-
If you are citizen of an European Union member nation, you may not use this service unless you are at least 16 years old.
-
You already know Dokkio is an AI-powered assistant to organize & manage your digital files & messages. Very soon, Dokkio will support Outlook as well as One Drive. Check it out today!
|
MFM Objectives HO1
Page history
last edited
by Patrick Newman 7 years, 2 months ago
Pharmacology
-
Describe the role for nutritional supplementation in pregnancy. (e.g. iron, folic acid)
-
Describe the impact of pregnancy on serum and tissue drug concentrations and drug efficacy.
- Williams Obstetrics, Hematologic changes; Blood volume p.55
- Williams Obstetrics, Renal formation tests p. 1292
-
Describe the factors that influence trans placental drug transfer, such as: molecular size, Lipid solubility, Degree of ionization at physiological pH, Protein Biding
- Williams Obstetrics, Placental transfer p.132-135
-
Describe the possible teratogenic effects of prescription drugs in pregnancy, such as: Tetracycline, Angiotensin-converting enzyme inhibitors and angiotensin antagonists, Quinolone antibiotics, Lithium, Isotretinoin, Seizure medications, Depression and anxiolytic medications.
- Williams Obstetrics, Chapter 12 Teratology, Teratogens and Fetotoxic Agents p.240
-
Describe the possible teratogenic effects of non-prescription drugs, such as: Alcohol, heroin, cocaine, tobacco.
- Williams Obstetrics –Chapter 12, Teratology, Teratogens and Fetotoxic Agents p.240
Preconception Care
-
Perform a thorough history, assessing historical and ongoing risks that may affect future pregnancy.
-
Counsel a patient regarding appropriate lifestyle modifications conducive to favorable pregnancy outcome.
- Williams Obstetrics, -Chapter 8, p.156 Preconceptual Counseling
Prenatal Care
-
Perform a thorough history and physical examination.
-
Order and interpret routine laboratory tests and those required because of risk factors during pregnancy.
- Williams Obstetrics Laboratory Tests p.174
-
Counsel patients about lifestyle modifications that improve pregnancy outcomes.
- Williams Obstetrics, Smoking cessation, alcohol, and drug use in pregnancy p.174
-
Counsel patients about warning signs of adverse pregnancy events.
- Schedule and perform appropriate antepartum follow-up visits for routine and high risk obstetric care.
-
Counsel patients about appropriate immunizations during pregnancy.
- Williams Obstetrics, Chapter 9, Prenatal Care p.167
- Williams Obstetrics, Recommendations for Immunizations During Pregnancy (Table 9-9) p.185-186
-
Counsel patients about benefits of breastfeeding.
- Creasy and Resnik p.112 Benefits of Breastfeeding
Diabetes Mellitus
Diseases of the Urinary System
Infectious Diseases
Cardiopulmonary Disease
-
Describe symptoms and physical findings suggestive of cardiopulmonary disease in pregnancy.
- Williams Obstetrics, Asthma Clinical Evaluation p.1012-1013
- Williams Obstetrics, Classification of Functional Heart Disease p.976
- Williams Obstetrics, Clinical Indications of Heart Disease in Pregnancy (Table 49-2), p.975
-
Describe the indications for and interpret the results of common diagnostic tests for cardiopulmonary disease in pregnancy.
- Williams Obstetrics, Electrocardiography, Chest Radiography, Echocardiography p.976
Gastrointestinal Disease
-
Perform a history and physical examination for the diagnosis of gastrointestinal disease in pregnancy.
-
Describe the indications for and interpret the results of common diagnostic tests for gastrointestinal disease in pregnancy.
- Williams Obstetrics, Chapter 54 Gastrointestinal Disorders, Non-invasive Imaging p.1069
- Creasy and Resnik, Chapter 62, Gastrointestinal Disease in Pregnancy
- p.1073 (Box 62-2) Indications for Endoscopy in Pregnancy
- p.1065 (Table 62-3) Differential Diagnosis of Acute Appendicitis
- p. 1065 (Table 62-4) Imaging of Acute Appendicitis
Neurological Disease
-
Perform a focused history and neurological examination in pregnant patients with a known or suspected neurological disorder.
-
Describe the indications for and interpret the results of common diagnostic tests for neurological disease in pregnancy.
- Williams Obstetrics, Chapter 46, General Considerations and Maternal Evaluation, Diagnostic Radiation, Fluoroscopy Magnetic Resonance Imaging p.932-937
- Williams Obstetrics, Guidelines for Diagnostic Imaging During Pregnancy p.937 (Table46-9)
Endocrine Disorders (excluding diabetes mellitus)
Collagen Vascular Disorders
-
Describe the indications and interpret the results of common diagnostic tests for collagen vascular disease in pregnancy, such as: Serologic tests for rheumatoid factor, Anti-DNA antibodies, Antinuclear antibodies, Lupus anticoagulant, Anticardiolipin (antiphospholipid) antibodies, Anti-To, Anti-La.
- Creasy and Resnik, Chapter 64, Pregnancy and Rheumatic Diseases
- p.1093, (Table64-1) Common Autoimmune Rheumatic Illnesses: Characteristics
- p.1099, (Table 64-4) Recommended Evaluation of Pregnant patients with Autoimmune Rheumatic Disease
- Williams Obstetrics, Chapter 59, Connective Tissue Disorders p.1168
- Williams Obstetrics, p.1169
- (Table 59-1) Some Auto Antibodies Produced in Patients with Systematic Lupus Erythematosus
- (Table 59-2) Clinical Manifestations of Systematic Lupus Erythematosus
- Antiphospholipid Antibody Syndrome Diagnosisp.1174
- Treatment in Pregnancy p.1175
- Pregnancy and Rheumatoid Arthritis p. 1178
- Vasculitis Syndromes p.1179
Psychiatric Disorders
Substance Abuse in Pregnancy
-
Describe behavior patterns suggestive of substance abuse.
-
Perform a thorough history and physical examination in patients suspected of substance abuse in pregnancy.
-
Counsel patients about the impact of substance abuse on the fetus/neonate.
- Creasy and Resnik, Chapter 67, Substance Abuse in Pregnancy
- Screening for Substance Abuse, 4 P’s plus Screen
- CAGE Questionnaire – for ETOH p.1136
Hypertension in Pregnancy
-
Describe the possible causes of hypertension in pregnancy.
-
Describe the usual clinical manifestations of chronic hypertension, gestational hypertension, and pre-eclampsia.
-
Perform a physical exam pertinent to patients with hypertension
-
Perform tests to:
- Determine the etiology of chronic hypertension
- Differentiate chronic hypertension from pre-eclampsia and gestational hypertension
- Asses the severity of chronic hypertension, gestational hypertension, and pre-eclampsia
Multiple Gestation
-
Describe the factors that pre-dispose to multiple gestation.
-
Describe the physical findings suggestive of multiple gestation.
-
Confirm the diagnosis of multiple gestation by performing an endo vaginal or abdominal ultrasound examination
- Williams Obstetrics, Chapter 45, Multifetal Pregnancy
- Figure 45-1 Mechanism of Monozygotic Twinning p.893
- Factors that Influence Twinning p. 894
- Diagnosis of Multiple Fetuses- Clinical Evaluation p. 896
- Sonographic Determination of Chorionicity p. 896
Intrauterine Growth Restriction
-
Describe the factors that predispose to fetal growth restriction.
-
Assess uterine size by physical examination and identifying size/date discrepancies.
-
Evaluate the patient for causes of intrauterine growth restriction.
- Williams Obstetrics, Chapter 44, Fetal Growth Disorders p. 872
Isoimmunization and Alloimmune Thrombocytopenia
MFM Objectives HO1
|
Tip: To turn text into a link, highlight the text, then click on a page or file from the list above.
|
|
|
|
|
Comments (0)
You don't have permission to comment on this page.