Normal Pregnancy + Prenatal Care Flashcards
what should women who would like to become pregnant begin taking?
folic acid daily
what are the risks of tobacco in pregnancy? (6)
growth restriction
placenta previa
placental abruption
low birth weight
maternal mortality
ectopic pregnancy
what are the risks of tobacco in children? (4)
sudden infant death syndrome
asthma
colic
obesity
number of pregnancies
gravidity
number of births
parity
what does TPAL mean?
term
preterm
abortions
living children
what is recommended for a woman with prior preeclampsia?
daily aspirin after 12 weeks
how to calculate gestational age?
Naegle’s rule: LMP - 3 months + 7 days
what is the increased need of calories in pregnancy?
additional 300 Kcal / day
what 4 vitamins are recommended in pregnancy?
vitamin D
calcium
iron
folic acid
which vitamin, if consumed more than 10,000 IU/day increases the risk of fetal anomalies?
vitamin A
what is the recommended consumption of fish?
eat 2-3 servings of low mercury fish per week
what is the first line management for N/V? (2)
vitamin B6
doxylamine
what is the frequency required for routine visits?
q 4 weeks until 28 weeks
q 2 weeks until 36 weeks
q 1 week until delivery
what imaging is the first line?
ultrasound
during what weeks is an ultrasound for assessment of fetal anatomy recommended?
18-22 weeks
when should diabetes mellitus screening take place?
24-28 weeks
when should antibody testing occur? what should be given if Rh negative?
28 weeks
Rhogam
what lab testing should be done every trimester?
CBC
which are 4 conditions that are high risk during 3rd trimester?
HIV
syphilis
chlamydia
gonorrhea
when should group B strep testing occur?
36 weeks
done at 10-13 weeks; obtain piece of placental tissue for testing
chorionic villus sampling
done at 15-20 weeks; obtain amniotic fluid sample for testing
amniocentesis
what is the gestational diabetes screening?
1 hour 50g glucose challenge
+
3 hour 100g glucose challenge (diagnostic)
when is Rhogam administered in an Rh negative mother?
28 weeks gestation
what is the leading cause of infectious mortality and morbidity among newborns?
group B hemolytic streptococcus
breast feeding has maternal benefits like a lower risk of . . . (5)
breast cancer
ovarian cancer
diabetes mellitus
hypertension
heart disease
when can flu vaccine be given?
any gestation
when can Tdap vaccine be given?
27-36 weeks
which vaccine is not given during pregnancy but safe with breastfeeding?
HPV
which 2 vaccines are contraindicated in pregnancy?
varicella
MMR
breast feeding has infant benefits like a lower risk of . . . (3)
infections
SIDS
metabolic disease
in an uncomplicated pregnancy, we can await spontaneous labor until ____ weeks
41
if a woman has had a prior cesarean delivery, they should undergo a repeat cesarean delivery at ____ weeks
39
