Normal prenatal care, pregnancy, post-partum Flashcards
What do the following have in common: vomiting, vaginal discharge, bleeding or fatigue, breast tenderness
Early first trimester symptoms of pregnancy
important part of first assessing a patient
Necessary to determine estimated date of confinement (EDC)
gestational age
How do you determine estimated date of confinement using Naegele’s rule?
add 7 days to the LMP than subtract 3 months
Method of determining due date using a transvaginal ultrasound at 3-4wks
crown rump length
Optimal time to estimate gestational age using femur length or crown rump length
13-25 wks
What is it critical to screen for during the first prenatal visit?
domestic violence
Risks of multiple gestations (twins, triplets, ect)
preterm birth and intrauterine growth retardation
A procedure to get fetal DNA for testing for Down’s and other abnormalities.
chorionic villous sampling
Why should chorionic villous sampling be delayed until after 10 weeks of pregnancy?
increased risk of pregnancy loss
Normal fetal heartrate
110-160 bpm
What is checked in the urine specimen with each visit?
glucose and protein
Why is a CBC ordered with first visit?
to detect anemia and screen for thalassemia
Why must a pregnant woman be immunized for rubella and varicella post-partum?
it’s a live vaccine
Why is the hepatitis B antigen test (HepBsAg) administered?
check for chronic infection (indicated if HepBsAg + only)
Puts pregnant woman at higher risk for UTI/pyelonephritis. Associated w/ increased risk of preterm birth, low birth weight, and perinatal mortality
asymptomatic bacteriuria
What is needed in order to initiate treatment of asymptomatic bacteriuria in a pregnant woman?
2 consecutive voided specimens w/ same bacterial strain or 1 cath specimen w/ 1 isolated bacterial species
What antibiotic class should not be used to treat asymptomtatic bacteriuria in pregnant woman?
fluoroquinolones
Why do you need to know a pregnant patient’s blood type?
in case they need a transfusion
When do you draw another antibody screen in a Rh negative mother?
at 28 wks. If still negative give Rhogam
What condition lowers maternal serum alpha fetal protein (MSAFP)?
Down’s
What is the scheduling of prenatal visits?
every 4 wks until 28wks then every 2wks until 34-36 wks then every wk
What do the following have in common: vaginal bleeding, cramping, fever, passing clots or tissue, dizziness, fainting or abdominal pain
warning signs if occur during pregnancy
Associated with neural tube defects if exposure during first trimester
hot tubs and saunas
Can cause sharp groin pain as uterus grows
round ligament. reassure patient
