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

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
When is fetal movement observed by examiner / partner
24 weeks
26
What is important in prenatal vitamins
Folic acid Vitamin D Iron Calcium
27
Why is folic acid important during pregnancy
neural tube defects
28
Which foods should be avoided for the risk of listeria
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
Which fish are high in mercury and should be avoided
shark swordfish king mackerel marin tilefish
30
Which vaccines should be avoided during pregnancy
live attenuated vaccines -MMR -Varicella -zostavax -live flu
31
Which tests should be run at every prenatal visit
blood pressure weight urine dip for protein, glucose, infection
32
What is pelvimetry
Description of bony pelvis
33
When does the baby move into the pelvis
36 weeks
34
What helps determine fetal position
Leopold maneuvers
35
What does the first maneuver determine
what is in the fundus and what is the height
36
What is the second maneuver determine
where the back and extremities are
37
What is the third maneuver
Direction and degree of flexion of the head
38
What does the fourth maneuver determine
What is the presenting part has it descended into the pelvis
39
When do you screen for gestational diabetes
24-28 weeks
40
What is the process od screening for gestational diabetes
50gram one hour glucose challenge test *If abnormal: 100g 3 hour glucose tolerance test (Diagnostic)
41
What do all pregnant women need to be screened for at 35-37 weeks
group b beta-hemolytic strep (GBS)
42
How do you screen for strep B in pregnant women
Lower vagina rectum
43
What screens need to be done in the third trimester
repeat HIV and STI in patients with increased risk
44
What is aneuploidy
Abnormal number of chromosomes
45
What is included in the maternal serum testing
hCG Pregnancy associated plasma protein A alpha-fetoprotein (AFP)