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LEIK FNP Review > pregnancy > Flashcards

pregnancy Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

what is the recommended amount of folic acid supplementation for all women?

A

0.4 mg OR 400 mcg

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2
Q

what is the recommended amount of folic acid supplementation for pregnant women?

A

1mg daily OR 1000 mcg

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3
Q

what is the first line medication for nausea in pregnancy?

A

Diclegis or Doxylamine succinate 10 mg (antihistamine)

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4
Q

Hcg ____ every 24 to 72 hours in 1st trimester.

A

doubles.
Hcg doubles every 24 to 72 hours in 1st trimester.

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5
Q

when should HIV be screened in pregnacy?

A

first and third trimester

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6
Q

what two immunizations need to be given during pregnancy?

A

Influenza and and tdap

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7
Q

when can influenza shot be given in pregnancy?

A

anytime in pregnacy

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8
Q

when is it best to get the Tdap in pregnancy?

A

at 27 to 36 weeks gestation

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9
Q

what are the two live attenuated vaccinations to avoid in pregnacy?

A

MMR and varicella

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10
Q

how often do you see pregnant patients until 28 weeks gestation?

A

every 4 weeks

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11
Q

how often do you see pregnant patients from 28 weeks to 36 weeks gestation?

A

every 2 weeks

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12
Q

how often do you see pregnant patients after 36 weeks gestation?

A

every week

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13
Q

when should screening be done for gestational diabetes?

A

at 24 to 28 weeks

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14
Q

diabetes diagnosed at initial visit is called what?

A

overt diabetes

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15
Q

diabetes diagnosed during pregnancy is called what?

A

gestation diabetes

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16
Q

what are the three screening tests for overt diabetes?

A

fasting blood sugar greater than 126
random blood glucose greater than 200
a1c is greater than 6.5%

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17
Q

what is the screening for gestation diabetes

A

Fasting 102 hour 75 g oral tolerance test

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18
Q

what is considered a positive screen for gestation diabetes:
how many criteria is needed for a diagnosis?

A

2 criteria is needed to establish diagnosis
fasting glucose that is greater than 95
1 hour glucose tolerance test greater than 180
2 hour glucose tolerance test greater than 155
3 hour glucose tolerance test greater than 140

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19
Q

what is McDonald’s rule?

A

it is for fundal height.
at approximately 18 to 24 weeks pregnant, there is a good correlation between fundal height (cm) and gestational age of fetus (in weeks).
should be about estimated with plus 2 cm more or less

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20
Q

what age is a woman considered an elderly primate?

A

35

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21
Q

when should screening for alpha fetoprotein, estriol, inhibin A, or beta-hcg occur?

A

at 15 to 22 weeks

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22
Q

what chromosome does down syndrome effects?

A

trisomy 21
most common chromosomal abnormality

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23
Q

what is Turner syndrome?

A

most common sex chromosome abnormality in females
short in stature, square chest, etc

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24
Q

what is fetal movement called?

A

quickening

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25
Q

when should a primipara feel fetal movement?

A

at 17 to 20 weeks

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26
Q

for subsequent pregnancies, when should they feel fetal movement?

A

at 15 to 16 weeks

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27
Q

when should a mother who is Rh- (negative) receive a RhoGam shot?

A

at about 28 weeks and within 72 hours of delivery

28
Q

if a woman who is Rh negative has a suspected miscarriage, should she receive RhoGam?

A

yes.
she should receive RhoGam that day.

29
Q

low/dull backache, increased uterine activity, menstrual like cramps, diarrhea, spotting/bleeding are symptoms of what?

A

preterm labor

30
Q

what are signs/symptoms of labor?

A

low back pain
passage of “bloody show”
regular contractions
rupture of membranes

31
Q

for a woman with a normal BMI, what is the recommended weight gain?

A

25 to 35 lbs

32
Q

for a woman with a BMI of 25 to 29, what is the recommended weight gain?

A

15 to 25 lbs

33
Q

for a woman with a BMI of 30 or more, what is the recommended weight gain?

A

about 11 to 20 lbs

34
Q

when should fetal kick counts be done?

A

at 28 weeks gestation

35
Q

what is a normal fetal kick count?

A

at least 3 to 5 times within 1 hour

36
Q

when should a mother get screened for group b strep?

A

at 35 to 37 weeks
it is a vaginal and rectal swab

37
Q

why can’t fluconazole, be given in pregnacy?

A

can cause miscarriage

38
Q

for women with asthma, can they take inhaled corticosteroids?

A

yes, it is safe in pregnancy

39
Q

Bactrim, doxycycline, and levofloxacin can or can’t be used in pregnancy

A

Can’t be used in pregnancy, they are all teratogenic

40
Q

what is the Fern test?

A

a test to check for preterm premature rupture of membrane

obtain fluids via swab from the posterior vaginal fornix on a slide, allow it to dry for 10 minutes or more, if positive and it is amniotic fluid, it will look like frost on a window.
send to ER or call 911

41
Q

painless vaginal bleeding is associated with what?

A

placenta previa

42
Q

can placenta previa progress to placenta abruptio?

A

yes

43
Q

when can pre-eclampsia occur?

A

as early as the 20th weeks of gestation

44
Q

what blood pressure medications can be given to pregnant women?

A

methyldopa
hydralazine
nifedipine (CCB)

45
Q

spina bifida, anencephaly, and encephalocele are examples of what?

A

neural tube defects

46
Q

the uterine fundus should be palpable at 20 weeks where?

A

at the level of the umbilicus

47
Q

Is the MCV affected by pregnancy?

A

No it is not

48
Q

what risk does cigarettes or smoking cause on fetal health?

A

intrauterine growth retardation, prematurity

49
Q

what two ssri drugs should not be given in pregnancy?

A

paroxetine (paxil) and fluoxetine

50
Q

what is the best amount of weight gain to have during pregnancy?

A

25 to35 lbs

51
Q

women who are pregnant at age 35 yrs have a “geriatric pregnancy” they are at higher risk for what?

A

chromosomal abnormalities
preeclampsia
low birth weight infants
miscarriage, premature birth
complications during delivery, more likely to have c-section

52
Q

what is goddell’s sign?

A

cervical softening, seen at 4 weeks

53
Q

what is chadwick’s sign?

A

blue discoloration of the cervix and vagina

54
Q

what is hegar’s sign?

A

softening of the uterus isthmus

55
Q

urine/serum pregnancy tests are considered which: a probable sign or positive sign?

A

probable sign of pregnancy

56
Q

what is naegele’s rule?

A

last menstrual period date subtract 3 months and add 7 days

57
Q

vaginal bleeding that is bright red without hypertonic tender uterus is what condition?

A

placenta previa

58
Q

vaginal bleeding that is intermittent with hypertonic, hard, and tender uterus is what condition?

A

placenta abruptio

59
Q

g is for what?

A

gravida, number of pregnancies

60
Q

t is for what?

A

term, pregnancies to term

61
Q

p is for what?

A

number of deliveries after 20 weeks, preterm

62
Q

a is fr what?

A

abortion, number of abortions

63
Q

L is for what?

A

living, number of living children

64
Q

what is the coombs test?

A

tests for Rh antibodies in the infant

65
Q

urinary tract infections increase the risk of what?

A

preterm labor
low birth weight
perinatal mortality

LEIK FNP Review (19 decks)

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