Pregnant Woman Flashcards

1
Q

progesterone has effects on external or internal changes?

A

external

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2
Q

estrogen has effects on external or internal changes?

A

internal

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3
Q

with pregnancy, which hormones increase?

A

estrogen, progesterone and pregnancy hormones (HCG)

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4
Q

what happens to systemic vascular resistance and pressure?

A

It falls

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5
Q

where do the ligamentous laxity occur?

A

SI and pubic symphysis

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6
Q

when do breast become more nodular during pregnancy?

A

3rd month

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7
Q

What happens to montgomerys glands (small bumps on areola) during pregnancy

A

they become more pronounced

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8
Q

what happens to breast size during pregnancy?

A

moderately increase

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9
Q

at which week can you palpate fundus?

A

12-14 weeks

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10
Q

what happens to vagina during pregnancy

A

walls become thicker and deeply rugated, secretions thick, white and more profuse

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11
Q

as uterus enlarges, where does it rotate and why?

A

to the right to accommodate the rectosigmoid structures on the left side of pelvis

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12
Q

chadwicks sign

A

cervix becomes purple because of vascularity

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13
Q

initial prenatal visit

A

confirm pregnancy with lab test, assess health status of mother, counsel mom to ensure healthy pregnancy

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14
Q

subsequent visits after initial prenatal visit

A

assess health status of mom, assess fetus, educate

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15
Q

if pregnant mom exposed to zika and symptomatic how do you test

A

test urine and blood <2 weeks after symptoms occur then test again in 2-12 weeks

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16
Q

if pregnant mom exposed to zika but not symptomatic how do you test

A

test <2weeks after exposure and test again in 2-12 weeks

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17
Q

How to calculate estimated date of delivery (Naegeles rule)

A

first date of LMP, add one week, subtract 3 months and add one year

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18
Q

LMP 5/19/18 when is EDD

A

2/26/19

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19
Q

Doptone can be used at which week?

A

10-12 weeks

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20
Q

fetoscope

A

18 weeks

21
Q

fetal movement (quickening) occurs

A

18-24 weeks

22
Q

earliest you can use ultrasound

A

can see gestational sac at 5 weeks

23
Q

when are ultrasounds the most accurate?

A

early in pregnancy as opposed to later

24
Q

preclampsia

A

elevaetd BP >140/>90 after 20 weeks WITH protein in urine

25
Q

gestational HTN

A

BP >140/>90 after 20 weeks

26
Q

chronic HTN

A

BP >140/>90 BEFORE 20 weeks

27
Q

chloasma

A

normal brown patches of skin pigment found on pregnant women head

28
Q

which heart sounds are commonly heard in pregnancy?

A

venous hums

29
Q

fetal movement can be felt by examiner at how many weeks?

A

24 weeks

30
Q

how is fundal height measured?

A

superior portion of pubis symphysis to top of fundus

31
Q

from 20 weeks to 32 weeks, the fundal height in centimeters should be indicative of what?

A

the number of weeks of gestation

32
Q

if fundal height is at the umbilicus the mom should be how many weeks pregnant

A

20 weeks

33
Q

fetal HR during first weeks of pregnancy

A

150s-160s

34
Q

fetal HR at term

A

120s-140s

35
Q

Leopolds 1st maneuver

A

stand at patients side, feel the top, sides and pubic bone with hands

36
Q

Leopolds 2nd maneuver

A

place one hand on each side of abdomen to get fetus in middle, one hand will steady fetus while the other feels fetus body parts

37
Q

Leopolds 3rd maneuver

A

face patients feet, palpate area above pubic symphysis, if hands diverge then fetus has descended into pelvis, if hands don’t diverge, fetus is above pelvis

38
Q

Leopolds 4th maneuver

A

you distinguish between a breech and vertex presentation

39
Q

in a nonlaboring pregnant patient, how long is the cervix?

A

3-3 1/2 cm

40
Q

when assessing the station of the presenting part in a term patient what are you assessing for?

A

how inferior the presenting part is compared to the ischial spines

41
Q

initial lab work

A

CBC, blood typing, hepatitis panel, HIV testing, syphilis, UA and culture, PAP, chlamydia, gonorrhea cultures

42
Q

how many visits does a pregnant mom have during first trimester?

A

one

43
Q

how many visits does a pregnant mom have during 13-32 weeks?

A

monthly

44
Q

how many visits does a pregnant mom have during 32 -36 weeks?

A

q2weeks

45
Q

how many visits does a pregnant mom have during 36+ weeks?

A

every week

46
Q

genetic screening is done?

A

15-18 weeks

47
Q

iron and diabetes screening done?

A

24-28 weeks

48
Q

group B strep screening done?

A

36 weeks