Pregnancy and Perinatal Health Flashcards

1
Q

what can cause fertility issues

A

age, smoking, BMI, exercise, drugs, folate, alcohol

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2
Q

when do pregnancy success rates start to fall

A

after the age of 34

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3
Q

when does the embryo implant in uterus

A

day 8/9

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4
Q

what dates do the trimesters range from

A

up to 12 weeks
12-28 weeks
28-40 weeks

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5
Q

what happens in first trimester

A

structures form

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6
Q

what happens in second trimester

A

tissues differentiate

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7
Q

what happens in third trimester

A

growth

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8
Q

what different changes can happen to the mother during pregnancy

A

physical, hormonal, haematological, cardiovascular, coagulation

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9
Q

why is there increased weight gain during pregnancy

A

increased fluid and blood volume to prevent hypovolaemia during birth

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10
Q

what is the effect of increased oestrogen and progestogen during pregnancy

A

increase renin secretion in kidney, increased salt and water retention, increased plasma volume

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11
Q

how is there an increased risk of GORD during pregnancy

A

as the lower oesophageal sphincter relaxes

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11
Q

how is there an increased risk of GORD during pregnancy

A

as the lower oesophageal sphincter relaxes

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12
Q

why do we need to position pregnant women on their side during pregnancy

A

the baby compresses the vena cava and aorta

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13
Q

what does the positioning of the baby mean for the mother

A

increased urgency and frequency of urination

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14
Q

what should the mother not eat during pregnancy

A

raw meat and fish, raw eggs, non-pasteruised milk and milk cheese, spicy, grilled and fried food, tuna

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15
Q

when does the zygote become an embryo

A

4 weeks

16
Q

when does the embryo become a foetus

A

10 weeks

17
Q

when does the second trimester start

A

14 weeks

18
Q

when does the third trimester start

A

27 weeks

19
Q

what is the placenta

A

interlinking mesh of blood vessels

20
Q

what does the placenta allow for

A

diffusion of nutrients but also infection

21
Q

what are the stages of labour

A

induction, first, second, third

22
Q

what options can help with labour

A

forceps, ventoux and caesarean

23
Q

what do you screen for in first trimester

A

establish dates, determine number of foetuses, diagnose an ectopic pregnancy or miscarriage, examine uterus and pelvic anatomy

24
Q

what chronic diseases on the mothers part can affect pregnancy

A

diabetes, hypertension

25
Q

what infectious diseases on the mothers part can affect pregnancy

A

hepatitis, HIV, rubella, syphilis

26
Q

what does FAST stand for

A

foetal abnormality screening

27
Q

what does FAST screen for in first trimester

A

neuchal translucency, maternal hCG, papp-p

28
Q

what does FAST screen for in second trimester

A

AFP, abnormality, CVS, ultrasound

29
Q

what is the baby tested for at birth

A

physical exam, hearing test, blood spot

30
Q

what does APGAR score test

A

activity, pulse, grimace, appearance, respiration

31
Q

when is the APGAR test done

A

1 and 5 minutes after birth

32
Q

what do we consider dentally with pregnancy

A

pregnancy gingivitis, periodontal health, position of mother in chair