Normal Pregnancy Flashcards
For elective termination of a pregnancy, what are 2 main drug options that can be combined with ____?
Mifepristone OR Methotrexate
+ Misoprostol
For elective termination of a pregnancy, what are 2 main drug options that can be combined with _____?
Mifepristone OR Methotrexate
+ Misoprostol
What are 2 surgical procedures for an elective termination of pregnancy?
- Manual uterine aspiration
- D&C with vacuum aspiration
How do you calculate gestational age?
1st day of LMP - 3 months + 7 days
What is the fundal height and what should it be?
Measurement from pubic bone to top of uterus
= # of weeks pregnant in cm is normal
When are fetal heart tones detected?
10-12 weeks
When is fetal movement detected?
17-18 weeks
States the trimesters and the weeks they include
Trimester 1 = 1 - 13
Trimester 2 = 14 - 27
Trimester 3 = 28 - 40
How often do prenatal visits occur?
- q4 weeks until 28 weeks
- q2 weeks until 36 weeks
- q1 week until delivery
When do you screen for Gestational Diabetes?
24 weeks
When do you administer Rhogam if it is needed?
- 28 weeks
- Within 72 hours of delivery
- Any time there is mixing of mother and baby’s blood
When do you obtain a GBS culture? What is the treatment if positive?
36 weeks
= Penicillin within 4 hours of delivery
In early pregnancy, what is expected of the beta-hCG levels?
Double every 48 hours
What should be visible at week 5? 6? 7?
5 = gestational sac
6 = fetal pole
7 = cardiac activity
What 4 things are included in the Quad screening?
AFP
Inhibin A
Estriol
Beta-hCG
What 4 things are included in the Quad screening?
AFP
Inhibin A
Estriol
Beta-hCG
What can a HIGH AFP indicate? (3)
Multiple gestations
Neural tube or abdomen defects
In general, what can LOW AFP indicate?
Trisomies
Describe the Quad screening result for Trisomy 18
ALL LOW
“underage at 18”
Describe the Quad screening result for Trisomy 21
LOW AFP and Estriol
HIGH Inhibin A and Beta-hCG
When can you perform Cell-Free Fetal DNA and what does it do?
10 weeks
= Fetal DNA from mother’s blood sample
When can you perform Chorionic Villus Sampling and what is it?
10-12 weeks
= Aspiration of placental tissue
When can you perform Amniocentesis and what is it?
15-20 weeks
= Aspiration of amniotic fluid
What 3 tests can you do to detect fetal genetic abnormalities?
- Cell-Free Fetal DNA
- Chorionic Villus Sampling
- Amniocentesis
Signs of Toxoplasmosis infection?
- Hydrocephalus
- Intracranial calcifications
- Chorioretinitis
What will be seen on brain MRI with infection of Toxoplasmosis for neonate?
Ring-enhancing lesions
What is the treatment for neonatal Toxoplasmosis? (2)
Pyrimethamine + Sulfadiazine
Signs of Rubella infection?
- PDA
- Cataracts
- Deafness
- Blueberry rash
Signs of CMV infection?
- Periventricular Calcifications
- Petechial rash
Signs of Early and Late Syphilis infection?
Early = Snuffles, Hepatomegaly, Rash
Late = Saber shins, Saddle nose, Peg teeth, Deaf
What are some normal changes that occur to the mother following delivery?
- Fever and chills
- Lochia = vaginal discharge
- Urinary retention due to bladder atony
If a postpartum mother experiences urinary retention, how can you help it resolve?
Ambulation +/- catheterizationi
1st degree laceration
Vaginal mucosa
2nd degree laceration
Perineal muscles
3rd degree laceration
Anal sphincter
4th degree laceration
Rectum
What is the equation for MAP?
MAP = CO X SVR
What happens to SVR during pregnancy?
DECREASES due to more placental vessels being formed and with progesterone
The SVR will decrease during pregnancy. What occurs to the CO?
Increases!
- Increased HR and SV
What happens to the RBC volume/hemoglobin during pregnancy?
RBC volume increases but the hemoglobin will decrease due to its concentration being diluted
