Prenatal Flashcards
GTPAL
Gravada
Term (>39wks)
Premature (>20wks,
How much folic acid a day
400mg
Ectopic pregnancy Sx
Variable, but unilateral, adnexa pain, amenorrhea, spotting.
Ectopic risks
Salpingitis (2/2 PID), Surigcal Hx, IUD
Ectopic Dx
US
If hCG doesn’t 2x in 48hrs
Ectopic tx if hCG
methotexate
First hear heat sounds
9-12weeks
Quickening (Mov’t) nullip time
18-20wks
Quickening (experienced mom) time
14-18wks
Braxton Hicks begin
28wks
HTN (>20wks, previously normal) + proteinuria
Pre-eclampsia
HTN + Proteinura + Sz
Eclampsia
Severe pre-eclampsia (BP >160/110 w/ Hemolysis, Elevated Liver enzymes & Low platelets
HELLP Syndrome
Pregnancy induced HTN
Isolated increased BP after 20wks w/o other sxs
Premature labor
Regular contrations >20wks, with cervical effacement but Give steroids for lung development
Premature Rupture of membranes
Rupture of membranes b/4 onset of labor
Most progress without incident
Risk of chorio
Confirm with fern test
Failure to progress/prolonged labor
1st child: >2hrs no progression
2+: >1hr, no progression
Dystocia: prolonged or difficult labor
Fetal Distress
Persistent decreased Fetal HR during contractions and for 30s after
- Position mom on left, lateral side to increase blood and O2
- If continues for 5mins–> CS
- Partial/complete covering of cervical os by placenta
- Painless vag. bleeding
- ID on US
- If before term, carefully watch, if at term CS
Placenta Previa
Post Partum Hemorrhage
> 500mL blood loss
-Uterine massage, blood products, lac repair
Placenta Abrupta
Premature separation of placenta from uterine wall
Contractions, bleeding, uterine tenderness
High risk of fetal death, therefore immediate CS
Nonstress test
Want 2 accelerations in 20minutes, 15 beats above baseline for at least 15 secs
Biophysical profile
Gives scores for amniotic fluid, fetal tone, fetal activity, and fetal breathing mov’ts and non stress test. Score 8-10 reassuring.
Oxytocin Challenge
Get at least 3 contractions (from oxytocin) in 10 mins and analyze FHR (should be similar to non stress test)
