Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Women's Health > Pregnancy > Flashcards

Pregnancy Flashcards

1
Q

How do you diagnose pregnancy?

A
  1. Amenorrhea
  2. Positive urine pregnancy test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How do you confirm EDD at 6-12 weeks?

A

Crown Rump length u/s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How do you confirm EDD at 13-20 weeks?

A

Biparietal diameter (u/s)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When will serum HCG show positive?

A

3 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does HCG stand for?

A

Human chorionic gonadotropin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When does urine HCG show positive?

A

4 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When are fetal heart sounds audible by doppler?

A

10 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When does fundal height equal gestational age?

A

Around 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is Naegele’s rule for EDD calculation?

A

LMP + 7 days - 3months + 1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is full term?

A

40 weeks, 280 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What weeks are an embryo

A

2-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What weeks are a fetus?

A

11-40+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens during the embryonic phase?

A

Organogenesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What happens during the fetal phase?

A

-Growth
-Lung development
-Brain development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The further a pregnancy progresses, ultrasound becomes ________ accurate in predicting due date

A

Less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

G0P0 G=? P=?

A

G= total # of pregnancies
P= term, preterm, abortion, living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

P=

A

term, preterm, abortion, living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Infant = _______

A

birth to 365 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Neonate = ______

A

Birth -28 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Perinatal period =

A

28 weeks GA to 7 days postpartum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Preterm =

A

20 weeks GA to 36 6/7 weeks GA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Postterm =

A

> 42 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What timeline defines abortion

A

<20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the five main physiological areas of change during pregnancy?

A
  1. CV
  2. Respiratory
  3. Renal / GU
  4. GI
  5. Heme
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What CV values increase during pregnancy? (5)

A

-Blood volume (50%)
-RBC mass (30%)
-Cardiac output
-Stroke volume
-Heart rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What cardiovascular values decrease during pregnancy? (2)

A

-Peripheral vascular resistance
-Blood pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

At term, ____ of cardiac output goes to the uterus

A

1/3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What respiratory values increase in pregnancy?

A

Tidal volume
Minute ventilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What respiratory values decrease in pregnancy?

A

Reserve
Residual volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Pregnancy can cause physiologic ____ (respiratory value)

A

Hypocapnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Pregnancy can cause mild to moderate hydro______, usually more prominent on the ___ side

A

Hydronephrosis, right

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What renal values increase in pregnancy?

A

-Plasma flow
-GFR

33
Q

What renal values decrease in pregnancy?

A

Serum creatinine and BUN

34
Q

What increases in the urine in pregnancy and what can that cause?

A

Glucosuria, can contribute to higher UTI risk

35
Q

What mechanical GU change happens in pregnancy?

A

Bladder compression and urinary frequency

36
Q

What happens to the GI system in pregnancy?

A

Slows, delayed gastric emptying, slow intestinal transit times and constipation

37
Q

What does delayed gastric emptying cause in pregnancy?

A

Esophagitis

38
Q

What heme values increase in pregnancy?

A

Clotting factors
Fibrinogen
VIII

39
Q

What heme value decreases in pregnancy?

A

Fibrinolytic activity

40
Q

What is the net prothombotic effect of heme changes in pregnancy?

A

Up to 8x higher

41
Q

What is clinical pelvimetry for?

A

Predicting ability to deliver vaginally (not very accurate)

42
Q

Most tests done in pregnancy are (diagnostic/screening)

A

Screening

43
Q

What are two things that are never normal in pregnancy?

A

-Vaginal bleeding
-Severe pain

44
Q

What three things may cause bleeding in the first trimester?

A
  1. Ectopic pregnancy
  2. Spontaneous abortion
  3. Gestational trophoblastic disease
45
Q

What 3 things can cause bleeding in the 2nd and 3rd trimester?

A
  1. Preterm labor/labor
  2. Placental abruption
  3. Placenta previa / vasa previa
46
Q

How much weight should a healthy weight pregnancy gain?

A

25-35 lbs

47
Q

How much weight should an underweight pregnancy gain?

A

35-45 lbs

48
Q

How much weight should an overweight/obese pregnancy gain?

A

12-25 lbs

49
Q

How much weight should a morbidly obese pregnancy gain?

A

0-15 lbs

50
Q

How many additional calories do pts need in pregnancy?

A

Up to 500 extra calories in third trimester

51
Q

What supplements should be given in pregnancy?

A

Iron: 30 mg
Calcium: 1200 mg
Folate: 400 mcg

52
Q

How much iron should be given for anemia in pregnancy?

A

60-120 mg

53
Q

When should folate supplementation be increased to 4 mg?

A

-Hx of neural tube defects
of
-On anticonvulsants

54
Q

What are Category A meds in pregnancy?

A

Robust evidence of safety.

55
Q

What are Category B meds in pregnancy?

A

Limited evidence of safety

56
Q

What are Category B meds in pregnancy?

A

Lacking evidence of safety but no evidence of harm

57
Q

What are Category D meds in pregnancy?

A

Some evidence of harm, avoid unless not possible

58
Q

What are Category X meds in pregnancy?

A

Compelling evidence of harm. Do not use in pregnancy

59
Q

What general medications are commonly used in pregnancy?

A

-Acetaminophen
-Antihistamines
-H2 blockers
-Topical treatments (such as inhaled corticosteroids)
-Some BP (labetalol, nifedipine)

60
Q

Are ACEIs safe in pregnancy?

A

No

61
Q

Are ARBS safe in pregnancy?

A

No

62
Q

Are diuretics safe in pregnancy?

A

No

63
Q

Are NSAIDS safe in pregnancy?

A

No

64
Q

Why are NSAIDS contraindicated in pregnancy?

A

Premature closure of ductus arteriosis

65
Q

Are retinoids safe in pregnancy?

A

No

66
Q

Is doxy safe in pregnancy?

A

No

67
Q

Is acetaminophen safe in pregnancy?

A

Yes

68
Q

Are antihistamines safe in pregnancy?

A

Yes

69
Q

Are H2 blockers safe in pregnancy?

A

Yes

70
Q

Are topical treatments safe in pregnancy?

A

Yes

71
Q

Are inhaled corticosteroids safe in pregnancy?

A

Yes

72
Q

Is labetalol safe in pregnancy?

A

Yes

73
Q

Is Nifed safe in pregnancy?

A

Yes

74
Q

Are anticonvulsants safe in pregnancy?

A

No

75
Q

What is the visit schedule for an uncomplicated pregnancy?

A

-Establish care
-Monthly > 32 weeks
-Then every 2 week to term
-Then weekly until delivery
-Possibly 2x per week if post-term

76
Q

What testing should be done in the first trimester?

A

-Blood type
-Antibody
-STI
-Anemia
-Bacteriuria
-Genetic carrier screening
-Possible screen for aneuploidy

77
Q

What testing is done in 2nd trimester?

A

-Quad screen
-Fetal anatomic survey (u/s)
-Gestational DM
-Anemia

78
Q

What is a quad screen?

A

Aneuploidy and neural tube defects

79
Q

What screening should be the 3rd trimester?

A

GBS colonization

Women's Health (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions