Pregnancy Flashcards

1
Q

what prenatal vitamin should be taken to prevent nueural tube defects

A

400 mg folic daily

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2
Q

what is the best weight gain for healthy pregnant woman

A

25- 35 lbs

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3
Q

what should underweight pregnant pt gain

A

28 - 40 lbs

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4
Q

obese patient should gain only

A

11 - 20 lbs

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5
Q

what are the positive signs of pregnancy

A

palpatoin of the fetus by MD
US and visualazation of the fetus
Fetal heart tones

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6
Q

what are the probable signs of pregancy

A

Goodells sign (4 weeks) cervical softening
Chadwick’s - blue discolaration of the cervix
enalrged uterus
urine or blood test positive HCG

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7
Q

presumptive signs of pregnancy

A

amenorrhea
n/v
fatigue
breast enlargement
urineary frequency

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8
Q

all probable signs are

A

goodells, Chadwicks, hegar

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9
Q

quicking is considered a

A

presumptive sign

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10
Q

Urine serum pregnancy tests are considered what sign of pregnancy

A

probable

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11
Q

fetal hight at 12 weeks is at

A

rises above the symphysis pubis

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12
Q

16 weeks the fetus is

A

between teh symphysis pubis and the umbilicus

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13
Q

20 weeks the fetus is

A

level of umbilicus

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14
Q

Naegeles rule

A

LMP - 3 months + 7 days

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15
Q

The LMP month on the exam will either be January (01), February (02), or March (03)

A

LMP: EDD:
January October
February November
March December

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16
Q

what heart sound is normal in pregnancy

A

S3

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17
Q

chloasma and melasma is due to what

A

high estrogen levels

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18
Q

placenta prevdia is what

A

vaginal bleeding (bright red) without hypertonic tender uterus

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19
Q

placenta abruptio is

A

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

20
Q

ashkenazi jews should be screened for

A

tay-sachs disease

21
Q

preferred med for HTN in pregnancy is

A

methyldopa, labetaol, hydralazine and long acting nifedipine

22
Q

when taking methyldopa what should be checked

A

baseline LFT - stop if jaundice

23
Q

what count in UA is considered a UTI in pregnant women

A

10 to 3

24
Q

what drug is given for mastitis

A

Dicloxacillin or cephalexin (reflex) 10 - 14 days

25
Q

first line treatment for chlamydia infeciton is

A

azithromyocin

26
Q
A
27
Q

Placenta previa occurs in 2

A

2nd & 3rd trimester

28
Q

Placenta period bleeding can be

A

Bright red painless bleeding - can cause preterm labor

29
Q

What are positive signs of pregnancy

A

Fetal movement
US
Delivery of baby
Fetal movement

30
Q

How do we ex placenta previa

A

US

31
Q

Ph of vagina is normally

A

4.5 - 6.0

32
Q

Goodall sign

A

Probable sign of pregnancy
Softening of cervix
Around 5WKS

33
Q

Chadwick sign (probable signs

A

Occurs around 4th wk
Blue color

34
Q

Hegar sign

A

Softening of uterine body

35
Q

Placenta abruption

A

Dark red blood S painful
Ripping pain

36
Q

Placenta abrupt is an

A

Emergency

37
Q
  • Fundal height at 12 woks
A

Above the pubic symphysis

38
Q

Fundal I height at 20 was

A

At the umbilicus

39
Q

Fundal height 16 weeks

A

In between pubic syphisis E umbilicus

40
Q

Measuring what is ok

A

2 cm above or below

41
Q

What is the 1st line med for pregnant patient with uti

A

~nitroforonton _macrobid can give in 1st and 2nd trimester not 3rd

42
Q

What med can be given in 3rd trimester for patient pregnant with urinary tract infection

A

Cephalexin_keflex

43
Q

What do you tell patient with mastitis

A

Keep breast feeding

44
Q

Drug of choice for mastitis

A

Reflex or dicloxacillin keflex

45
Q

Sudden spike in patients blood pressure

A

Pre-eclampsia

46
Q

Nägel rule

A

’ Last day of LMP add 9 months + 7 days