Prenatal Flashcards
Chadwick sign?
blue cervix
*probable sign of pregnancy
Goodell’s sign?
softening of cervix
*probable sign of pregnancy
Hegar’s sign?
lower uterus feels soft
*probable sign of pregnancy
Naegele’s rule?
LMP + 7 days minus 3 months
Routine prenatal follow up?
q4weeks until 28 weeks
q2weeks 29-36 weeks
qweek 36 weeks onward
Fundal height at 12 weeks?
20 weeks?
36 weeks?
12 weeks: symphysis pubis
20 weeks: umbilicus
36 weeks: below xiphoid process
What is the risk of using sulfa during pregnancy?
Category C in third trimester
Can cause hemolytic anemia in fetus
hyperbilirubinemia –> neonatal jaundice or kernicterus
What is the risk of using NSAIDs during pregnancy?
blocks prostaglandins, could cause premature labour
Category D in third trimester *avoid after week 20
Category B in 1st and 2nd trimester
What is the risk of using nitrofurantoin during pregnancy?
contraindicated during labour and delivery (or near term)
increased risk of hemolytic anemia in fetus/newborn
When should Rhogam be given in pregnancy?
- RhoGAM 300 mcg IM first dose at 28 weeks
* Second dose within 72 hours of delivery
when to screen for gestational DM?
• If hx of GDM: diabetes screen at 4-12 weeks postpartum, lifelong screening q3 years
• SCREENING
○ First visit if hx of GDM and risk factors
○ If not at risk: screen at 24-48 weeks
Glycemic targets for gestational DM?
○ Glycemic targets: Preprandial <95 1 hour pc meal <140 2 hour pc meal <120 A1C goal <6.0
What is the pre-eclampsia triad?
Pre-eclampsia triad: hypertension, proteinuria, edema after 20 weeks GA, up to 4 weeks PP
Diagnostic criteria for pre-eclampsia
2 separate readings 4-6 hours apart
○ SBP >140 DBP >90
○ Proteinuria >0.3 g protein in 24 hours
○ Weight gain 2-5 lbs per week
Gestational HTN: no proteinuria or weight gain
What is the treatment option for mastitis?
• If low risk MRSA: dicloxacillin 500 mg po QID or keflex 500 mg po QID for 10-14 days
Avoid use of SULFA during newborn
• If high risk MRSA: Septra 1-2 tabs po BID ***AS LONG AS HEALTHY 1 month or older with no jaundice) OR clindamycin 300 mg po QID x 10-14 days
CONTINUE TO BREASTFEED