Ch.4 : Prenatal Care Flashcards
How often are prenatal visits scheduled?
Monthly for 7 months
Every 2 weeks for 8th month
Every week for last month
When can FHR be heard by Doppler?
10-12 weeks gestation
When can FHR be heard with ultrasound stethoscope?
16-20 weeks gestation
*listen at the midline, right above the symphysis pubis, by holding stethoscope firmly on abdomen
When do we measure fundal height?
After 12 weeks gestation
What are some common discomforts and concerns of pregnancy?
- NV
- Fatigue
- Backache
- Varicosities
- Heartburn
- Activity
- Sexuality
What does blood type, Rh factor, and preseence of irregular antibodies determine?
- Risk for maternal-fetal blood incompatibility
- Neonatal hyperbilirubinemia
What lab tests detects infection and anemia?
CBC with differential, Hgb, and Hct
What does Hgb electrophoresis determine?
Identifies SCA and thalassemia
What does the rubella titer determine?
Immunity to rubella
Why do we do Heb B screen?
Identify carriers of hep B
When is the GBS obtained?
35-37 weeks gestation
What all does urinalysis do?
Identifies:
- Preg
- Diabetes
- Gestational HTN
- Renal disease
- Infection
One hour glucose test..What is it and why do we do it?
Oral ingestion or IV of concentrated glucose with sample taken 1 hour later
- Identifies hyperglycemia
- Done at initial visit for at risk clients and at 24-28 weeks gestation for all preg women
- Dont have to fast
- Greater than 140 requires follow up!
What is the 3 hour glucose tolerance test and who gets it?
Fast overnight and do the same thing as one hour glucose test except here the sample is taken 1 hour, 2 hour, and 3 hours later
This is done on those with elevated 1 hour glucose test
How is a diagnosis of gestational diabetes done?
2 elevated blood glucose readings
Why would someone do a MSAFP?
Done 15-22 weeks gestation; used to rule out DS and NTD
Administer ______ IM around 28 weeks gestation for clients who are Rh-negative
RhO(D) immune globulin (RhoGam)
Exercise during pregnancy yields positive benefits and should consist of ____ of ____ daily if not medically or obstetrically contraindicated.
30 min of moderate exercise (walking, swimming)
What is experienced by many women with unpredictable mood changes and increasd irritability, tearfulness, and anger alternating with feelings of joy and cheerfulness?
Emotional liability