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ENDOREPRO II Exam I > [CLMD] The Normal Pregnancy; Antepartum care [Moulton] > Flashcards

[CLMD] The Normal Pregnancy; Antepartum care [Moulton] Flashcards

1
Q

What percent of pregnancies are unplanned?

A

49%

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2
Q

What is an excellent supplementation to start at least 1 month prior to conception to prevent neural tube defects?

A

Folic acid

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3
Q

What population of mothers need extra attendion prior to conception?

A

Diabetic pts

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4
Q

What are some normal findings in pregnancy that would otherwise be considered pathologic?

A
  • Systolic murmurs
  • Palmar erythema
  • Spider angiomas
  • Linea nigra
  • Striae gravidarum
  • Chadwicks sign
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5
Q

What do you give to Rh (-) patients?

When?

A

Rhogam

28 weeks

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6
Q

Is pregnancy a hypercoagulable or hypocoagulable state?

A

Hypercoagulable

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7
Q

What are some major things to do during the first prenatal visit?

A
  • Confirm pregnancy and viability
  • Estimate gestational age and due date
  • Potential genetic counseling
  • Discuss teratology (meds)
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8
Q

When can hCG be first detected in the serum?

A

6 to 8 days after ovulation

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9
Q

In the first 30 days of a normal pregnancy, hCG doubles every ____ days

A

In the first 30 days of a normal pregnancy, hCG doubles every 2.2 days

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10
Q

What is the hCG level when the gestational sac is seen?

Around how many weeks?

A

hCG = 1500-2000 IU/L

5 weeks

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11
Q

What is the most accurate length to measure for determining the due date?

During which trimester?

A

Crown rump length

First trimester

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12
Q

Who needs genetic counseling?

A

35 or older pts.

Previous child/FH of birth defects

Multiple fetal losses

Exposure to teratogens

Abnormal ultrasound findings

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13
Q

What are the two diagnostic methods for prenatal diagnosis of chromosomal abnormalities?

A

Chorionic villus sampling

Amniocentesis

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14
Q

What are the two major sex linked disorders?

A

Duchenne muscular dystrophy

Fragile X syndrome

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15
Q

What are the screens included in the FIRST TRIMESTER?

A

Maternal age

Fetal nuchal translucency (NT) thickness

Maternal b-hCG

PAPPA-A

*PAPPA CAN GET HER PREGNANT FIRST

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16
Q

What is included in the SECOND TRIMESTER SCREENING?

A

Triple screen:

b-hCG, estriol and maternal alpha fetoprotein (AFP) markers

17
Q

What do you use to identify open neural fetal defects?

A

AFP

18
Q

What technique is HIGHLY specific and used to dectect genomic trisomies?

A

Noninvasive prenatal testing

Cell-free fetal DNA

19
Q

What is the MOST VULNERABLE stage for teratogenic effect?

A

Day 17 to day 56

20
Q

What are 6 major categories of the most common teratogenic agents?

A

Alcohol

Antianxiety

Antineoplastic

Anticoagulant

Anticonvulsants

21
Q

Which anticoagulant drug crosses the placenta?

Which anticoagulant drug does NOT cross the placenta?

A

Coumadin

Heparin

22
Q

What is the rule of thumb to use for radiation exposure and risk?

A

Less than 5 rads of exposure = no risk

23
Q

Why do pregant women frequently experience N/V?

A

Relaxation of esophageal sphincter by progesterone

24
Q

How much should a baby move every 2 hours?

A

10 movements every 2 hours

25
Q

What is a nonstress test (NST)?

A

Either reactive or non reeactive results

Reactive= 2 accelerations of at least 15 beats above baseline lasting 15 seconds during 20 min of monitoring

Nonreactive = didn’t not get above results

26
Q

What do you do if your pregnant pt gets a nonreactive nonstress test (NST)?

A

Get a contraction stress test (CST)

27
Q

How do you conduct a contraction stress test (CST)?

A

Give oxytocin to establish at least 3 contractions in a 10 min period

If late decelerations are noted with the majority of contractions, the test is POSITIVE and delivery is warrented

28
Q

What scores on the components of the reassuring biophysical profile guidelines are:

Reassuring

Equivocal

Nonreassuring

A

Reassuring = 8-10

Equivocal = 6

Nonreassuring = 4 or less

29
Q

What biophysical variables are included in the components of biophysical profile?

A
  1. Non stress test
  2. Fetal breathing movements
  3. Fetal movement
  4. Fetal tone
  5. Amniotic fluid volume
30
Q
A

ENDOREPRO II Exam I (26 decks)

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