Exam 1 - Prenatal Assessment Flashcards

Exam 1

1
Q

how often should you go to a prenatal visit? weeks 4-28

A

1 visit every 4 weeks

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2
Q

how often should you go to a prenatal visit? weeks 28-36

A

1 visit every 2 weeks

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3
Q

how often should you go to a prenatal visit? weeks 36-41

A

1 visit every week

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4
Q

Nagele’s rule

A

(1) first day of LMP
(2) add 7 days
(3) subtract 3 months
(4) correct the year

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5
Q

Preterm means…

A

a baby born before 37 weeks gestation

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6
Q

Late preterm means

A

a baby born 34-36 weeks

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7
Q

Moderately preterm means

A

a baby born 32-34 weeks

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8
Q

Very preterm means

A

a baby born before 32 weeks

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9
Q

Term baby is born

A

b/w 37 weeks and 42 weeks gestation

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10
Q

Early term baby is born

A

37 to 38 and 6 (days)

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11
Q

Full term baby is born

A

39 to 40 and 6

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12
Q

Late term baby is born

A

41 to 41 and 6

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13
Q

Post term baby is born

A

after 42 weeks gestation

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14
Q

Name 3 risks of having a baby post-term

A

(1) stillbirth
(2) increased risk of baby pooping in amniotic sac
(3) decrease in amniotic fluids

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15
Q

37w5d means what?

A

37 weeks and 5 days gestation

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16
Q

36 5/7 means what?

A

36 weeks and 5 days gestation

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17
Q

35.5 means what?

A

35 weeks and 3.5 days gestation

18
Q

G in GTPAL means what?

A

Gravida; total number of pregnancies

19
Q

overarching P in GTPAL means what?

A

Parity; all birth history

20
Q

T in GTPAL represents what?

A

Term births; number of pregnancies that resulted in a delivery at term

21
Q

P in GTPAL represents what?

A

Preterm births; number of pregnancies that resulted in a delivery before 37 weeks but after 20 weeks

22
Q

A in GTPAL represents what?

A

Abortions; number of pregnancies that ended before 20 weeks gestation (miscarriage or elective)

23
Q

L in GTPAL represents what?

A

Living children; number of currently living children

24
Q

Miscarriage after 20 weeks is considered what?

25
TORCH definition
acronym for group of infectious diseases that can affect fetal development during pregnancy
26
what does TORCH stand for?
T = Toxoplasmosis O = Other (syphilis, varicella, etc.) R = rubella C = cytomegalovirus (CMV) H = herpes simplex virus (HSV)
27
How do you prevent from contracting toxoplasmosis?
(1) Avoid handling cat litter (2) Wash hands after gardening (3) Wash hands after handling raw meat
28
How do you prevent from contracting rubella?
(1) Ensure vaccination before pregnancy (2) Avoid exposure to infected individuals
29
How do you avoid contracting CMV?
practice good HH, especially after being in contact with young children
30
What is universally recommended for patients at 20 weeks gestation?
2nd trimester screening / anatomy ultrasound
31
Which vaccinations are recommended during pregnancy?
(1) Flu (2) Tdap (3) Covid (4) RSV
32
Which additional vaccine is sometimes given during pregnancy?
Hep B
33
Which vaccines are contraindicated during pregnancy?
(1) HPV (2) MMR (3) Live influenza vaccine (nasal spray) (4) Varicella
34
Name the 4 main screening tests for pregnant people.
(1) Glucose screening (2) Ultrasounds (3) Isoimmunization (4) GBS screening
35
When does the glucose screen occur?
24-28 weeks
36
When is the dating ultrasound screening?
8-12 weeks
37
When is the anatomy scan ultrasound?
20 weeks
38
Antibody test often after 28 weeks in rh negative people and rhogam given
Isoimmunization
39
when do you screen for GBS?
~36 weeks
40
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
41
Rebecca's LMP was 10/1/2022. Calculate the due date using Nagele's rule.
7/8/2023.
42
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