Pregnancy and Perinatal Health Flashcards

1
Q

what factors affect fertility

A

age
smoking
BMI
exercise
drugs
folic acid
alcohol

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2
Q

what is early pregnancy timed from

A

the date of conception

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3
Q

when does the embryo implant into the uterus

A

day 8 or 9

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4
Q

what is the first trimester

A

up to 12 weeks

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5
Q

what is the second trimester

A

12-28 weeks

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6
Q

what is the third trimester

A

28-40 weeks

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7
Q

what is part of the extra weight gain for a mother during pregnancy

A

blood and fluid - this is important to prevent too much blood loss during delivery

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8
Q

what does the increased oestrogen and progesterone levels in pregnancy act on

A

kidney to increase renin secretion
increased salt and water retention
increase plasma volume (dilutes Hb)

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9
Q

what occurs due to increased abdominal pressure in pregnancy

A

GORD

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10
Q

what are the effects of relaxation of vascular smooth muscle in pregnancy

A

reduced peripheral resistance
reduced systolic and diastolic blood pressure
compensatory increase in heart rate

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11
Q

what vascular structures are compressed by uterus

A

vena cava and aorta
difficulty with venous return when supine

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12
Q

why is there higher turnover of fibrinolysis and clotting factor production

A

coagulation system has increased sensitivity so any complications during delivery can be addressed

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13
Q

what should you not eat during pregnancy

A

raw meat/ fish
raw eggs/ non-pastuerised milk
fish with high mercury content
spicy, grilled and fried food

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14
Q

when does zygote become an embryo

A

week 4

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15
Q

when does embryonic circulation start to develop

A

week 6

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16
Q

when is an embryo termed a foetus

A

week 10

17
Q

what structures develop in second trimester

A

hair, nails, tonenails, eyelids

18
Q

when do specialised senses start to function

A

week 20

19
Q

what is the placenta

A

connects foetus and mother - but foetal and mother circulation do not mix, they are situated in close proximity for nutrients to diffuse through

20
Q

what are the four stages of labour

A

induction of labour
first stage
second stage
third stage

21
Q

what are aids to delivery

A

forceps
ventoux
caesarean section

22
Q

what is screened for in the first trimester

A

establish dates of pregnancy
number of foetuses
diagnose ectopic pregnancy
chronic and infectious diseases

23
Q

what is the mother screened for

A

hypertension
diabetes
rubella
syphilis
hep C
HIV

24
Q

what is screened for in the 2nd trimester

A

amniocentesis (if wished)
check foetal anatomy for abnormalities

25
Q

what are the tests done for foetal testing in the first trimester

A

neuchal translucency
maternal hCG
PAPP-P

26
Q

what tests are completed in second trimester

A

AFP

27
Q

what tests is the baby exposed to after birth

A

blood spot
phenylketonuria, hypothyroidism, CF, sickle cell disease

28
Q

what is an APGAR score

A

tested 1 minute and five minutes after birth - should be an increase in score
activity
pulse
grimace
appearance
respiration

29
Q

what are the dental affects of pregnancy

A

cost
drugs in dentistry will also affect foetus
pregnancy gingivitis
patient lying on chair