beaton dx preg and prenatal Flashcards

1
Q

When do N/V and breast tenderness (as Sx of pregnancy) tend to occur?

A

within the first trimester and then they go away

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2
Q

What is quickening?

A

the date of initial perception of fetal activity

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3
Q

What term describes the blueing of the vagina and cervix in a pregnant woman?

A

Chadwick’s sign

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4
Q

What term describes the hyperpigmentation of the face giving a raccoon look in pregnancy?

A

chloasma or melanasma

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5
Q

T/F: a woman is pregnant and feels sick so she goes to bed and feels better in the morning. This is a good sign.

A

False that is not “a reassuring sign”. Why? Who knows I’ll probably forget this in 1 week.

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6
Q

T/F: a qualitative beta-HCG is good enough to diagnose pregnancy

A

true, you usually don?t need a quantitative one unless you are concerned about the pregnancy or if it is ectopic

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7
Q

T/F: it is an “encouraging sign” for the beta-HCG to double every week

A

false, the beta hcg should double every 2-3 days

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8
Q

When can you first see signs of pregnancy in the uterus on ultrasound?

A

5 weeks

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9
Q

What are 2 ways to determine someones estimated date of delivery?

A

FDLNMP or first US

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10
Q

When using FDLNMP to estimate EDD, why is it important that the woman has normal periods?

A

That indicates that she is consistently ovulating at the same time

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11
Q

When does the due date by FDLNMP trump the US due date?

A

when the FDLNMP due date is within the confidence of the ultrasound it is more accurate

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12
Q

What is the time difference between gestational age and embyrological age?

A

2 weeks

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13
Q

What is the range that defines full term

A

37-42 weeks

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14
Q

The FDLNMP to EDD is _______ weeks

A

40

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15
Q

T/F: most women deliver on their due date

A

false almost no one delivers on their due date

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16
Q

What test do you need to Dx an ectopic pregnancy?

A

quantitative B-HCG

17
Q

What effect on the risk of miscarraige does taking vitamins 3 months before conception have?

A

reduces it by 50%

18
Q

Since a pregnant UTI can be asymptomatic you want to Tx in order to prevent what obstetric complication?

A

PROM

19
Q

What is the purpose of performing Leopold’s maneuvers after 30 weeks?

A

This is to determine the presentation of the baby i.e. Breech etc.

20
Q

What was the issue with AFP as a screening tool?

A

not specific

21
Q

What do we look for now on US? (that has replaced AFP)

A

nuchal lucency, recall that Down’s is assoc. with thickned nuchal tissue

22
Q

In 1st trimester screening you look for these 2 things in the blood work

A

PAPP-A is lower than usual with Down’s and Inhibin A which is higher than usual with Down’s

23
Q

What is the best test to use if there is no US tech to do the nuchal lucency?

A

Serum Sequential, Integrated (non-disclosure) Screening–well, if this isn’t rote memorization I don’t know what is

24
Q

When do screening tests for trisomies and neural tube defects get replaced by diagnostic tests?

A

If there are high risks such as maternal diabetes and previous Hx of having a baby with one of these problems or if the screening test was performed and indicates a higher than normal risk status

25
Q

What are 2 diagnostic tests that can be done?

A

INVASIVE amniocentesis or chorionic villus sampling NON INVASIVE cell free DNA

26
Q

What 4 lab studies should be done at 24-28 weeks gestation?

A

CBC, 1 hour 50 gram glucola test, Rhogam, and Vaginal culture

27
Q

When is Group B strep cultured for? What is the Tx?

A

35-36 weeks, intrapartum antibiotics with penicillin G or ampicillin

28
Q

Who gets treated for group B strep?

A

any woman who has had GB”B”S (it’s not even beta hemolytic) bacteriuria or who has given birth to an infant with GBBS disease

29
Q

What is the newest testing for fetal wellbeing?

A

Cord doppler velocimetry and is used mostly in pregnancies at risk for IUGR or FGR (same thing)

30
Q

A normal cord doppler should show what kind of motion of blood flow?

A

forward flow in both systole and diastole