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Pregnancy Flashcards

0
Q

When can morning sickness present?

A

Early to 12-16 weeks

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1
Q

When should pregnancy be considered

A

Sexually active

Period delayed days to. Week w

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2
Q

What chemical do pregnancy tests react to?

A

Beta hCG

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3
Q

Where is beta-hCG produced

A

Placent

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4
Q

How much will beta hCG be raised in pregnancy

A

100,000 at 10 weeks

20,000 - 30,000 in third trimester

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5
Q

When and how can gestational sac be seen

A

5 weeks on us

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6
Q

At what beta hCG can pregnancy be noted

A

1500-2000

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7
Q

When can fetal heart tone be picked up

A

6 weeks

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8
Q

Embryo

A

Fertilization until 8 weeks

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9
Q

Fetus

A

8 weeks- birth

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10
Q

Infant

A

Birth to 1 year

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11
Q

First trimester

A

Until 14 weeks gestational age

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12
Q

Second trimester

A

Until 28 weeks gestational age

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13
Q

Third trimester

A

28 weeks until delivery

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14
Q

Previable

A

Before 24 weeks

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15
Q

Preterm

A

24-37 weeks

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16
Q

Term

A

37-42 weeks

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17
Q

Postdates or post term

A

> 42 weeks

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18
Q

When do we consider a parity

A

More than 500 grams

More than 20 weeks

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19
Q

Gestational age

A

Age of fetus measured from lmp

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20
Q

Developmental age

A

Days or weeks in age since fertilization occurred

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21
Q

What is 2 weeks more than what in ages?

A

Gestational > developmental

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22
Q

Nagele’s rule

A

FDLMP - 3 months + 7 days + 1 year

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23
Q

Nagele’s rule simple

A

LMP + 280 days

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24
How many days + ovulation to due date
266
25
Us accuracy increases Or decreases with gestation
Decreases 1 trimester 1 week 2: 2 3: 3
26
Which way of measuring is 3-5 days w/in actual in 1st trimester
Crown rump
27
When can non-electric fetoscopy hear fht
18-20 weeks
28
When can Doppler hear fht
10 weeks
29
When does quickening occur
16-20 weeks
30
Increases risk for what in mothers less than 20
Small gestation sage | Preeclampsia
31
Pregnant teenagers have an increased risk of
``` Anemia Uterine dysfunction Cephalopelvic disproportion Low birth weight Perinatal mortality ```
32
Risks over 35
``` Htn Preeclampsia DM Gestational diabetes Late pregnancy bleeding Chromosomal abnormality 1/200 (1/20 at 44) ```
33
Women with more than 5 children.
Grandmaltip
34
Grandmaltip risks
``` Placenta previa Placenta accrete Post partum hemorrhage Uterine rupture C section hysterectomy ```
35
Placenta accrete
Growth into wall of uterus
36
Postpartum hemorrhage
>1000 cc
37
What kind of delivery must placenta previa have
C section
38
Does placenta previa bleed
If so it's bright red without complications or contractions
39
How is placenta previa diagnosed
Ultrasound
40
Small statured women
Cephalopelvic disproportion --> c section
41
Increased perinatal mortality
Under 120 pounds | Over 200 pounds
42
Ideal body weight calculation
Started with 100 pounds for first 5 feet then add or subtract 5 pounds if Patient weighs 90% or less of IBW then 30-40 pounds be gained 90-135% 25-35 pounds Over 135% 15-20 pounds
43
Failure to gain weight suggests
``` Dehydration Anorexia Bulimia Fetal death Fetal growth restriction Oligohydraminos ```
44
Excessive weight gain
Fluid retention (preeclampsia) Gestational DM Eating too much
45
Don't lose more than____ first trimester
5 pounds
46
Who should gain slightly more than recommended
Teens and African Americans
47
History of DM, htn, and renal disease increased risk for
``` Intrauterine growth restriction Premature labor Toxemia/preeclampsia Abruptio placentae Gestational diabetes ```
48
Maternal effect of diabetes
``` Increased risk of Preeclampsia & eclampsia by 4x Macroscopic fetus leading to traumatic delivery C section and complications Hydraminos Cardioresperatiey symptoms in mother Major anomalies x3 Preterm delivery x3 Neonatal morbidity Infant predisposition to DM ```
49
Describe bleeding in abruptio placentae
Dark red when it does bleed
50
When do moms get rhogam
28 weeks gestation
51
When else is rhogam given
After birth if baby is Rh+
52
When do you give rhogam early
Procedures Bleeding Trauma
53
What must you do if you give rhogam early
Only lasts 12 weeks, next dose at 26 weeks then at birth
54
When is elective amniocentesis
14 weeks | If negative, get rhogam. Then and 12 weeks later
55
What % reduction in transmit tante with HIV treatment
80%
56
How must herpes deliver?
C section
57
What are babies at risk for if exposed to condyloma
Laryngeal condyloma
58
How to assess infection previous/current
IgG previous | IgM latent
59
Prognosis of varicella during pregnancy
Deadly but can't get vaccine during pregnancy
60
Slap cheek aka
Parvovirus b19 risk of birth defects
61
Tobacco during pregnancy
IUGR Placental abruption Hypoxia
62
Risks of cocaine during pregnancy
Congenital abnormalities Placental abruption Preterm labor Stillborn
63
Endometrium of pregnancy
Decidua
64
Increased hyper emesis in
``` Multiple gestation pregnancies Molar pregnancy (increased hCG) ```
65
Heaviness in breast by
6th week
66
Areola darken by
8th week
67
Colostrum appears by
16tn week
68
Abdominal enlargements
12weeks- at pelvic bone | 20 weeks- into abdomen
69
When does an increase in abdominal girth occur
15th week | Earlier in multiparous
70
When does quickening occur
20 weeks-primigravida | 16-18 weeks: multiparous

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