Antepartum Flashcards
In order to administer METHOTREXATE to a patient to dissolve an eptopic pregnancy…..
the pregnancy must be LESS THAN 3.5CM
the patient must be STABLE
the patient cannot take FOLIC ACID
the patient will receive RHOGAM if she is Rh-
may require a SECOND DOSE a few days later
In an aminocentesis, the lamellar bodies should be _____; which indicates the baby is ready to be born
In an aminocentesis, the lamellar bodies should be MORE THAN 32,000; which indicates the baby is ready to be born
What are the trimesters?
1 - 13 WEEK = trimester 1
14 - 26 = trimester 2
27 - 40 = trimester 3
What is the treatment for a missed miscarriage?
- blood clotting factors for ONE MONTH
- D/C MAY occur IF retained for more than 5 weeks after 12 weeks gestation!
In a missed miscarriage, we generally dont let it go past ____ with a fetus with
In a missed miscarriage, we generally dont let it go past ONE MONTH with a fetus with NO HEARTBEAT
**would require D&C
What are the 4 main purposes for using contraceptives?
1) prevent unwanted pregnancies
2) improve perinatal outcomes
3) facilitate a wanted pregnancy
4) screen for STIs
What is Nagele’s Rule?
1st day of LAST KNOWN MENSTRAL PERIOD, MINUS 3 months, plus 7 days (or plus 9 months)
Antepartum Fetal Assessment
In a Non Stress Test - NST, you need to see the FHR go up 15 BPM ABOVE BASELINE, for at last 15 SECONDS and it needs to happen AT LEAST TWICE in 20 MNIUTES
In pregnancy, blood volume increases by ___%, or ___mL
In pregnancy, blood volume increases by 50%, or my 1500mL
During pregnancy, it is recommended that a woman does not get her HR above ___ for a long period of time during exercise!
During pregnancy, it is recommended that a woman does not get her HR above 90BMP for a long period of time during exercise!
Ectopic pregnancy pre-rupture S/S include:
- abdominal pain
- delayed menses
- abnormal bleeding 6-8 weeks after LNMP
5 Digit system: GTPAL
G: gravidity T: term P: preterm A: abortions L: living
2 digit system: GP
G: gravidity = pregnancies
P: pariety = pregnancies past 20 weeks gestation
G= always includes current pregnancy P= only includes previous births
What is the treatment for septic miscarriage?
ACUT A= antibiotics C= cervical culture U= uterus emptied T= treat spetic shock
____ is when you push on the cervix and the baby pushes up and rebounds back down
BALLOTEMENT is when you push on the cervix and the baby pushes up and rebounds back down
In pregnancy, edema ___ _ ___ is normal, but edema ___ _ ___ is NOT
In pregnancy, edema BELOW THE WAIST is normal, but edema ABOVE THE WAIST is NOT
In an ectopic pregnancy, do not do ____; it may cause rupture!!!
In an ectopic pregnancy, do not do BIMANUAL EXAM; it may cause rupture!!!
what does EAB stand for?
ELECTIVE ABORTION
What does EDB stand for?
ESTIMATED DATE OF BIRTH
What does EDC stand for?
ESTIMATED DATE OF CONFINEMENT
What does EDD stand for?
ESTIMATED DATE OF DELIVERY
What is the prenatal routine?
every 4 weeks, until the END of the 2nd trimester
every other week until week 36
at least once a week until delivery
Ectopic pregnancy post-rupture symptoms:
FLUSH F= faintness + dizziness L= lower abd pain U= umbilical ecctymotic blueness (cullen sign) S= should pain H= hypotension + tachycardia
After a miscarriage, the patient needs to take ___ and ___ for blood loss
After miscarriage, the patient needs to take FOLIC ACID and IRON SUPPLEMENTS for blood loss
Non Stress Test - NST; reactive is _____
Non Stress Test - NST; reactive is GOOD
When does pregnancy begin?
AT IMPLANTATION (that is when pregnancy hormones are detectable)
Clotting tendencies ____ during pregnancy because of ____.
Clotting tendencies INCREASE during pregnancy because of ESTROGEN.
Increases risk of DVT, monitor closey!
In pregnancy, cardiac output _____; prior history of heart disease can lead to ____ ____.
In pregnancy; cardiac output INCREASES UP TO 50%; prior history of heart disease can lead to HEART FAILURE.
What helps promote placental perfusion?
laying on side, preferably the left!
When the baby “drops down” its known as ____. This only occurs in __ ___ ___.
When the baby “drops down” its known as LIGHTENING; This only occurs in THE FIRST PREGNANCY
What is linea nigra?
LINEA NIGRA is a dark line appearing on the abd and extending from the pubis towards the umbilicus, fades after delivery
What is melasma?
MELASMA is the “mask of pregnancy”, a patchy tan-to-dark brown discoloration of the face; cause by estrogen
What medication is generally given to dissolve an ectopic pregnancy. How much?
METHOTREXATE is generally given to dissolve an ectopic pregnancy. It is given INTRAMUSCULAR, 1mg/kg
What does multigravida mean?
MULTIGRAVIDA means a woman who has been pregnant x2
What does multipara mean?
MULTIPARA means a woman who has completed 2+ pregnancies to at least 20 weeks gestation
What is nullgravida?
NULLGRAVIDA means a woman who has never been pregnant and is not currently pregnant
After miscarriage, the patient needs ___ ___ for at least _ ___ after ___ __ ___.
After miscarriage, the patient needs PELVIC REST for at least THREE WEEKS after THE BLEEDING HAS STOPPED!
