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Patient Assessment > Pregnant > Flashcards

Pregnant Flashcards

1
Q

When does the ovaries differentiate?

A

12 wks

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2
Q

What does the male fetus turn off?

A

mullerian system

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3
Q

What is the dating of pregnancy?

A

280 days from LMP

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4
Q

What is first trimester?

A

LMP - 13 6/7 wks

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5
Q

What is second trimester?

A

14 - 27 6/7 wks

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6
Q

What is third trimester?

A

28 wk - delivery

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7
Q

What is primaparous?

A

first delivery

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8
Q

What are 6 causes of obstretical deaths?

A

HTN, hemorrhage, infection, thromboembolism, complicated labor or illegal abortions, ectompic pregnancies

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9
Q

What are indirect causes of obstretical deaths?

A

asthma, heart disease, DM type 1, SLE,

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10
Q

How much does body water increase in preg?

A

6.5-8.5

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11
Q

What are the cardiac changes?

A

enlarge heart, increase HR, increase CO, decrease VR, split 1st heart sound, bP changes

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12
Q

When do you see CV changes in preg?

A

early as 5 wk gestation

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13
Q

What is normal UR changes?

A

increase secretions, swollen mucous membrane, increase epistaxis, chronic resp alkalosis

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14
Q

How much should you increase calories in preg?

A

300kcal/day

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15
Q

What are some GI changes in preg?

A

GERD, constipation, position of appendix, decrease albumin, N/V

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16
Q

What are urologic changes in preg?

A

kidneys enlarge, ureters dilate, bladder increases vascularity, BUN/Cr decrease

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17
Q

What are changes in pancreas?

A

fasting hypoglycemia, postprandial hyperglycemia

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18
Q

What is thyroid changes?

A

increase in size, decrease TSH first tri

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19
Q

What are adrenal changes?

A

increase cortisol

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20
Q

What are pituitary changes?

A

increase size, anterior - prolactin

posterior - oxytocin

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21
Q

What are dental changes in preg?

A

increase sensitivity, bleeding gum, increase susceptibility to bacteria

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22
Q

What is gum disease linked to?

A

low birth wt and preterm labor

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23
Q

What is age if fundus at ASIS?

A

16 wks

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24
Q

What is age if fundus at umbilicus?

A

20 wk

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25
Q

What is age if fundus at pubic symph?

A

12 wk

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26
Q

What do you do at new OB?

A

fundal ht, LMP and US, hx, LABs

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27
Q

What timing do you only use the spatula and not brush for pap smear?

A

10 wk preg

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28
Q

What should all visits include?

A 
Maternal vitals
FHTs (doppler)
Fundal height (>20w)
Basic questions regarding fetal movement (>20w), bleeding, leaking, pain, dysuria
Review medications
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29
Q

What is ultrascreen?

A

Ultrasound to look at nuchal translucency
PAPP-a and HCG
11-13 6/7 weeks
Screening for Trisomy 21 and 18

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30
Q

What is the quadruple screen at 2nd trimester?

A

hCG, estriol, inhibin-A, AFP
15-19 6/7w – longer if specialty labs
Can be elevated in twins, diabetes, smoking, obesity

31
Q

When do you do anatomy US?

A

> 20 wks

32
Q

When do you do gestational DM screen?

A

24-28 wks

27-36?

33
Q

What do you do at 36 wks exam?

A

Group B Hemolytic Strep testing
Gonorrhea/Chlamydia testing
Leopold maneuvers to estimate fetal size
Begin more routine checking of cervix

34
Q

What is term considered?

A

> 37 wks

35
Q

What is fetal pole?

A

fetal lie, hands on each side, longitudinal or transverse

36
Q

What is umbilical pole?

A

small parts/big parts, which way is back facing

37
Q

What is pawlicks grip?

A

confirm cephalic

38
Q

What is pelvic grip?

A

attitude, head flexed or extended

39
Q

When do you see for post partum care?

A

4-6 wks

40
Q

What post partum labs do you get?

A

GMD, CBC, TSH

41
Q

What are the B of postpartum?

A

bleeding, breastfeeding, bowels, bladder, blues, birth conrol, intercourse

42
Q

What is the teratogenic period?

A

31-71 days

43
Q

When are all major organs established?

A

10 wk;

44
Q

What does smoking cause?

A

Abruption, previa, growth restriction, prematurity, prolonged rupture of membranes, SAB, SIDs, cleft palate

45
Q

What does ETOH do?

A

facial anomalies, growth retardation, CNS

46
Q

What does cocaine do?

A

cardiac, CNS, abruption

47
Q

What are the 5 components to EFM?

A 
Baseline heartrate
Beat-to-beat variability
Presence of accelerations
Presence of decelerations
Maternal contractions
48
Q

What is post term?

A

> 42 wks

49
Q

What is the fetal occiput has reached the ischial spines and widest traverse part of infants head?

A

0 station

50
Q

Circular pelvis, best for deliver?

A

gynecoid

51
Q

oval AP pelvis

A

anthropoid, favorable

52
Q

egg shaped pelvis

A

android

53
Q

Transverse oval pelvis,

A

platyupelloid, bad

54
Q

What are the cardinal movements of labor?

A

engagement, descent, flexion, internal rotation, extension, external rotation, expulsion

55
Q

What causes relaxation of LES?

A

progestrone

56
Q

What is too low placenta?

A

placenta previa

57
Q

What ht usually requires C section?

A

5 ft

58
Q

How do you calculate due date?

A

3 months + 1 year + 7 days

59
Q

What is nagele’s rule?

A

280 days to LMP

60
Q

What is reduction in fundal ht btw 38-40 wks?

A

lightening

61
Q

What is a normal fetal HR?

A

120-160 bpm

62
Q

What is dusty blue cervix?

A

chadwicks sign

63
Q

What is softening of entire isthmus of cervix?

A

Hegar’s sign

64
Q

What is the most common cause of abruptio placentae?

A

HTN

65
Q

what is the MCC of maternal death?

A

postpartum hemorrhage

66
Q

What is mask of pregnancy?

A

cholasma

67
Q

What is normal with thyroid during pregnancy?

A

bruit

68
Q

What is the weird lactation the first few days after giving birth?

A

colostrum

69
Q

What will remain unchanged in preg?

A

respiratory rate

70
Q

What is thinning of cervix ?

A

effacement

71
Q

What is relationship of baby to ischeal spines?

A

station

72
Q

What is caused by decreased vascular resisitance and vasodilation in preg?

A

palmar erythema and spider telangiectasia

73
Q

What is the def of pre eclampisa?

A

> 160/>110

74
Q

What are two msk complaints?

A

carpal tunnel and lordosis

Patient Assessment (23 decks)

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