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OB > Chapter 4 - Antepartum Care > Flashcards

Chapter 4 - Antepartum Care Flashcards

1
Q

Iron-deficiency anemia (Hgb + Hct)

A

hemoglobin less than 11g/dL

hematocrit less than 33%

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2
Q

hematocrit + norm range in women

A

% of RBC in blood

For women, 35.5 to 44.9%

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3
Q

Pseudo Anemia

A

hemodilution: decr Hgb + Hct

- due to incr in plasma volume greater than incr in RBC

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4
Q

Respiratory changes

A

40-50% incr in minute ventilation

-r/t incr in tidal volume fr 35 to 50%

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5
Q

incr in E + P + prostaglandins results w resp system being…

A
  • dyspnea
  • nasal + sinus congestion
  • epistaxis (nosebleed)
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6
Q

hyperpigmentation is caused by

A

E + P stim incr melanin deposition

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7
Q

types of hyper pigmentation

A

linea nigra

melasma (mask of pregnancy)

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8
Q

presumptive signs of pregnancy [SUBJECTIVE]

A
  • amenorrhea
  • n/v
  • breast change
  • fatigue
  • incr frequency of urination
  • quickening (18-20 wk)
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9
Q

probable signs of pregnancy [OBJECTIVE]

A
  • chadwick
  • goodell
  • hegar
  • uterine/abdominal growth
  • hyperpigmentation
  • ballottement
  • pos preg test results
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10
Q

positive signs of pregnancy [DEFINITIVE]

A
  • auscultatn of FHR (10-12 wk w doppler)
  • observtn/palpatn of fetam mvmt
  • sonographic visualizatn (cardiac mvmt at 4-8 wk)
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11
Q

chadwick’s sign

A

bluish-purple coloration of vaginal mucosa, cervix, + vulca

-6-8 wk

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12
Q

goodell’s sign

A

softening of cervix + vagina w increased leukorrheal discharge
-8 wks

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13
Q

hegar’s sign

A

softening of lower uterine segment

-6 wks

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14
Q

ballottement

A

light tap on the cervix causes fetus to rise in amniotic fluid then rebound to the original position

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15
Q

Para

A

number of BIRTHS after 20 wks

-both live + still birth

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16
Q

primigravida

A

1st pregnancy

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17
Q

multigravida

A

pregnant for atleast a second time

18
Q

T in GTPAL

A

number of TERM infants born

-bw 38-42 wks

19
Q

P in GTPAL

A

PRETERM

-born bw 20-37 6/7 wks

20
Q

ABCDE’S of abuse

A

Alone (ur not alone)
Belief (i believe u)
Confidentiality (confidential but mandatory reporting laws)
Documentations (pics + verbatim)
Education (resources + TRO)
Safety (warn neighbors + friends for signs of absue to call 911)

21
Q

Warning signs of FIRST trimester

A
  • abdominal cramp/pain» threatened abortion, UTI, appendicitis
  • vaginal spotting» threatnd abortn
  • absence of FHR» abortn
  • dysuria, freq, urg» UTI
  • prolonged N/V» hyperemesis gravidarum
22
Q

hyperemesis gravidarum may lead to…

A

can lead to dehydration, weight loss, and electrolyte imbalances

23
Q

recommended wt gain for UNDERWEIGHT

A

28-40 lb total

1-1.3/wk

24
Q

recommended wt gain for NORMAL BMI

A

25-35 lb total

0.8-1/wk

25
Q

recommended wt gain for OVERWEIGHT

A

15-25 lb total

0.5-0.7/wk

26
Q

recommended wt gain for OBESE

A

11-20 lb total

0.4-0.6/wk

27
Q

quickening

A

first feeling of fetal mvmt

-18-20 wk

28
Q

1 hr glucose challense

A

recommended btw 24-28 wk

29
Q

Warning signs of SECOND trimester

A
  • absence of fetal mvmt» fetal distress or death

- vaginal bleeding» infection, friable cervix, placenta previa, abruptio placenta, PTL

30
Q

leopold’s maneuver

A

ID the position of fetus in utero

-

31
Q

when is GBS screening done

A

35-37 wks

32
Q

Rhogam [Rho(D) Immune Globulin]

A

admin prophylactically at 28 wk for RH-

-if RH+ bb, then given w/in 72 hr after delivery

33
Q

S/S of PTL

A
  • rhythmic lower abdominal cramping or pain
  • lower backache
  • pelvic pressure
  • leaking of amniotic fluid
  • incr vaginal discharge
34
Q

S/S of HTN disorders

A
  • severe headache that doesn’t respond to usual relief measures
  • visual changes
  • facial or generalized edema
35
Q

CVS testing

A

10-13 wk

36
Q

quad screening

A

16-18
“all hail every infant”
-AFP, HCG, ESTIOL, INHIBIN A”

37
Q

high AFP may indicate

A

risk for neural tube defect

38
Q

low AFP + low ESTIOL may indicate

A

down syndrome

39
Q

rhogam is admin…

A

28 wks then after birth if bb is positive

40
Q

rpr

A

screening for syphilis

-2nd trimester

OB (18 decks)

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