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Patient care 2 > Pregnant patient > Flashcards

Pregnant patient Flashcards

1
Q

Nullipara

A

A woman who has never given birth or never had a pregnancy beyond 20 weeks

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2
Q

Primigravida

A

woman who is pregnant for the first time or has been pregnant once

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3
Q

Multigravida

A

woman who has been pregnant more than once

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4
Q

Primipara

A

woman who has given birth only once

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5
Q

Multipara

A

A woman who has given birth 2 or more times past 20 weeks

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6
Q

What are the parts of Para

A

Term
Preterm
Abortion
Living children

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7
Q

Gravida

A

number of pregnancies

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8
Q

Para

A

number of births

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9
Q

What are probable signs of pregnancy

A

enlargement of uterus
Hegar’s sign
Chadwicks sign
Goodells sign
Piskaceks sign
Mask of pregnancy (melasma)

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10
Q

Hegar sign

A

Softening of uterine isthmus

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11
Q

Chadwick sign

A

Bluish or cyanotic appearing cervix and upper vagina due to increased vascularity

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12
Q

Goodells sign

A

Softening of cervix from increased vascularity

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13
Q

Piskaceks sign

A

asymmetric bulge or soft prominence of uterus caused by placental development

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14
Q

When is the uterus palpable above the symphysis pubis

A

12 weeks

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15
Q

Which hCG screening is most sensitive

A

serum hCG
*Will be positive before urine is

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16
Q

Naegeles rule

A

Add 7 days to the first day of last menstrual period, then subtract 3 months and then add a year = EDD

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17
Q

When is the first prenatal visit

A

8-10 weeks gestation

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18
Q

How many prenatal visits are recommended

A

14

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19
Q

When are the prenatal visits

A

every 4 weeks for first 28 weeks
every 2-3 weeks until 36 weeks
every week after 36 weeks

20
Q

What is the size of the uterus at 12 weeks

A

at symphysis pubis

21
Q

When is the uterus halfway between pubis and umbilicus

A

16 weeks

22
Q

How big is the uterus at 20 weeks

A

at the umbilicus

23
Q

How much does the uterus grow after 20 weeks

A

1cm for every week of gestation

24
Q

When is fetal movement typically felt by mom

A

18-20 weeks

25
Q

When is fetal movement observed by examiner / partner

A

24 weeks

26
Q

What is important in prenatal vitamins

A

Folic acid
Vitamin D
Iron
Calcium

27
Q

Why is folic acid important during pregnancy

A

neural tube defects

28
Q

Which foods should be avoided for the risk of listeria

A

Unpasteurized milk and soft cheese
Hot dogs / lunch meat
Refrigerated meat spreads
Smoked seafood
Unwashed raw fruits/veggies
sushi with raw fish
raw/undercooked egg, meat, poultry

29
Q

Which fish are high in mercury and should be avoided

A

shark
swordfish
king mackerel
marin
tilefish

30
Q

Which vaccines should be avoided during pregnancy

A

live attenuated vaccines
-MMR
-Varicella
-zostavax
-live flu

31
Q

Which tests should be run at every prenatal visit

A

blood pressure
weight
urine dip for protein, glucose, infection

32
Q

What is pelvimetry

A

Description of bony pelvis

33
Q

When does the baby move into the pelvis

A

36 weeks

34
Q

What helps determine fetal position

A

Leopold maneuvers

35
Q

What does the first maneuver determine

A

what is in the fundus and what is the height

36
Q

What is the second maneuver determine

A

where the back and extremities are

37
Q

What is the third maneuver

A

Direction and degree of flexion of the head

38
Q

What does the fourth maneuver determine

A

What is the presenting part

has it descended into the pelvis

39
Q

When do you screen for gestational diabetes

A

24-28 weeks

40
Q

What is the process od screening for gestational diabetes

A

50gram one hour glucose challenge test

*If abnormal: 100g 3 hour glucose tolerance test (Diagnostic)

41
Q

What do all pregnant women need to be screened for at 35-37 weeks

A

group b beta-hemolytic strep (GBS)

42
Q

How do you screen for strep B in pregnant women

A

Lower vagina
rectum

43
Q

What screens need to be done in the third trimester

A

repeat HIV and STI in patients with increased risk

44
Q

What is aneuploidy

A

Abnormal number of chromosomes

45
Q

What is included in the maternal serum testing

A

hCG
Pregnancy associated plasma protein A

alpha-fetoprotein (AFP)

Patient care 2 (5 decks)

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