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Womens Health Cards > Pregnancy > Flashcards

Pregnancy Flashcards

1
Q

What are some main s/sx of pregnancy

A 
Amenorrhea
N/V
Breast changes
Fetal movement 
Elevated body temp
Skin changes
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2
Q

What is known as “the mask of pregnancy” or darkening of forehead, bridge of nose, cheekbones

A

Chloasma

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3
Q

What is known as the bluish coloration of the vagina/cervix due to increased congestion of vasculature

A

Chadwick sign

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4
Q

What is softening of the uterine isthmus

A

Hegar sign

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5
Q

What is the softening of the tip of the cervix

A

Goodell’s sign

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6
Q

What is increased vaginal discharge due to hormonal changes

A

Leukorrhea

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7
Q

When is b-hcg produced by the placenta

A

8 days after fertilization

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8
Q

How do you difinitivly diagnose a pregnancy

A

Visualization
Transvaginal US- 3-4 weeks
Trans abd US- 5-6 weeks

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9
Q

When can you hear fetal heart tones

A

Handheld Doppler at 10-12 weeks

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10
Q

What is a normal fetal heart rate

A

110-160

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11
Q

How do you determine the gestational age

A

1st day of LNMP—subtract 3 months, add 7 days and 1 year

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12
Q

How can you determine GA by US

A

Crown to rump measurement from 6-13 weeks

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13
Q

When is the uterine size palpable at the pubic symphysys

A

8 weeks

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14
Q

When is the uterine size between the pubic symphysis and umbilicus

A

16 weeks

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15
Q

When is the uterine size at the umbilical

A

20 weeks

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16
Q

When can you feel quickening in a pregnancy

A

18-20 weeks

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17
Q

When are FHT heard on Doppler? How about fetoscope?

A

Doppler- 10-12 weeks

Fetoscope- 18-20

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18
Q

What do you need to give a pregnant patient to reduce the risk of neural tube defects

A

Folic acid 0.4-0.8 daily

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19
Q

What genetic testing can be done in the first trimester

A

US for nucal cord translucency and serum PAPP-A

Screens for Down syndrome and other aneuplodies

20
Q

What genetic screening can be done in the second trimester

A

Quad screen and screen for Down syndrome, other aneuplodies, and neural tube defects

21
Q

What vaccines should be given in pregnancy

A

Flu, and t-dap in third trimester

22
Q

What does one need to avoid in the first trimester because of increased risk of neural tube defects

A

Hot tubs and saunas

23
Q

When should a pregnant patient no longer fly

A

After 34 weeks

24
Q

What can contain high levels of mercury so a pregnant patient should avoid this

A

Shark, swordfish, tilefish, white tuna

25
Q

When does a pregnant patient visit their OB

A

Every 4 weeks up to 28 weeks

Then weekly until birth

26
Q

What is considered first trimester weeks wise

A

0-14

27
Q

What is considered second trimester weeks wise

A

14-28

28
Q

What is considered third trimester weeks wise

A

28-40

29
Q

When is the first trimester genetic screening age wise

A

10-12 weeks

30
Q

When can you preform the quad screen

A

2nd trimester: 15-18 weeks

31
Q

When can you preform gender screening with US

A

18-20 weeks

32
Q

At what trimester can you feel fetal movements

A

2nd

33
Q

When should Rogam be given of Rh-

A

28 weeks

34
Q

When do you screen for gestational diabetes

A

24-28 weeks

35
Q

When do you test for group B strep screen

A

35-37 weeks

36
Q

What do you need to do if a pt test positive on their group B strep screen

A

Need to treat with PCN during labor and delivery to reduce the risk of transmission

37
Q

What causes the increase in N/V

A

Increase in progesterone, estrogen, and B-hcg

38
Q

When does N/V in pregnancy normally resolve

A

2nd trimester

39
Q

What is the treatment for N/V in pregnancy

A

Smaller more frequent meals

40
Q

What is the treatment of GERD in a pregnant patient

A

Behavior modifications and antacids prn

If needed: Sucralfate, Ranitidine, or Omeprazole

41
Q

What causes constipation in pregnancy

A

Decreased motility, leading to increased water absorbtion

42
Q

How do you treat constipation in a pregnant patient

A

Increase fluids and fiber intake

43
Q

What can be used to treat back pain in a pregnant patient

A

Tylenol, heating pads, massage

44
Q

Can a patient take NSAIDS for a HA while she is pregnant

A

NO NSAIDS are contraindicated

45
Q

When can a pregnant pt gets Braxton Hicks contractions

A

Last 4-8 weeks—there is NO cervical changes

46
Q

When can lightening happen (when fetal head settles into the brim of pelvis)

A

2 weeks before labor

Womens Health Cards (17 decks)

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