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Natural Childbirth > MT > Flashcards

MT Flashcards

1
Q

Earliest detection of serum HcG after ovulation?

A

9 d

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2
Q

In what case would you want a quantitative HcG?

A

Complications (ectopic preg)

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3
Q

To see if Hcg is rising or falling use this type of test

A

Serial beta HcG

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4
Q

How you determine if a pregnancy is viable?

A

TVUS at 6 weeks. Looking for heartbeat

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5
Q

Give some reasons for doing a 1st trimester US?

A

To get an accurate due date (premature, know that you are interpreting labs correctly, irregular menses or nursing), complications (pelvic pain, bleeding), eligibility for hospital birth

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6
Q

One reason for an accurate due date?

A

Know that you are interpreting labs correctly

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7
Q

Questions to ask in vaginal bleeding during pregnancy

A 
How long?
How much?
Color?
Size?
Cramping?
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8
Q

DDx for vaginal bleeding during pregnancy

A

Cervicitis, vaginal lesions, polyps, threatened miscarriage, ectopic pregnancy, physiologic bleeding, intercourse

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9
Q

At 7 wks, would US rule in/out spontaneous abortion?

A

Yes, would expect heartbeat

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10
Q

Common etio for spontaneous abortion?

A

Chromosomal abnormality, progesterone deficiency, trauma, invasive procedure, uterine infx, teratogen, endocrine problem, thrombophilia, congenital abnormality

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11
Q

DDx for nagging RLQ pain?

A

appendicitis, ectopic preg, ovarian cyst, diverticulitis

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12
Q

Where do most ectopic pregnancies implant?

A

fallopian tube

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13
Q

Risks for ectopic preg?

A

Tubal surgery, tubal infx, DES exposure, infertility, previous PID, having IUD, previous STI infection

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14
Q

What are the risks to a woman who experiences a ruptured ectopic pregnancy at 6-12 wks?

A

Internal bleeding, shock, death.. medical emergency

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15
Q

How to Dx R/o ectopic preg

A

Repeated US and serum HcG

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16
Q

Tx options for ectopic preg

A

methotrexate or surgery

17
Q

When should prenatal care begin?

A

By the end of the 1st trimester

18
Q

What is the initial lab workup for a gravid female?

A

CBC, hepatitis, rubella, antibody screen, syphilis, HIV, urine culture, pap, gonorrhea, chlamydia, blood type testing

19
Q

How much weight gain is advised during pregnancy?

A

Avg 25-35 lbs, depending on weight (gain more if lower weight)
1 lb per week, no dieting

20
Q

Nutritional advice for pregnancy?

A

Increase protein, regular meals, eliminate deli meat and raw fish, increase veggies, take multivitamin

21
Q

When does implantation occur?

A

1 wk after fertilization

22
Q

Effects of smoking on fetus

A

Placental abruption, prematurity, stillbirth, decreased o2 to baby, SIDS, respiratory diseases in baby

23
Q

What is responsible for nausea in pregnancy?

A

Increased bHcG, increased peristalsis, progesterone

24
Q

What causes decrease in nausea?

A

Resolves as placenta takes over hormone secretion and secretes hormones more evenly

25
Q

What are some remedies for nausea?

A

B6, K, C, ginger, mint, nux vomica, sepia, pulsatilla

26
Q

Key symptom and DDx for hyperemesis gravederim

A

uncontrolled N/V

could be stomach flu, appendicitis, gall bladder disease

27
Q

SSx of anemia

A

SOB, fatigue, lab values

28
Q

remedies for anemia

A

rhumex, nettles, teraxicum

29
Q

risks of anemia during pregnancy

A

post pardum hemorrhage

30
Q

When in pregnancy is fetus most susceptible to teratogens?

A

5-10 wks

31
Q

When else in life are you most susceptible to teratogens?

A

Neonate, newborn, adolescence, breast feeding

32
Q

How to facilitate oxytocin release

A

relax, dim lights, silence, not being watched

33
Q

What is likely cause of sleepiness during 1st trimester?

A

progesterone

34
Q

Herbal remedies for insomnia

A

valerian, chamomile

35
Q

How to Dx FAS, FAE

A

Prenatal or postnatal in weight or head circumference, flat nose, cognitive impairment, underdevelopment of genitalia

Natural Childbirth (1 decks)

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