mom - baby : powerpoint study Flashcards by Paige Cramer

when is conception possible

2-2 days before ovulation and 1 day after ovulation

How well did you know this?

Not at all

Perfectly

what do pap smears test for?

assess for abnormal cervical cells
recommended every 3 years in 20s and 30s and every 5 years in 30s - 60s
annually if there is a history of abnormal paps

How well did you know this?

Not at all

Perfectly

what is used to test for HSV 1 and 2

a viral culture

How well did you know this?

Not at all

Perfectly

what is used to test for gonorrhea and chlamydia

NAAT culture tests

How well did you know this?

Not at all

Perfectly

What is used to test for HIV

ELISA serum tests

How well did you know this?

Not at all

Perfectly

What is the benefit of folic acid?

prevents neural tube defects in the fetus

How well did you know this?

Not at all

Perfectly

what are the presumptive signs of pregnancy

amenorrhea, n/v, urinary frequency, quickening uterine enlargement, pigmentation changes

How well did you know this?

Not at all

Perfectly

what are the probable signs of pregnancy

goodells, hegars, and Chadwicks sign, ballottement, braxton hicks, positive pregnancy test

How well did you know this?

Not at all

Perfectly

what are the positive signs of pregnancy

fetal heart sounds, outline and movement on ultrasound

How well did you know this?

Not at all

Perfectly

risks for post-term fetus

LGA, passing meconium, risk of still birth if born over 41 weeks.

How well did you know this?

Not at all

Perfectly

what is an omphalocele

a birth defect that causes infants intestines, liver, or other organs to be outside of the belly button

How well did you know this?

Not at all

Perfectly

when do moms feel the first fetal movement

primigravida, 16-18 weeks, multipara 12-14 weeks

How well did you know this?

Not at all

Perfectly

what is the function of amniotic fluid

amniotic fluid surrounds the growing fetus in the womb and protects the fetus from injury and temp changes, also allows for freedom of fetal movement and promotes musculoskeletal development
poly = too much fluid
oligo = too little fluid

How well did you know this?

Not at all

Perfectly

normal weight gain in pregnancy

average 25 - 35 lbs, obese women will likely gain less than 15 lbs

How well did you know this?

Not at all

Perfectly

effects of smoking on the growing fetus

SGA, risk of still birth and placental abruption increase

How well did you know this?

Not at all

Perfectly

labs in early pregnancy

NOB tests, ABO, CBC, hep B, HIV, RPR, Gc/Cl, rubella, AFP less than 15 weeks

How well did you know this?

Not at all

Perfectly

what does MSAFP test for

neural tub defects, trisomy 21, and trisomy 18

How well did you know this?

Not at all

Perfectly

What is surfactant

Surfactant is released from the lung cells and spreads across the tissue that surrounds the alveoli. This substance lowers the surface tension which keeps the alveoli from collapsing after exhalation and makes breathing easy

How well did you know this?

Not at all

Perfectly

how is the fetus oxygenated while in utero

the placental 2 areteries and 1 umbillical vein

fetal development stages

embryonic 5th-10th week
fetal 11th week until birth

what is the appropriate fundal height for 12 weeks of gestation

12 or just above the pubic bone

36-38 weeks appropriate fundal height

fundus is usually right up under sternum 36-38

fundal height for 40 weeks gestation

fundus drops below 38 week level as presenting part drops down into pelvis

what is the normal fetal heart rate range

110-160

what is a biophysical profile

measures fetal breathing movements, body movement, fetal tone, reactive fetal heart rate, qualitative amniotic fluid volume

what conditions will amniocentesis detect

down syndrome, cystic fibrosis, and spina bifida

intrauterine resuscitation

steps: O2, no Pitocin, position changes baby needs oxygen and support if FHT does not stabilize a c-section would be called

vegetarian and vegan diets in pregnancy need what supplementation

b12 and iron supplement, do not have dairy 2 hours before or 2 hours after iron

what is the first line of management for GERD in pregnancy

lifestyle modification, small frequent meals

what is hyperemesis gravidarium

uncontrollable n/v, goals are basically nutrition via IV and slowly returning to PO

what maternal positions will facilitate fetal oxygenation

left side lying

the first action in placenta previa

oxygen and FHT

what is the purpose of RhoGAM

prevents sensitization in the Rh negative mom who have Rh positive baby given at 28 weeks given 72 hrs postpartum to mom with rh positive baby given in pregnancies that end early via abortion

considerations for patients on magnesium sulfate

fall risk, seizure precautions, have calcium gluconate on hand

what intervention would you expect to provide the patient in preterm labor

trying to stop, give terbutaline and if you cant steroids are given to try to mature the baby lungs (betamethasone)

testing with preterm labor

fetal fibronectin to predict if ptl will result in labor

what are tocolytic medications used for

used to slow down contractions, mag sulfate, indomethacin, and nifedipine

what is gestational hypertension

when bp is higher than 140/90

what are goals and interventions for a patient with preeclampsia

make sure their BP and bile acids stay low enough to not progress into eclamptic seizures

what is HELLP syndrome

a serious complication of high blood pressure during pregnancy hemolysis, elevated liver enzymes, low platelet count usually develops in the 37th week of pregnancy but can occur shortly after delivery symptoms include n/v, headache, belly pain, swelling

what is a contraindication for an epidural

low platelets, HELLP syndrome, hypotension

what is given to patient prior to an epidural

a fluid bolus to help with low bp

what is not a phase of the menstrual cycle

retroflexion

for COC what suppresses FSH and LH to suppress ovulation

estrogen

what acronym represents a type of infection that can cross the placenta and effect the fetus

TORCH

What does untreated chlamydia cause

ectopic pregnancy and infertility

a baby was born to a mother with untreated chlamydia, what is the newborn at risk for?

conjunctivitis, blindness, pnuemonia