Prenatal Care Flashcards
1
Q
Naegele’s Rule?
A
- Add 9 months + 7 days from day 1 of LMP
2
Q
- candidates for primary screening of Fetal DNA testing would be?
A
- > 35 years at delivery
- presence of sonographic findings associated with fetal aneuploidy
- history of previous pregnany with fetal trisomy
- parental balanced robertsonian translocations with increased risk of trisomy 21 or 13
- screen-positive result for aneuploidy on screening tests such as the first trimerster combined test, integrated test, sequential test, or quadruple test
3
Q
what is the additional caloric requirement for 1st and second trimester?
A
- 1st trimester: 150 calories/day
- 2nd trimester: 300-500 calories/day
4
Q
What should pregnant women do about nausea and vomiting?
A
- Begins < 6-7 weeks, “ends” 13-16 weeks
Helpful tips
- Eat small, frequent meals (crackers at bedside)
- ginger
- vitamin B6
- unisom (doxylamine) 10-25mg TID
- accupressure, elastic bands/seabands
- if weight loss, deyhydrosis, ketosis can use anti-emetics
5
Q
who is low dose aspirin used in during pregnancy? when is it recommended?
A
- Low dose aspirin prophylaxis has been used during pregnancy, most commonly to prevent or delay the onset of preeclampsia
- recommended in women at high risk of preeclampsia should be initiated at 12 weeks and 28 weeks gestation (optimally before 16 weeks) and continued daily until delivery
6
Q
- what is the frequency of prenatal visits?
A
- Q4 weeks until 28 weeks (third trimester)
- Q2 weeks until 37 weeks (term)
- Q1 week until delivery
fundal height every visit (at 20 weeks); fetal heart tone (10-12 weeks)
7
Q
Second trimester anticipatory guidance?
A
- heartburn
- constipation
- round ligament pain
- signs and symptoms of preterm labor
8
Q
what tests/screening should be done at 28 weeks?
A
- CBC
- Tdap booster for the pertussis compenent
- if negative antibody screen; RhoGAM 300 units IM
- repeat gonorrhea/chlamydia for high risk
