
- Physiological anemia: temporary dilution of red blood cells during pregnancy.
- Pathologic anemia: true anemia, caused by disorder of erythropoiesis, or excessive RBC loss due to bleeding or destruction.
- Most common during pregnancy: iron deficiency anemia, characterized by low blood hemoglobin levels, microcytic, hypochromic RBCs.
Anemia in Pregnancy (Megaloblastic Anemia - Folate Deficiency)
- RBCs are abnormally large, and macrocytic with increased MCV.
- Folic acid deficiency.
- Treatment: daily supplementation.
Pregnancy With Left-Sided Heart Failure
- Classification (NYHA): evaluates the severity of functional limitation.
- Clinical findings: pulmonary edema (fluid in lungs), dyspnea, orthopnea (difficulty breathing when lying down), paroxysmal nocturnal dyspnea (PND), tachycardia.
- Management: diuretics, antihypertensives, anticoagulants.
Pregnancy With Right-Sided Heart Failure
- Clinical findings: systemic vascular congestion, jugular venous distention, hepatosplenomegaly, ascites, peripheral edema, and weight gain.
- Management: aims to improve heart function and reduce congestion, often with diuretics and other medications.
Venous Thromboembolism (VTEs) During Pregnancy
- Increased risk during pregnancy due to venous stasis, vessel injury, and hypercoagulability.
- Prevention: early ambulation, compression stockings, and in some cases anticoagulation therapy.
Sickle Cell Anemia
- Inherited hemolytic anemia, affecting red blood cells.
- Abnormal hemoglobin S causes red blood cells to assume a crescent or sickle shape.
- Common complications include severe anemia caused by rapid hemolysis and decreased RBC lifespan; and organ damage leading to vaso-occlusive crisis.
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Description
Explore the impact of endocrine disorders during pregnancy, focusing on conditions such as gestational diabetes and thyroid diseases. Understand hormone imbalances and their effects on maternal and fetal health. This quiz will help in grasping the critical role of hormones in maintaining a healthy pregnancy.