Exam 1 - Prenatal Assessment Flashcards
Exam 1
how often should you go to a prenatal visit? weeks 4-28
1 visit every 4 weeks
how often should you go to a prenatal visit? weeks 28-36
1 visit every 2 weeks
how often should you go to a prenatal visit? weeks 36-41
1 visit every week
Nagele’s rule
(1) first day of LMP
(2) add 7 days
(3) subtract 3 months
(4) correct the year
Preterm means…
a baby born before 37 weeks gestation
Late preterm means
a baby born 34-36 weeks
Moderately preterm means
a baby born 32-34 weeks
Very preterm means
a baby born before 32 weeks
Term baby is born
b/w 37 weeks and 42 weeks gestation
Early term baby is born
37 to 38 and 6 (days)
Full term baby is born
39 to 40 and 6
Late term baby is born
41 to 41 and 6
Post term baby is born
after 42 weeks gestation
Name 3 risks of having a baby post-term
(1) stillbirth
(2) increased risk of baby pooping in amniotic sac
(3) decrease in amniotic fluids
37w5d means what?
37 weeks and 5 days gestation
36 5/7 means what?
36 weeks and 5 days gestation
35.5 means what?
35 weeks and 3.5 days gestation
G in GTPAL means what?
Gravida; total number of pregnancies
overarching P in GTPAL means what?
Parity; all birth history
T in GTPAL represents what?
Term births; number of pregnancies that resulted in a delivery at term
P in GTPAL represents what?
Preterm births; number of pregnancies that resulted in a delivery before 37 weeks but after 20 weeks
A in GTPAL represents what?
Abortions; number of pregnancies that ended before 20 weeks gestation (miscarriage or elective)
L in GTPAL represents what?
Living children; number of currently living children
Miscarriage after 20 weeks is considered what?
Preterm
TORCH definition
acronym for group of infectious diseases that can affect fetal development during pregnancy
what does TORCH stand for?
T = Toxoplasmosis
O = Other (syphilis, varicella, etc.)
R = rubella
C = cytomegalovirus (CMV)
H = herpes simplex virus (HSV)
How do you prevent from contracting toxoplasmosis?
(1) Avoid handling cat litter
(2) Wash hands after gardening
(3) Wash hands after handling raw meat
How do you prevent from contracting rubella?
(1) Ensure vaccination before pregnancy
(2) Avoid exposure to infected individuals
How do you avoid contracting CMV?
practice good HH, especially after being in contact with young children
What is universally recommended for patients at 20 weeks gestation?
2nd trimester screening / anatomy ultrasound
Which vaccinations are recommended during pregnancy?
(1) Flu
(2) Tdap
(3) Covid
(4) RSV
Which additional vaccine is sometimes given during pregnancy?
Hep B
Which vaccines are contraindicated during pregnancy?
(1) HPV
(2) MMR
(3) Live influenza vaccine (nasal spray)
(4) Varicella
Name the 4 main screening tests for pregnant people.
(1) Glucose screening
(2) Ultrasounds
(3) Isoimmunization
(4) GBS screening
When does the glucose screen occur?
24-28 weeks
When is the dating ultrasound screening?
8-12 weeks
When is the anatomy scan ultrasound?
20 weeks
Antibody test often after 28 weeks in rh negative people and rhogam given
Isoimmunization
when do you screen for GBS?
~36 weeks
Name the main bloodwork that occurs at the 1st OB visit (7)
(1) CBC w/ Hb
(2) Blood type and screen (Rh)
(3) Rubella titer
(4) Hep B & C
(5) HIV, Syphilis, Gonorrhea, Chlamydia
(6) Urinalysis
(7) Pap if not UTD
Rebecca’s LMP was 10/1/2022. Calculate the due date using Nagele’s rule.
7/8/2023.
During each prenatal visit, what 5 things should be completed?
(1) Assess well-being of pregnant person and fetus
(2) Prenatal education
(3) Complete recommended health screenings
(4) Identify medical / psychosocial issues
(5) Reassure birth person
