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COMAT - OBGYN > Normal Pregnancy > Flashcards

Normal Pregnancy Flashcards

1
Q

For elective termination of a pregnancy, what are 2 main drug options that can be combined with ____?

A

Mifepristone OR Methotrexate
+ Misoprostol

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2
Q

For elective termination of a pregnancy, what are 2 main drug options that can be combined with _____?

A

Mifepristone OR Methotrexate
+ Misoprostol

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3
Q

What are 2 surgical procedures for an elective termination of pregnancy?

A
  • Manual uterine aspiration
  • D&C with vacuum aspiration
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4
Q

How do you calculate gestational age?

A

1st day of LMP - 3 months + 7 days

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5
Q

What is the fundal height and what should it be?

A

Measurement from pubic bone to top of uterus
= # of weeks pregnant in cm is normal

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6
Q

When are fetal heart tones detected?

A

10-12 weeks

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7
Q

When is fetal movement detected?

A

17-18 weeks

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8
Q

States the trimesters and the weeks they include

A

Trimester 1 = 1 - 13
Trimester 2 = 14 - 27
Trimester 3 = 28 - 40

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9
Q

How often do prenatal visits occur?

A
  • q4 weeks until 28 weeks
  • q2 weeks until 36 weeks
  • q1 week until delivery
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10
Q

When do you screen for Gestational Diabetes?

A

24 weeks

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11
Q

When do you administer Rhogam if it is needed?

A
  • 28 weeks
  • Within 72 hours of delivery
  • Any time there is mixing of mother and baby’s blood
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12
Q

When do you obtain a GBS culture? What is the treatment if positive?

A

36 weeks
= Penicillin within 4 hours of delivery

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13
Q

In early pregnancy, what is expected of the beta-hCG levels?

A

Double every 48 hours

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14
Q

What should be visible at week 5? 6? 7?

A

5 = gestational sac
6 = fetal pole
7 = cardiac activity

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15
Q

What 4 things are included in the Quad screening?

A

AFP
Inhibin A
Estriol
Beta-hCG

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16
Q

What 4 things are included in the Quad screening?

A

AFP
Inhibin A
Estriol
Beta-hCG

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17
Q

What can a HIGH AFP indicate? (3)

A

Multiple gestations
Neural tube or abdomen defects

18
Q

In general, what can LOW AFP indicate?

A

Trisomies

19
Q

Describe the Quad screening result for Trisomy 18

A

ALL LOW
“underage at 18”

20
Q

Describe the Quad screening result for Trisomy 21

A

LOW AFP and Estriol
HIGH Inhibin A and Beta-hCG

21
Q

When can you perform Cell-Free Fetal DNA and what does it do?

A

10 weeks
= Fetal DNA from mother’s blood sample

22
Q

When can you perform Chorionic Villus Sampling and what is it?

A

10-12 weeks
= Aspiration of placental tissue

23
Q

When can you perform Amniocentesis and what is it?

A

15-20 weeks
= Aspiration of amniotic fluid

24
Q

What 3 tests can you do to detect fetal genetic abnormalities?

A
  1. Cell-Free Fetal DNA
  2. Chorionic Villus Sampling
  3. Amniocentesis
25
Q

Signs of Toxoplasmosis infection?

A
  1. Hydrocephalus
  2. Intracranial calcifications
  3. Chorioretinitis
26
Q

What will be seen on brain MRI with infection of Toxoplasmosis for neonate?

A

Ring-enhancing lesions

27
Q

What is the treatment for neonatal Toxoplasmosis? (2)

A

Pyrimethamine + Sulfadiazine

28
Q

Signs of Rubella infection?

A
  1. PDA
  2. Cataracts
  3. Deafness
  4. Blueberry rash
29
Q

Signs of CMV infection?

A
  1. Periventricular Calcifications
  2. Petechial rash
30
Q

Signs of Early and Late Syphilis infection?

A

Early = Snuffles, Hepatomegaly, Rash
Late = Saber shins, Saddle nose, Peg teeth, Deaf

31
Q

What are some normal changes that occur to the mother following delivery?

A
  • Fever and chills
  • Lochia = vaginal discharge
  • Urinary retention due to bladder atony
32
Q

If a postpartum mother experiences urinary retention, how can you help it resolve?

A

Ambulation +/- catheterizationi

33
Q

1st degree laceration

A

Vaginal mucosa

34
Q

2nd degree laceration

A

Perineal muscles

35
Q

3rd degree laceration

A

Anal sphincter

36
Q

4th degree laceration

A

Rectum

37
Q

What is the equation for MAP?

A

MAP = CO X SVR

38
Q

What happens to SVR during pregnancy?

A

DECREASES due to more placental vessels being formed and with progesterone

39
Q

The SVR will decrease during pregnancy. What occurs to the CO?

A

Increases!
- Increased HR and SV

40
Q

What happens to the RBC volume/hemoglobin during pregnancy?

A

RBC volume increases but the hemoglobin will decrease due to its concentration being diluted

COMAT - OBGYN (12 decks)

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