Pregnancy Flashcards
what prenatal vitamin should be taken to prevent nueural tube defects
400 mg folic daily
what is the best weight gain for healthy pregnant woman
25- 35 lbs
what should underweight pregnant pt gain
28 - 40 lbs
obese patient should gain only
11 - 20 lbs
what are the positive signs of pregnancy
palpatoin of the fetus by MD
US and visualazation of the fetus
Fetal heart tones
what are the probable signs of pregancy
Goodells sign (4 weeks) cervical softening
Chadwick’s - blue discolaration of the cervix
enalrged uterus
urine or blood test positive HCG
presumptive signs of pregnancy
amenorrhea
n/v
fatigue
breast enlargement
urineary frequency
all probable signs are
goodells, Chadwicks, hegar
quicking is considered a
presumptive sign
Urine serum pregnancy tests are considered what sign of pregnancy
probable
fetal hight at 12 weeks is at
rises above the symphysis pubis
16 weeks the fetus is
between teh symphysis pubis and the umbilicus
20 weeks the fetus is
level of umbilicus
Naegeles rule
LMP - 3 months + 7 days
The LMP month on the exam will either be January (01), February (02), or March (03)
LMP: EDD:
January October
February November
March December
what heart sound is normal in pregnancy
S3
chloasma and melasma is due to what
high estrogen levels
placenta prevdia is what
vaginal bleeding (bright red) without hypertonic tender uterus
placenta abruptio is
vaginal bleeding that is intermittent with hypertonic, hard and tender uterus
ashkenazi jews should be screened for
tay-sachs disease
preferred med for HTN in pregnancy is
methyldopa, labetaol, hydralazine and long acting nifedipine
when taking methyldopa what should be checked
baseline LFT - stop if jaundice
what count in UA is considered a UTI in pregnant women
10 to 3
what drug is given for mastitis
Dicloxacillin or cephalexin (reflex) 10 - 14 days
first line treatment for chlamydia infeciton is
azithromyocin
Placenta previa occurs in 2
2nd & 3rd trimester
Placenta period bleeding can be
Bright red painless bleeding - can cause preterm labor
What are positive signs of pregnancy
Fetal movement
US
Delivery of baby
Fetal movement
How do we ex placenta previa
US
Ph of vagina is normally
4.5 - 6.0
Goodall sign
Probable sign of pregnancy
Softening of cervix
Around 5WKS
Chadwick sign (probable signs
Occurs around 4th wk
Blue color
Hegar sign
Softening of uterine body
Placenta abruption
Dark red blood S painful
Ripping pain
Placenta abrupt is an
Emergency
- Fundal height at 12 woks
Above the pubic symphysis
Fundal I height at 20 was
At the umbilicus
Fundal height 16 weeks
In between pubic syphisis E umbilicus
Measuring what is ok
2 cm above or below
What is the 1st line med for pregnant patient with uti
~nitroforonton _macrobid can give in 1st and 2nd trimester not 3rd
What med can be given in 3rd trimester for patient pregnant with urinary tract infection
Cephalexin_keflex
What do you tell patient with mastitis
Keep breast feeding
Drug of choice for mastitis
Reflex or dicloxacillin keflex
Sudden spike in patients blood pressure
Pre-eclampsia
Nägel rule
’ Last day of LMP add 9 months + 7 days
