Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Gyne > Antenatal Care > Flashcards

Antenatal Care Flashcards

1
Q

What is the aim of antenatal care

A
  • risk assessment
  • health promotion
  • medical\psyychological intervention
  • plan for birth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Each trimester is ….. weeks

A

1st and 2nd: 14

3rd: 12

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

First trimester is from week … to week …

A

1-13

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

Second trimester is from week … to week …

A

14-27

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

Third trimester is from week … to week …

A

28 to 40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the laboratory tests that you will order for the first visit of antenatal care?

A

1- CBC - ABO - Rh typing
2- Urine (analysis\culture)
3- rubella, syphlis, HBV, HIV
4- Pap smear

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

CBC and platelet count measurement during antenatal visit, is important to:

A

Know Hb baseline, as in pre-eclampsia there’s is drop of platelet count.

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

Urine analysis and culture measurement during antenatal visit, is important to:

A

1- look for UTI (asymptomatic bacteruria)

2- measure glucose\protein (pre-eclampsia)

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

What are the complications of UTI in pregnant lady?

A

1- preterm labor
2- rupture of membrane
3- ascending infection (pyelonephritis)

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

For specific patients, there are other lab investigations, these are:

A

Chlamydia, gonorrhea, TSH, TB, DM

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

When to start treating patient for hypothyroidism during pregnancy?

A

Low T3, T4 - or - symptomatic

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

What is the role of US in first visit

A 
1- dating 
2- location
3- viability
4- number 
5- check uterus\ovaries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When is the best time to do the first ultrasound

A

Between 7-9 weeks (fetal pool, gestational sac, crown lump lenght)

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

What are the methods used to confirm pregnancy?

A

1- HCG (blood or urine)

2- US (when HCG>1500)

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

What is the percentage of HCG to be positive in urine test?

A

> 25

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

When does blood test become positive

A

After 6-8 days of ovulation, before her next missed period

17
Q

What is the HCG value at time of missed period?

A

100

18
Q

How to differentiate between normal pregnancy, abortion and ectopic pregnancy using HCG?

A

During the first 30 days of pregnancy, HCG doubles every 2 days.

  • US shows no fetus
  • measure HCG and repeat after 2 days
  • if double: normal - if no double: Ectopic\abortion
19
Q

What is biochemical pregnancy

A

Pregnancy confirmed only by HCG and no US

20
Q

how to determine gestational age in

  • regular period
  • irregular period
A
  • Nealges rule (+7d-3m+1y)

- dating US

21
Q

Dating US is only accurate in:

A

The first trimester (1 or 2 days error)

22
Q

What is the error rate in 2nd and 3rd trimester?

A
  • 2nd: 1w

- 3rd: 2\3 w

23
Q

What are the methods for screening for common genetic disorders

A
  • blood: triple & quadraple test - free fetal DNA

- US: nasal bone - NT - anomaly scan

24
Q

What are the methods for diagnosis for common genetic disorders

A

Amniocentesis, CVS, cordocentesis

25
Q

Which test of diagnosis for genetic abnormalities is usually done early, and which one is done late?

A

Early: amniocentesis
Late: CVS

26
Q

From where is sample taken in amniocentesis, cvs, and cordocentesis

A
  • amniotic fluid
  • placenta
  • Umbilical cord
27
Q

What are the complications of cordocentesis?

A

Bleeding and IUFD

28
Q

When to preform

  • GDM screening
  • GBS screening
  • Rh titer
A
  • 24 to 28w
  • 35 to 37w
  • 24 to 28w
29
Q

What are the safe and unsafe vaccines during pregnancy?

A
  • Dtap, HBV, flu

- live attenuated like MMR

30
Q

What are the dates for

First, second, and third trimester US

A
  • 12wks
  • 20wks
  • 32wks then as needed
31
Q

What to look for in the 2nd trimester US?

A

Anomaly (conginital) - organs easily demonstrated

32
Q

What to look for in 3rd trimester US?

A
  • Growth scan
  • Placental localization (no previa\accreta)
  • fetal wellbeing
  • presentation (cephalic\breach)
33
Q

Nutritional assessemnt during pregnancy:

A

Calcium and iron

34
Q

What is the average weight gain during pregnancy

A

12kg, more in underweight, less in overweight

35
Q

What causes nausea & vomitting during pregnancy?

A

B-hcg (from 1st trimester to 20wks)

36
Q

What causes heart burn in pregnancy

A
  • Progestrone causes muscle sphincter relaxation

- HCG

37
Q

What are the common symptoms of pregnancy

A 
1- N&V
2- heart burn
3- constipation
4- hemorrhoid 
5- leg cramps
6- backaches
38
Q

Warning symptoms during pregnancy

A

Vaginal bleeding, headache, blurred vision, abdominal pain, decrease fetal movement, abnormal vaginal discharge

39
Q

What is the minimum recommended visits for ANC?

A

4

Confirm, anomaly scan, plan delivery 28, time of delivery

Gyne (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions