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Undeleted > Antenatal care > Flashcards

Antenatal care Flashcards

1
Q

presumptive signs of preg (7)

A
  1. amen
  2. chadwicks (discoloration of mucus)
  3. breast changes
  4. subective - tired, nausea
  5. fetal movement
  6. skin color changes
  7. abdomental striae
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2
Q

3 probable signs

A
  1. enlarged abdo
  2. enlarged uterus
  3. softening of cervix
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3
Q

4 positive signs

A
  1. pos. preg tests
  2. fetal heart beat
  3. fetal movement by examiner
  4. US of fetus
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4
Q

3 ways to assess GA

A
  1. LNMP + 40weeks
  2. US - more accurate earlier
  3. bimanual exam - symphysis- fundal height
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5
Q

6 preexisting risk factors

A
  1. maternal medical
  2. uterine anomalies
  3. losses before
  4. late maternal age
  5. multiple preg
  6. social issues
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6
Q

3 subsequent maternal at risks

A
  1. gest. hypertension
  2. gest. diabetes
  3. cholestasis of preg.
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7
Q

5 fetal risks

A
  1. growth restricton
  2. chromo or structural abnorm
  3. hydrops
  4. cardiac
  5. malpresentation
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8
Q

7 placental/cervical issues

A
  1. short cervix
  2. preterm labor
  3. PPROM
  4. abnormal placenta
  5. antepartum hemorrage
  6. ploy.ogliohydramnioa
  7. post term preg
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9
Q

4 ways to assessfetal well being

A
  1. growth rate
  2. kick counts - 6/hour
  3. non-stress fetal heart monitor
  4. contraction stress test - heart with oxytocin
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10
Q

6 times/ways to assess at-risk preg

A
  1. ultrasound assemment in first trimester
  2. complete anatomical scan (18-20)
  3. growth charting
  4. biophysical profile (movement, breathing, tone, fluid)
  5. doppler flow studies (umbilcal and MCA)
  6. third trimester scan
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11
Q

goals of routine care

A
  1. heathiest mom and bebe possible
  2. education
  3. psychosocial support
  4. anticipate complicstions
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12
Q

prenatal visit schedule

A

First visit: 8‐12 weeks
• Every 4 weeks until 28 weeks gestation
• Every 2 weeks from 28‐36 weeks gestation
• Every week from 36 weeks to delivery
• 11‐14 weeks: IPS Part 1 or FTS / NIPT
• 15‐20 weeks: IPS Part 2 / MSS / Quad screen
• 18‐20 weeks: Anatomical U/S
• 27‐29 weeks: GCT, Rhogam, Repeat CBC
• 36 weeks: GBS, Vagino‐rectal swab
• 40+ weeks: Weekly biophyscial profile for post‐dates

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13
Q

what is test for gest. DM

A

glucose challenge test

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14
Q

when to give Rh IG

A
  • Rh -ve mother

- @ 28 weeks or whenever possibility of hemmorage

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15
Q

what is GBS tests

A

group B strep

  • done at 35-37 weeks
  • if neg - no ABs
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16
Q

routine investigations at first visit

A

– CBC
– Rubella status
– Hepatitis B Surface Antigen
– VDRL
– Blood Group and Rh status, Antibody Screen
– Urinalysis and Urine culture (2‐7% of women have
asymptomatic bacteriuria)
– Pap smear
– Cervical cultures for gonorrhea and Chlamydia
– TSH

17
Q

2 consented investigations

A
  1. HIV

2. hepC

18
Q

what is non-invasive screeing

A

first trimester screen for downs and 18

19
Q

what is tested in non-invasive first trimester screening

A
  1. nuchal translucency
  2. free HCG
  3. maternal PAPP
20
Q

what does FTS not test

A

open neural tubes

21
Q

what is intergrated prenatal screening

A

US and blood test

22
Q

what is tested in T2 screening

A

AFP, BhCH, estiol

23
Q

what is quad screen

A

only in those that missed FTS

  • maternal alpha fetoprotein
  • beta HCG
  • unconjugated estriol
  • serum inhibin A
24
Q

what is non-invasive prenatal testing

A

testing fetal DNA in maternal blood

- trisomy 21,18,13, sex, Rh

25
Q

2 types of invasive testing

A
  1. CVS - higher risk, but done earlier

2. amniocentesis

26
Q

2 types of previous loss to assess

A

pre and post 20weeks

27
Q

4 things to assess in uterus

A
  1. size, shape symterrty
  2. adnexa
  3. bony pelvic
  4. pelvic inlet
28
Q

what can be done for NVP

A

common

  • rule out other causes
  • diet and lifestyle
  • diclectin
29
Q

nutrition for mom

A
  • folic acid
  • 3-4 servings of milk
  • increase calories a bit
30
Q

what vaccines are safe

A

killed only

  • non-immune rubella are given MMR
  • NOT - BCG, MMR, varicella
31
Q

what to give for PPdepresion

A

SSRI, not paxil

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