Prenatal Flashcards

1
Q

سابقه نقص لوله عصبی

A

4 میلی از 1 ماه قبل تا 3 ماه اول

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2
Q

ازمایشات لازم برای قبل بارداری

A

سرخجه واریسلا تیروئید پستان (مامو بالای 35 تا 2.5 سال قابل ارزیابی نیست ) پاپ اسمیر فولیک اید

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3
Q

مصرف سیگار

A

lbw / ptl / iugr مرگ پری ناتال

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4
Q

lmp

A

ماه - 3 / روز +7

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5
Q

ازمایشات مراجعه اول باردار

A

cbc / vDRL RPR / Anti rubella / ABO / Rh / coombs / ua uc /tsh free t4 /

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6
Q

کشت کلامیدیا و گنوره

A

سن کمتر از 25 سابقه قبلی STD شریک جنسی متعدد تغییر شریک 3 ماه اخیر

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7
Q

مانور لئوپولد4

A

و انگاژمان عضو نمایش رو به روی پای بیمار و دودست دو طرف دهانه لگن و برجستگی سفالیک بالای 28 هفته وقتی انگاژمان اتفاق افتاد قابل ارزریابی است

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8
Q

مانورهای لئوپولد

A

اواسط حاملگی بهترین زمان 1 لمس فوندوس
2 طرفین
3 دهانه ورودی , و بررسی انگاژمان

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9
Q

ارزیابی آنتی ارهاش

A

اول چک کومبس غیرمستقیم
1 غیرحساس : چک دوبارخ 26 تا 28 اگر دوباره منفی روگام
2 حساس شده چک سریال انتی بادی

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10
Q

RF GDM

A
AGE > 30 
MACROSOMY malformation iufd
perior GDM 
FH+ GDM
Obesity 
glucosory continious 
long treatment with corton or beta agonist
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11
Q

GBS Screening

A

35-37 w anogenital culture

+ U/C with GBS

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12
Q

BActerial vaginosis screening

A

cerclage symptomatic

cervical dilation

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13
Q

GBS treat

A

peniciline

if sensitive ,, cephalosporine / clinda /

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14
Q

mother Weight gain

A

BMI <19.8 // 30-40
19.8 - 26 // 25-35
26.1 - 29 // 15-25 POND
>29 //// 15 POND

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15
Q

Weight gain point

A

trimestr 3 Weight gain neonate
trimestr 1, 2Weight gain mother
Weight gain> 30 pond = overweight after delivery

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16
Q

overWeight gain complication

A

ptl / lbw/ macrosome

17
Q

Beginning of weight gain

A

20-22 w

18
Q

mother diet

A

35*kg + 300 kcal ( 300 kcal more )

19
Q

multivitamin

A

vit d
folic acid 1 mg
ca if low dairy 1200-1500 in pregnant 2000 in Lactating

20
Q

taking iron in pregnancy

A

prevention trimestr 2,3 30 mg elemental
IDA 60-120
+++++ 2 mg Copper
15 zinc روی

21
Q

more folic acid and vit B12

A

hemoglobinopathy
mutation MTHFR
anti convalsunt drug
PMH NTD

22
Q

OVERUSE SEA food

A

جیوه

23
Q

exercise contraindication

A
iugr
vaginal bleeding conti
cervix incompetency
RF for PTL
PROM
GEST. HTN
CHronic disese worse with exercise
24
Q

N/V tret

A
beginning 6-8 w 
surge 12-14 
recovery 22
vit b6 
Ginger
25
Q

leg cramp

A

cause : ca & mg insufficiency

treat : ca lactat / mg citrate

26
Q

RLS cause / treat

A

parestehsia at night
iron insufficiency
iron

27
Q

syncope cause

A

dehidre
GLC low
blood to gastric
exersice more

28
Q

syncope treat

A

paroxetin antagonist ssri

latral position

29
Q

vaccine contraindicated in pregnancy

A

mmr / varicella / q fever