Brainscape's Knowledge GenomeTM

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


See full index

Test 2 PC1 > Pregnancy > Flashcards

Pregnancy Flashcards

1
Q

Pregnancy is

A

a time sensitive endeavor
not a disease
needs little intervention

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

Most important assessment with pregnancy

A

constant vigilance

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

First trimester

A

0-12 weeks

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

Second trimester

A

13-28 weeks

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

Third trimester

A

29-40 weeks

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

Qualitative lab value for pregnancy

A

yes/no are you pregnant?

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

Quantitative lab value for pregnancy

A

an actual value that should double in 48 hours

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

Early vaginal bleeding

A

do you need to draw quants
what is their blood type (Rhogam)
progesterone

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

First trimester screening

A

Nuchal Translucency (PAPP-A Blood
HCG
chorionic villus sampling
(these are optional and look at folds on back of the neck)

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

Second trimester screening

A

gender ultrasound (18-22 weeks)
GDM (24-28wks)
Anemia (24-28 wks)
RhoGam for RH neg moms

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

Third trimester screening

A

GBS 36-37 weeks

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

Monitor those overdue

A

NSTs

BPPs

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

Calculate EDD

A

subtract 3 months + 7 days

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

Goal during preconception

A

optimize health
minimize risk
folic acid

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

Advanced maternal age

A

35 years and older

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

Pregnancy visits

A

Q4 weeks until 28 weeks
Q2 weeks until 36
Q week until delivery

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

components of pregnancy visits

A 
Wt
UA
BP
fetal movment
fundal ht
cervical exam
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Fundal height at 20 weeks

A

at umbilicus from symphysis pubis to fundus

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

New OB labs

A 
G/C
UA
Pap
HIV
RPR/VDRL
Type & screen
Hep B
CBC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Antidepressant Drug of choice PP

A

Zoloft

21
Q

Postpartum visit

A

at 6 weeks and 3 months

22
Q

High risk screen for GDM

A

at 1st prenatal visit if family hx, prev preg with GDM, PCOS

23
Q

1 hour glucose challenge

A

50g glucose oral solution

24
Q

Indication of need for 3 hour GTT

A

1 hour glucose >135

25
Q

Diagnose GDM

A

2 out of 4 values abnormal in 3 hour

26
Q

Goal of GDM tx

A

FBS <140
reduce macrosomia
reduction of stillbirth

27
Q

Risks with GDM

A 
Spont AB
IUFD
Congenital malformations (VSD)
neural tube defects
sacral agenesis
28
Q

Fetal surveillance with GDM

A

weekly NSTs starting at 28-32 weeks

serial ultrasounds

29
Q

Chronic HTN in pregnancy

A

elevated BP < 20 weeks

BP >140 systolic and presists >12 weeks PP

30
Q

Pregnancy induced HTN

A

elevated BP after 20 weeks

31
Q

Edema in pregnancy

A

considered normal

32
Q

Risk factors for preeclampsia or eclampsia

A 
paternal mother
daughters of preeclmaptic mothers
sister
nulliparity
pregnancy with new father
less than 20 yo
greater than 35 yo
33
Q

When is final diagnosis made for gestational hypertension

A

12 weeks PP if BP returns to normal

34
Q

Mild Preeclampsia

A 
diastolic BP <100
trace to 1+ protein
No HA
No epigastric pain
Neg thrombocytopenia
normal creatinine
mild elevation in lfts
35
Q

Severe Preeclampsia

A 
SBP >160, DBP >110
2+ protein
HA
epigastric pain
creatinine >1
hyperbilirubinemia
thrombocytopenia
pulmonary edema
oligouria <500ml/24 hours
36
Q

Gold standard for protein eval

A

24 hour urine (>300mg/24 hours)

37
Q

Superimposed Preeclampsia on chronic HTN

A

new onset proteinuria
sudden increase in BP, LFTs
decreased plts

38
Q

Acute urethritis caused by

A

E. coli
N. gonorrhea
C. trachomatis

39
Q

If there is a hx of recurrent UTIs

A

test for a cure
every trimester screening with culture
suppression therapy with macrobid

40
Q

Tx of UTI in pregnancy

A

Amox 500 TID x 7 days
Cephalosporin 250 QID x 7 days
Macrobid (Nitrofurantion) 100 BID x 7 days

41
Q

Pyelo in pregnancy

A

bacterial infection of upper urinary tract
unilater usually
more common in 2nd and 3rd trimesters

42
Q

Pyelo s/s

A

fever/chills
flank pain
hematuria
CBC left shift

43
Q

Spont AB

A

unintended termination before 20 weeks

most occur before 12 weeks

44
Q

If more than 3 SAB

A

recommend genetic counseling and reproductive endocrine

45
Q

Preterm labor

A

any time 20weeks to 37 weeks

cervical length 30 mm, no risk

46
Q

Predictors of preterm birth

A

previous PT del
cerv length
BV
cervicovaginal fibronectin

47
Q

If size > dates

A 
inaccurate dates
fibroids
multiple gestation
poly
DM
Breech presentation
LGA
48
Q

If size < dates

A 
inaccurate dates
small mom
maternal HTN
smoking
IUGR
abnormal cord insertion
fetal anomalies

Test 2 PC1 (4 decks)

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