conditions Flashcards
s/s of presumptive pregnacy
subjective: amenorrhea, nausea, breast tender
s/s of probable pregnancy
Heggars
Chadwick
Goodwill sign
Hcg –> molar or ectopic
s/s of positive pregnancy
the most common cause of ectopic?
and other possible causes
miss shapped fallopian tube
STI, prior ectopic, endometriosis,PVD
Fundus at 12 weeks
20 weeks
12 wk-level of the symphysis pubis
20 wk -umbilicus (measure 18-20 cm)
A measurement of +/- 2 centimeters is acceptable
Can people that are pregnant receive live vaccines?
no
when do you screen for GDM?
24-28wk
when do you screen for Group B strep?
35-37 weeks gestation
if positive treat in labor IV pCN
when do we give RHoGam?
all RH- at 28 wk
is miscarried pt
if the baby is RH + (positive) pt gets another within 72hrs
how do you treat asymptomatic UTI in pregnancy?
Celosporins- keflex (certain trimester)
Amoxicillin
Macrobids (certain trimester)
PCN
DO NOT
When do we Alpha fetal protein level testing?
What supplement is important?
wk 15-20 more at 16wk
it is looking for:
high-neural tube defect spinal bifida
low: down syndrome
folic acid
Part 1 Down syndrome at risk for?
Than answer part 2: What do you tell a parent?
1) Alzheimer
2) hypothyroid
3) cervical spine instability
Before a child plays sports, a cervical spine x ray must be provided. if it all looks good they can play sports.
painful, uterus hard to touch, lots of bleeding, it happens in the 3rd trimester
Placental abruption
light, painless bleeding
Placental Previa- placental blocking the cervix
how do you treat mastitis?
dicloxacillin
safe for breastfeeding *PCN are safe)
if allergic to PCN
clindamycin GI side effects
keflex- is go too
If they finish abx and it still hurts refer and US.
