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OB/Peds Exam 2 > Normal Antepartum > Flashcards

Normal Antepartum Flashcards

1
Q

purpose of Nagele’s Rule?

A

determines due date based off LMP

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2
Q

Nagele’s rule

A

subtract 3 months, add 1 year, add 7 days

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3
Q

months with 30 days

A

april, june, september, november
4, 6, 9, 11

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4
Q

ideal fundal measurement

A

weeks gestation, +- 2 cm

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5
Q

where should the fundal height be at 12 weeks?

A

symphysis pubis

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6
Q

where should the fundal height be at 20 weeks?

A

umbilicus

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7
Q

where should the fundal height be at 36 weeks?

A

xyphoid process

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8
Q

ideal kick count

A

5-10 an hour

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9
Q

what can a BPP measure

A

FM, FHT, breathing movement, reactivity, amniotic fluid volume

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10
Q

why might amniocentesis be done?

A

testing for infection, genetic diseases, fetal growth concerns

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11
Q

risks of amniocentesis

A

isoimmunization, miscarriage, amniotic fluid leak, infection, bleeding

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12
Q

what weeks are in the 1st trimester

A

1-13

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13
Q

what weeks are in the 2nd trimester

A

14-27

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14
Q

what weeks are in the 3rd trimester

A

28-40

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15
Q

presumptive s/s of pregnancy

A

breast changes, amenorrhea, n/v, frequency, fatigue, quickening

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16
Q

probable s/s of pregnancy

A

Goodell’s, Chadwick’s, Hegar’s, positive pregnancy test, Braxton Hicks

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17
Q

positive s/s of pregnancy

A

visualization on US, FHT detection, FM

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18
Q

Goodell’s sign

A

softening of the cervix

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19
Q

Chadwick’s sign

A

vagina turns blue-purple

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20
Q

Hegar’s sign

A

softening of the lower uterus

21
Q

endocrine changes during pregnancy

A

mood fluctuation, increased insulin production and resistance, thyroid imbalances

22
Q

immune changes during pregnancy

A

increased WBC, decreased immunity, passive immunity, white thick discharge

23
Q

respiratory changes during pregnancy

A

increased O2 needs, dyspnea, epistaxis

24
Q

CV changes during pregnancy

A

high HR, low BP, hemodilution anemia

25
Q

ideal hemoglobin in pregnancy

A

11

26
Q

why should pregnant women avoid being on their back?

A

can compress arteries

27
Q

GI changes during pregnancy

A

GERD, n/v, constipation, gingivitis

28
Q

when should n/v subside

A

after 1st trimester

29
Q

GU changes during pregnancy

A

increased GFR, decreased BUN & Cr; decreased bladder tone, UTI risk

30
Q

UA findings during pregnancy

A

glucosuria normal, proteinuria indicates pre-eclampsia

31
Q

what activities should be avoided during pregnancy

A

skiing, ice skating, contact sports

32
Q

prenatal appointment frequency

A

q4 weeks until 3rd trimester, then q2 weeks, qweek after 36

33
Q

when is GBS testing usually done?

A

35-36 weeks

34
Q

quad screen

A

elective, screens for genetic diseases

35
Q

when is the quad screen done?

A

1st trimester

36
Q

when is the glucose tolerance test done?

A

24-28 weeks

37
Q

what is the difference between the 1 and 3 hr glucose test?

A

1 is screening for GDM, 3 is diagnostic

38
Q

what is shown on the 20 week ultrasound

A

fetal sex, estimated due date, FM, AFI

39
Q

when is Rhogam typically given

A

28 weeks; also PP if baby is + blood type

40
Q

pt education on exercise

A

don’t START vigorous exercise, eat a snack before

41
Q

pt education on sleep

A

sleep on side, pillow between legs

42
Q

pt education on travel

A

choose car over plane, increased risk of DVT, no countries with teratogenic diseases

43
Q

TORCH

A

toxoplasmosis, hep B, chlamydia, rubella, cytomegalovirus, herpes simplex

44
Q

total weight gain during pregnancy

A

about 30 pounds

45
Q

weight gain during 1st trimester

A

3-4 pounds

46
Q

weight gain in 2nd & 3rd trimesters

A

3-4 pounds/month

47
Q

purpose of folic acid

A

prevents neural tube defects

48
Q

purpose of vitamin A

A

cell development, bone growth

49
Q

foods to avoid in pregnancy

A

feta, tuna, canned fish, cold cuts, artificial sweeteners

OB/Peds Exam 2 (6 decks)

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