Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Urogenital System > 5. Antenatal care > Flashcards

5. Antenatal care Flashcards

1
Q

What is another name for antenatal care

A

Prenatal care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List three steps /procedures in antenatal care

A

Diagnosis of Pregnancy
Initial Evaluation
Investigations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In the Initial evaluation during antenatal care what are the important pt histories taken

A

Reproductive
Medical/surgical
Social/family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In antenatal care initial evaluation

Which three areas of the body are examined

A

General
Abdomen
Pelvic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the symptoms of pregnancy during the first trimester

A 
Amenorrhea 
Nausea and Vomiting 
Fatigue
Breast tingling and fullness
Urine frequency/nocturia
Constipation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Piskacek’s sign

A

It consists of asymmetric enlargement of the pregnant uterus due to enlargement of the cornual region over the implantation site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the term used to describe “It consists of asymmetric enlargement of the pregnant uterus due to enlargement of the cornual region over the implantation site”

A

Piskacek’s Sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe Hegar’s sign

A

Consists of a generalized softening of the lower uterine segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List three general sings and symptoms of patients in the 2nd and 3rd trimesters

A

“Quickening”( maternal perception of fetal movements)
Dermatologic changes
Backache

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

For a patient experiencing their first pregnancy, when does “quickening” usually occur?

A

18-20 week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

For a patient experiencing their second pregnancy, when does “quickening” usually occur

A

16-18 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are some dermatologic changes seen in the second and third trimesters

A

Chloasma (dark patches of skin on forehead, nose, upper lip and cheeks)
Linea Nigra (vertical black line on abdomen)
Striae (stretch marks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are four signs observed in the last two trimesters

A

Enlargement of the abdomen
Uterine contractions
Palpation of fetal parts
Auscultation of fetal heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

List three instruments used to auscultate a fetus

A

Pinard
“Bell” of regular stethoscope
Doppler “pocket” size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the symphiso-fundal height

A

This is the vertical distance from the superior aspect of the symphysis pubis to the apex of the uterine fundus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

List three ancillary aids used to diagnose pregnancy in the first trimester

A

Urine Pregnancy test (total HCG)
Blood pregnancy test (beta subunit HCG assay)
Trans-vaginal ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which ancillary aid is used to diagnose pregnancy in the 2nd trimester

A

Trans-Abdominal ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

List three measurements taken during an ultrasound study to determine fetal size/age in the 2nd trimester

A

Biparietal Diameter
Abdominal Circumference
Femoral length

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What term is used to describe all previous and current pregnancies

A

Gravida

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Define Gravida

A

All previous and current pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the term used to describe all pregnancies in the past beyond the period of fetal viability (>24weeks or >500g birth weight)

A

Parity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

At which week or birth weight is a fetus considered viable

A

> 24 weeks

>500 g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the term used to describe a woman who has not given birth to viable child

A

Nullipara

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the term used to describe a woman who has had a pregnancy resulting in a viable fetus

A

Primipara

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is the term used to describe a woman that had more than one pregnancy resulting in viable offspring
Multipara
26
What is the term used to describe a woman who has given birth to at least five viable babies
Grand Multipara
27
Describe the time span of the first trimester
LMP to 12 weeks
28
Describe the time span of the second trimester
13-27 weeks
29
Describe the time span of the third trimester
28- term (37-42) weeks
30
What is the time span used to classify a pre term baby
>24 but <37 weeks
31
What is the time span used to classify a postterm baby
>42 weeks
32
What information is collected during taking the menstrual history at the first visit
Last Menstrual Period Cycle Regularity & Frequency Contraception Use
33
Which rule is used to calculate Estimated Date of Delivery
Naegeles Rule
34
Define / State Naegeles rule for Estimating Date of Delivery
Add 7 days Subtract 3 months Add 1 year
35
Calculate the EDD for the patient whose LMP is 1/12/15
8/9/16 Add 7 days Subtact 3 months Add 1 yr
36
Calculate the EDD for a patient whose LMP is 1/01/16
8/10/16 Add 7 days Subtact 3 months Add 1 yr
37
What information should be collected from the past obstetric history
``` Gravidity Parity Miscarriage Previous Complications Gestational age at Delivery Type of delivery Birth weights, neonatal or maternal complications ```
38
Why would you do a blood test on a pregnant patient
To determine the blood group
39
Why would you do a haemoglobin test on a pregnant pt
To detect anemia
40
Why would you do a Rapid Plasma Reagin/VDRL test on a pregnant pt
To screen for syphillis
41
Why would you do an HIV test on a pregnant pt
To detect HIV infection and possible need for HAART (highly active antiretroviral therapy) to prevent MTCT (mother to child transmission)
42
List six lab tests done on a pregnant pt
``` Blood group Haemoglobin Rapid Plasma Reagin/ VDRL HIV Hepatitis B Surface antigen Sickle cell ```
43
What amount of folic acid is prescribed per day until 12 weeks gestation
400 microgram/day
44
Booking for the first antenatal visit is ideally at what time
Prior 12 weeks
45
# Fill in the blanks Antenatal visits should be | Every _______ until 28 weeks then every 2 weeks until 36 weeks. Then weekly until delivery
4 weeks
46
# Fill in the blanks Antenatal visits should be | Every 4 weeks until _______ then every 2 weeks until 36 weeks. Then weekly until delivery
28 weeks
47
# Fill in the blanks Antenatal visits should be | Every 4 weeks until 28 weeks then every ______ until 36 weeks. Then weekly until delivery
2 weeks
48
# Fill in the blanks Antenatal visits should be | Every 4 weeks until 28 weeks then every 2 weeks until ______. Then weekly until delivery
36 weeks
49
# Fill in the blanks Antenatal visits should be | Every 4 weeks until 28 weeks then every 2 weeks until 36 weeks. Then _____ until delivery
Weekly
50
Which scan is taken at 20 weeks
Fetal anomaly scan
51
Which test is taken at 24-28 weeks
Osullivan’s glucose test | To screen for GDM Gestational Diabetes
52
At which week do you begin preparation for labour and delivery
36 weeks
53
Which two tests are used to detect fetal abnormalities
Amniocentesis | Chorionic Villus Sampling
54
When is a pregnancy considered a term pregnancy
38-42 weeks
55
What does a low risk antenatal team consist of
Midwife (led) General Practitioner 8-10 antenatal visits
56
Who does a highrisk antenatal team consist?
Obstetrician (led) Midwife other specialist more frequent visits >10
57
The first trimester combined test detects which chromosomal abnormalities
Down Syndrome (Trisomy 21) Edward Syndrome (Trisomy 18)
58
The first trimester combined tests takes place during which weeks
9-13
59
What is the roleof the biochemical quardruple test? 2nd Trimester test
It determines the chance of the baby having a defect by assessing hormones : hCG, unconjugated estriol, inhibin A, alpha fetoprotein HIFU!!!!
60
At which weeks is the biochemical quadruple test done?
Between weeks 15-20
61
List 7 danger signs of pregnancy
- vaginal bleeding - headaches - flashing lights - epigastric pain - reduced fetal movement - persistent abdominal pain - fever
62
What maternal characteristics classify a pregnancy as high risk?
- BMI greater than 30 - BMI <18 - Smoking - age >40 - teenage mothers
63
What past medical history tclassifies a pregnancy as high risk
Cardiac disease renal disease endocrine disorders epilepsy diabetes that requires insulin haematological disorders Autoimmune disorders severe asthma recreational drugs HIV, EBV
64
What is pre-eclampsia
This is a sudden spike in BP sometimes with fluid retention and proteinuria
65
What is HELLP syndrome
Hemolysis, elevated liver enzymes, and low platelets
66
What is the role of antenatal fetal evaluation
Confirm fetal viability Determine gestational age Diagnose multiple gestation Screen for structural and chromosomal anomalies Screen for fetal growth and well being
67
WHich chromosomal abnormalities are screened for in fetal evaluation
- down syndrome trisomy 21 - pernaud's syndrome T13 - Edward's syndrome T18
68
When is the anomaly scan done
between 18 and 22 weeks
69
What three measurements are taken during the 2nd trimester to determine the fetal size ofr age
- biparietal - abdominal circumference - femoral length

Urogenital System (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions