OnlineMedEd Shared "OME: Multifetal Gestation" - 4 Picmonics
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OME: Multifetal Gestation
- Prophase II
- Centrioles Migrate
- Spindle Apparatus Forms
- Nuclear Membrane Disintegrates
- Metaphase II
- Sister Chromatids Align at Metaphase Plate
- Anaphase II
- Sister Chromatids Pulled Apart Into Two
- Telophase II
- Cytokinesis Divides Cells
- 4 Haploid Daughter Cells
- Pathophysiology
- Increased Amniotic Fluid
- Causes
- Duodenal Atresia (or Gastrointestinal Atresias)
- Maternal Diabetes
- Multiple Gestations
- Anencephaly
- Hydrops Fetalis
- Diagnosis
- Ultrasound
- Amniotic Fluid Index (AFI) > 25 cm
- Treatment
- Weekly Nonstress Test (NST) and Biophysical Profile (BPP)
- Amnioreduction
- Indomethacin
- New-Onset Hypertension
- > 20 Weeks Gestation
- Risk Factors
- Nulliparity
- Obesity
- African American Females
- > 35 years Old
- Multiple Gestations
- Family History of Gestational HTN (or Preeclampsia)
- Complications
- IUGR
- Prematurity
- Abruptio Placentae
- Management
- Fetal Monitoring
- Alpha-Methyldopa
- Beta-Blockers (Labetalol)
- Calcium Channel Blockers
- Hydralazine
- Signs and Symptoms
- Excessive Vomiting
- Significant Weight Loss
- Dehydration
- Hypotension
- Electrolyte Imbalance
- Interventions
- Antiemetics
- Frequent Small Meals
- IV Therapy
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