export_obstetric patient Flashcards
Immunizations you can give during pregnancy
Influenza
Tetanus
Hepatitis
MMR
Varicella
Gravidity and Parity
G - number of pregnancies
P - number of pregnancies with birth beyond 20 weeks
T - number of term pregnancies
P - number of preterm pregnancies
A - number of abortions, miscarriages, ectopic pregnancies
L - number of living children
Naegele’s rule
Method of establishing estimated date of delivery
Subtract 3 months from LMP (always use day 1) and add 7 days
Other ways to assess date of pregnancy
Physical exam of uterus
Ultrasound (most accurate time is EARLY)
What two questions should we ask when a woman presents with an early pregnancy?
Where is the pregnancy? (ectopic)
Is it viable? (rule out demise/molar pregnancy)
Molar pregnancy
Abnormal number of chromosomes, no fetus actually develops
Renal threshold in pregnancy
It changes during pregnancy, so urine glucose may not be as reliable
Gestational diabetes is a problem
Cardiovascular changes in pregnancy
Increased blood volume
Increased CO
Decreased systemic vascular resistance
Fetal presentation
Relation of fetus to maternal spine
Fetal position
Relation of the fetal presenting part to the maternal pelvis
Leopold maneuver
Placement of hands in order to assess fetal presentation
Cervical effacement
Thinning out of the cervix
1st stage of labor
Onset of labor until complete dilation of the cervix
Complete dilation of the cervix
10 cm
2nd stage of labor
Complete cervical dilation to infant delivery
