Preg 1 Flashcards
Gestational age begins first day of ____
lasts __ days or ___ wks
Conceptional age begins w ___
___ less than GA
First trimester lasts from ___ to ___ days of GA
Second trimester from ___ wks gestation to ___ days GA
Third trimester from ___wks to ___
Viability is ability to survive outside ____
Nonviable less than __
Periviable ___ wks GA
Viable > ___wks
Last menstrual period
280, 4
fertilization
2 wks
Fert, 13 wks, 6
14, 27 wks 6 days
28, delivery
uterus
22 wks
22-24wks
24wks
Preterm birth is delivery bw __ wks and ___ days
Term deilvery occurs after __ wks
Post term is delivery after __ wks
Miscarriage/SAB delivery is less than ___ wks
Number of times woman has been pregnant indicated by
Patient who has never been pregnant
Pt preg for first time
Pt preg multiple times
20wks, 36 wks 6 days
37 wks
42 wks
20 wks
graviditiy
Nulligravid
Primigravid
Multigravid
Number of times woman has given birth indicated by
Never given birth to fetus over 20 wks GA
Pt who is giving birth for first time
Pt who has given birth mult
times
TPAL for
Abortus is either __ or __ at less than ___wks
L number currently
Parity
Nullipara
Primarpara
Multipara
term, preterm, abortive, living
spontaneous, elective, 20wks
living
1st prenatal visit is to determine baseline ___, and any __/____/__RF
perform __/___/__
establish ___
bw 8-32 wks, pt visits every ___
bw 32-36 wks, pt visits every __
36+, pt visits every
health status, obstet/medical/surgical
hx/PE/labs
GA
4wks
2wks
1wk
All prenatal visits, take MW B Urine dip for \_\_\_ and signs of \_\_\_ or \_\_\_ Fundal \_\_\_ Doppler measurement of \_\_\_ maybe \_\_\_
Fundal height allows estimate of ___ and __ vol
Fetal HR confirms ___ and looks for abnorms that may alert such things as ___/__/___
BP for ___ of preg
Fundal ht- measure from top of __ to top of ___
maternal weight BP protein, asx bacteriuria/UTI height measurement fetal hr Leopold maneuvers
fetal growth, amniotic fluid
viability, tachy/brady/arrhythmias
pubic symphysis, fundus (uterus)
Measure gestation ht from __ wks onward
20 wks gestation, fundus is at ___
fundal ht in cm should eq ___ in wks
difference of < ___ cms indicates US to asses ___
Leopold maneuvers allow determination of ___ w/in uterus
also help to estimate ___
20
maternal umbilicus
GA
3cm, fetal size
fetal position
fetal size
2 palpate sides of ___
Leopold maneuver
#1 Palpate at ___
feel for hard/round surface of ___ or softer ___
feel for ___
feel for small parts such as __ and ___
#3 palpate above \_\_\_ feel for \_\_\_ solid/round \_\_\_ softer \_\_ or \_\_\_
#4 (face feet) palpate above \_\_\_ asses descent of \_\_\_ into pelvis
fundus
fetal head/butt
uterus
head
hands/feet
pubic symphysis
read
butt
nothing
pubic symphysis
fetal part
Fetal HR
from __ GA onward, detect fetal heart tones w ___
At 24-28 wks, perform __ test
27-36 wks, get __ vac
28 wks, get ___ if indicated
35 wks, get __ culture
can get gender at ___
16 wks perform __ precautions and __ screening
12wks, counsel on __ and __ and __, get __ and __ and ___
12wks, Doptone
Glucose challenge
Tdap
Rhogam
GBS
20wks
miscarriage precautions, genetic
dating, diet/nutrtion/substance, genetic screening/labs/immunizations
RF for preg complications include Maternal age > C FH of S M Previous
Twin gestations
zygosity is the number of ___
Chorionicity and ___ is the number of distinct ___/__ and ___
35 chronic HTN T2DM Smoking Meds C sections
fertilized ova
amnionicity
placentas/chorions, amniotic sacs
Single fertilized ovum that then splits is
Simultaneous but independent release/fert two separate ova is
Describes likelihood of ___ and risk of ___
Chorionicity describes number of separate __ or __
Amnionicity describes number of separate ___
Describes ___ of preg
monozygous
dizygous
shared traits, genetic abnormalities
chorions/placentas
amniotic sacs
risk level
2 placentas and 2 amniotic sacs would be __/___ aka ___
1 shared placenta and 2 amniotic sacs would be ___ aka ___
1 shared placenta and 1 shared aniotic sac would be ___ aka ___
dichorionic/diamniotic (DI di twins)
monochorionic/diamniotic (mono/di twins)
monochorionic/monoamniotic (mono/mono twins)
monozygous chorionicity and amnionicity determned by___
splits days 1-3 (__ stage) become ___ twins
splits days 4-8 (__ stage), become __ twins
splits day 8-13 (__ stage) becomes __ twins
Split > day 13 (___stage) become ___ twins
share ___ and __ and __
Dizygous twins are all
timing of split
morula, di/di
blastocyst, mono/di twins
implanted blastocyst, mono/mono twins
embryonic disc, conjoined
organs, placenta, amniotic sac
di/di twins
2/3 of twins are
1/3 are
2/3 of monozygous split day
1/3 split
1% split day
Dizygous twins have __
inc w ___ and ___, also ___ >35
Can be __ or __ gender
If different gender, then must be __/___/___
dizygous
monozygous
4-8
1-3
8-13
genetic predisposition
IVF/ART/ inc maternal age
same/different
dizygous/dichorionic/diamniotic
Monozygous twins have __ genetic predisposition
inc w ___
always ___
Dx twinning by ___
__ is better
Chorionicity dx based on __ and ___
Zygosity can only be dx on US if ____
Di/Di have __ placentas, __ membrane, ___/__ sign
Mono/di have __ placenta, ___ membrane, __ sign at attachement
Mono/mono has ___ visible membrane, signs of early ___
no
ART
same gender
US
earlier
placenta, membranes
two diff genders
separate, thick, lambda/twin peak
same, thin, t sign
no, cord entanglement
All twins at inc risk for P G P IU\_\_ and \_\_\_ \_\_ and \_\_ abnormalities
inc risk of __ abnromalities
greater w
Dizygous twins
inc risk of __/__ abnorm
risk of aneuploidy is __ compared to __
Complication of monozyg twins
Splitting is a __ event
Inc risk of ___
Inc risk of
preterm delivery
gestational DM
preeclampsia
IUGR, growth abnrom
structural
monozygous
aneuploid, genetic
2x greater, singleton
teratogenic
strctural abnroaml
CHD
