Prenatal Assessment & Care Flashcards
If a woman receives an MMR vaccine, how long should she wait to try to conceive?
12 weeks
After what age is a woman at an increased risk for birth defects?
age 35
When recording basal body temperatures, when should the temperature be taken each day?
Before rising in the am
Ovulation usually occurs on what day of menstrual cycle?
Day 14
A normal pregnancy is how long?
40 weeks or 280 days
What does “G” stand for?
Gravida or how many total pregnancies
What does “P” stand for?
Para or how many babies born >20 weeks and 350 gm
What does “T” stand for?
Term or how many babies were >37 weeks
What does “P” stand for?
Preterm or how many babies were >20 weeks but < 37 weeks
What does “A” stand for?
Abortions, how many spontaneous or induced
What does “L” stand for?
Living, how many currently living children are there
How much does the blood volume increase in the pregnant female? When?
30-50%
At 26-28 weeks
How far up does the diaphragm move in the pregnant female?
About 4 cm
Lab tests during pregnancy:
1) Genetic screening if >35 or risk of inherited disease
2) Alpha fetoprotein (MSAFP) at 16-18 weeks (offered)
3) H&H at 26-28 weeks
4) Glucose tolerance at 26-28 weeks
5) GBS at 35-37 weeks
What groups are at higher risk than Caucasians for gestational diabetes?
African American and Native American
Pregnancies are usually not allowed to go past how many weeks?
42 weeks
What does a non-stress test evaluate?
FHT in response to fetal movement or stimulation
What 5 elements are evaluated in a biophysical profile?
1) Non-stress test
2) US to detect fetal breathing
3) Fetal movement
4) Fetal tone
5) Amniotic fluid volume
Each is 2 points, a score of 2-4 is an indication for an immediate induction of labor
The fundal height in centimeters should be equal to…
The number of weeks of gestation
What are the leading causes of maternal deaths worldwide?
Eclampsia and preeclampsia
When the diastolic pressure reaches 90-100 mmHg what happens?
Placental perfusion drops by 50%
Signs and symptoms of preclampsia include:
1) BP >140/90 after 20 weeks (no previous HTN)
2) Proteinuria 300 mg/24 hr urine (no previous)
3) Elevate dLFTs and uric acid
4) Decreased platelets <100,000
5) Persistent HA, epigastric pain, visual changes, nausea, vomiting, RUQ pain, general malaise
Signs and symptoms of preterm labor:
1) > 4 uterine contractions per hour
2) backache
3) cramping
4) pelvic pressure
5) change in vaginal discharge
