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H&p > Pregnancy > Flashcards

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
Q

How many days + ovulation to due date

A

266

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25
Q

Us accuracy increases Or decreases with gestation

A

Decreases

1 trimester 1 week

2: 2
3: 3

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26
Q

Which way of measuring is 3-5 days w/in actual in 1st trimester

A

Crown rump

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27
Q

When can non-electric fetoscopy hear fht

A

18-20 weeks

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28
Q

When can Doppler hear fht

29
Q

When does quickening occur

A

16-20 weeks

30
Q

Increases risk for what in mothers less than 20

A

Small gestation sage

Preeclampsia

31
Q

Pregnant teenagers have an increased risk of

A 
Anemia
Uterine dysfunction
Cephalopelvic disproportion
Low birth weight
Perinatal mortality
32
Q

Risks over 35

A 
Htn
Preeclampsia 
DM
Gestational diabetes 
Late pregnancy bleeding 
Chromosomal abnormality 1/200 (1/20 at 44)
33
Q

Women with more than 5 children.

A

Grandmaltip

34
Q

Grandmaltip risks

A 
Placenta previa
Placenta accrete
Post partum hemorrhage
Uterine rupture
C section hysterectomy
35
Q

Placenta accrete

A

Growth into wall of uterus

36
Q

Postpartum hemorrhage

37
Q

What kind of delivery must placenta previa have

38
Q

Does placenta previa bleed

A

If so it’s bright red without complications or contractions

39
Q

How is placenta previa diagnosed

A

Ultrasound

40
Q

Small statured women

A

Cephalopelvic disproportion –> c section

41
Q

Increased perinatal mortality

A

Under 120 pounds

Over 200 pounds

42
Q

Ideal body weight calculation

A

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
Q

Failure to gain weight suggests

A 
Dehydration
Anorexia
Bulimia
Fetal death
Fetal growth restriction
Oligohydraminos
44
Q

Excessive weight gain

A

Fluid retention (preeclampsia)
Gestational DM
Eating too much

45
Q

Don’t lose more than____ first trimester

46
Q

Who should gain slightly more than recommended

A

Teens and African Americans

47
Q

History of DM, htn, and renal disease increased risk for

A 
Intrauterine growth restriction
Premature labor
Toxemia/preeclampsia
Abruptio placentae
Gestational diabetes
48
Q

Maternal effect of diabetes

A 
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
Q

Describe bleeding in abruptio placentae

A

Dark red when it does bleed

50
Q

When do moms get rhogam

A

28 weeks gestation

51
Q

When else is rhogam given

A

After birth if baby is Rh+

52
Q

When do you give rhogam early

A

Procedures
Bleeding
Trauma

53
Q

What must you do if you give rhogam early

A

Only lasts 12 weeks, next dose at 26 weeks then at birth

54
Q

When is elective amniocentesis

A

14 weeks

If negative, get rhogam. Then and 12 weeks later

55
Q

What % reduction in transmit tante with HIV treatment

56
Q

How must herpes deliver?

57
Q

What are babies at risk for if exposed to condyloma

A

Laryngeal condyloma

58
Q

How to assess infection previous/current

A

IgG previous

IgM latent

59
Q

Prognosis of varicella during pregnancy

A

Deadly but can’t get vaccine during pregnancy

60
Q

Slap cheek aka

A

Parvovirus b19 risk of birth defects

61
Q

Tobacco during pregnancy

A

IUGR
Placental abruption
Hypoxia

62
Q

Risks of cocaine during pregnancy

A

Congenital abnormalities
Placental abruption
Preterm labor
Stillborn

63
Q

Endometrium of pregnancy

64
Q

Increased hyper emesis in

A 
Multiple gestation pregnancies 
Molar pregnancy (increased hCG)
65
Q

Heaviness in breast by

66
Q

Areola darken by

67
Q

Colostrum appears by

68
Q

Abdominal enlargements

A

12weeks- at pelvic bone

20 weeks- into abdomen

69
Q

When does an increase in abdominal girth occur

A

15th week

Earlier in multiparous

70
Q

When does quickening occur

A

20 weeks-primigravida

16-18 weeks: multiparous

H&p (2 decks)

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