Pregnancy Flashcards
preconception folic acid
0.4mg
pregnancy confirmed folic acid
1 mg
Symptoms of pregnancy
- Late or missed menses
- Frequent urination
- Fatigue
- Breast tenderness
- Nausea and/or vomiting (morning sickness)
Treatment for nausea in pregnancy
ginger, saltines, ginger ale
AVOID zofran
diclegis (doxylamine (antihistamine) and pyridoxine (b6)) 2 tab hs
pregnancy testing
urine- sensitive 9-12 days after conception
serum sensitive 8-11 days best test
domestic violence screening pregnancy
screen ALL pregnant women
often worsens during pregnancy
domestic violence clues
bruising
improbable injury
depression, anxiety
late prenatal care/missed care
cancellation of appt
overprotective partner
hcg doubles every
24-72 hours in normal pregnancy in 1st trimester
hiv screening pregnancy
1st, 3rd timester
ectopic pregnancy symptoms
lower abdominal pain (unilateral)
bleeding
missed menses
low grade fever
**Hcg doesn’t double
ectopic pregnancy risk factors
previous ectopic preg
tubal pathology, sx
current IUD
previous cervicitis
PID
pregnancy exercise
30 min moderate exercise on most days
avoid any risk for trauma/falls
pregnancy cramping that worsens or is associated with bleeding may indicate
ectopic pregnancy or threatened abortion
immunizations given EVERY pregnancy to protect newborn
flu
tdap (27-36 wks)
avoid these vaccines in pregnancy
live attenuated
MMR
varicella
schedule of visits in pregnancy
until 28 weeks- every 4 weeks
28-36 wks- every 2 wks
36 wks- weekly
gestational diabetes screening
24-28 weeks
18% of pts
diabetes diagnosed at first visit
overt diabetes
screening for GDM
two step- 1 hr non fasting 50 gtt THEN diagnostic
one step- 1 hr 75mg GTT
if positive GDM screening then perform
3 hour 100 GTT
if two of these met, diagnosed with GDM
fasting glucose: >95
1 hour: >180
2 hour: >155
3 hour: >140
trisomy 21
downs syndrome
most common chromosomal abnormality in live births
x-chromosome defect
turner syndrome
most common sex chromosome abnormality in girls
short stature square chest
quickening normally occurs
17-20 wks- first preg
15-16- subsequent
