Prenatal and Postnatal Care Flashcards
What is chadwick sign?
Bluish discoloration of vagina
What is Hegar’s sign?
softening of the cervix
How is pregnancy diagnosed?
Serum or urine HCG
Doubles in 2 days
When can the uterus be measured to tell gestational age?
Once it grows enough to protrude from the pelvis.
What is done at the initial Prenatal visit?
Gest Age: # of weeks from the 1st day of Last mentrual Period
Why is establishing Estimated Delivery date important?
Prematurity Post term
Timing of screening tests
What is Naegele’s rule?
add 1 year and 7 days and subtract 3 months
What is G TPAL notification?
Gravida Parity -Term -Preterm -Abortion -Living
What are the Leopold Maneuvers?
Identify the fetal position
Bottom(head)
Sides(Back)
Top (Arms/Legs)
What are the routine labs done during 1st Prenatal Visit?
1st visit: ABO/Rh CBC, TSH, Hep C, Urine Cult Rubella, HIV, Hep B, VDRL, GC, Chlamidia Pap Glucose Screen UA
What testing is done at 24-28 weeks gestation?
Gest Dibates Screening, Recheck hgb
What testing is done at 35-37 weeks gestation?
Group B strep, vaginal culture
What testing is done at 1 day post partum?
Hgb
What measurements are taken in 2nd trimester US?
Head circumference
Bi Pyramidal Diameter
What tests are done in the 3rd Trimester?
Rhogam if Rh negative
Glucola GDM screen even if neg earlier.
Repeat H and H
Repeat Ab screen
What are causes of Bleeding in Pregnancy?
Labor onset (early)
Placental Abruption
Placenta Previa
What are the Dietary Considerations in Pregnancy?
Well balanced \+400 cal in 2-3rd Tri Folic Acid up to 4 mg/day Soft Cheese, lunch meat Fish- in mod (mercury) No uncooked fish
What are other considerations in Pregnancy?
PUPPS Melasma Eythema of palms Linea Nigra Stretch Marks (Stria) Vision changes
What are the effects of relaxin and progesterone on the pregnant woman?
Softening of the pelvic cartilage
Widens pelvis and inc mobility
Inc Uterine Blood Flow
Vaginal Discharge increases
What is the Peurperium?
Time period: First 6 weeks after delivery
What is included in discharge instructions postpartum>
Care of perineal lacerations, abdominal incision Breast care Pain control Physical Activity Review of S and S of inf/bleeding Contraception
What are the common complications of the Peripeurum?
Wound infection - Cellulitis or abcess Wound separation Endomyometritis UTI Postpartum Hemorrhage VTE PPD
What are the 5 “B’s” in the Immediate postpartum period?
Brain- depression Breast- Br Feeding Bladder Bleeding- Lochia Birth Control
What is the screening modality for PPD?
Edinburgh postnatal depression screening
What is the effect of Estrogen on breastmilk?
Decreases the quantity and amount and milk
