Powerpoints Female Flashcards
What is full term?
37 weeks
What are the best cycle days for conception?
days 10-18
QOD coitus
What weeks for the first trimester?
0-13 weeks
What weeks make up the second trimester?
14-26 weeks
What weeks make up the third trimester?
27-40 weeks
What weeks make up the post dates?
> 41 weeks
How is plasma volume affected by 32 weeks?
increased by 50%, RBCs only 25%
What is a normal WBC count?
Leukocytosis <30,000 WBCs
What is a common platelet count?
thrombocytosis >300,000 platelets
How is fibrinogen affected?
increase by 50%
How is PT/PTT affected?
shortened PT-PTT
What are the iron needs during pregnancy?
1,000 mg / 40 weeks
How is cardiac output affected at 24 weeks? and at term?
at 24 weeks increase by 40%
100% at term
How is blood volume affected?
increase 50%
How is HR affected?
increase 15 bpm
What murmur is common in 90% of gravida?
pansystolic murmur
When is peripheral edema common?
> 28 weeks
BP decreases until _____ to ___ weeks.
24-28 weeks
What heart sound is common in >50% gravida?
S3 gallop
EKG may show what?
left axis deviation
When is vena canal compression common?
> 28 weeks
How does the vasculature change?
decreased systemic and pulmonary vasculature resistance
What are common symptomatic pulmonary changes? (4)
nasal congestion
nasal edema
epistaxis
polyposis
How is ventilation affected?
hyperventilation increase 45%
How causes hyperventilation changes?
secondary to increased CO2 burden and mechanical changes
What % is dyspnea common?
65%
What are common pulmonary function changes?
minute ventilation increases by 30-40%
increase tidal volume 30-40%
decreased total lung capacity by 5%
decreased pCO2 with comp respiratory alkalosis
What remains unchanged on PFT? (4)
FEV1
Peak flow
vital capacity
respiratory rate
When does N&V peak?
6-14 weeks
What causes pyrosis?
decreased lower esophageal sphincter tone and increased gastric pressure
What are common hepatic changes? (4)
cholesterol increase 200%
fibrinogen and coat factors increase
albumin decreases
alk phos increases
What are the common changes in the gallbladder? (3)
increase bile
increases stasis
increase stones
How long does it take for cholesterol to return to normal postpartum?
may take a full year
What are the GU changes in pregnancy?
Increase kidney ca 1 cm
increase in renal calyx and retail diameters
hydroureter & hydronephrosis
What causes the increase in hydroureter & hydronephrosis?
secondary to obstruction & slowing
How is filtration of the kidney affected? (5)
increase renal plasma flow 75% increase GFR 50% by 28 weeks Increase creat clearance 40% Increase glucose loss Decrease both creatinine and uric acid
Is protein loss normal in pregnancy?
NO
How are the adrenals affected?
increased cortisol & DHEAS (androgen)
How does fat metabolism change?
increased lipolysis
What % is spider angiomata seen?
65% of gravida
When is hair loss common?
2-4 months postpartum, regrowth by 12 months
What are the ocular changes?
increased corneal thickness & radius of curvature
decreased intraoccular pressure
What is the necessary calcium intake?
1,400mg/day
3 ES TUMS/day
What are the additional energy needs?
300kcal/day
When are prenatal care visits every 2 weeks?
at 36 weeks
WHen is the Quad alphaFP screen done?
15-20 weeks
When is the ultrasound done?
16-20 weeks
What leads are done at 28 weeks?
1 hr GCT
Rh Antibodies
Hb
UA C&S
When are you thinking ectopic pregnancy?
with beta hCG does NOT double with spotting
When should fundal height increase 1cm/week?
20-30 weeks
How many weeks does fundal height become less reliable?
after 30 weeks
When is quickening noted in the landmarks of pregnancy?
17-19 weeks
When is the gestational sac seek on US?
5 weeks
When is the fetal pole seen on US?
6 weeks
When is fetal heart motion SEEN on US?
7 weeks
to rule out ectopic
What are complications of the hematologic?
DVT & PE
What are complications of the cardiovascular system? (3)
cardiomyopathy
dysrhythmias
CHF
What are complications of the pulmonary system?
asthma
pneumonia
What are dermatologic complications of pregnancy?
PUPP
Herpes gestationis
What is a complication of pregnancy that results in painful bleeding?
Abruptio placenta
What is a complication of pregnancy that results in painless bleeding?
Placenta Previa
What is the 1st stage of labor?
beginning contractions to complete dilation
What are the 2 parts of the first stage of labor?
latent phase: until dilation begins
active phase: time of dilation
What is the average ‘active phase’ in primip?
6-18 hours
minimum 0.5cm/hour
What is the average ‘active phase’ in multip?
2-10 hours
minimim 1.0cm/hour
What is the second stage of labor?
complete dilation to delivery of the infant
What is the third stage of labor?
delivery of indent to delivery of placenta
less than 30 minutes
What are the stages of head crowning?
anteroposterior slit oval opening circular shape crowning extension with restitution
Which shoulder is delivered first?
anterior shoulder
