Prenatal Care Flashcards
usual chief complaint
amenorrhea
describe each component of the obstetric score
GxPy (F-P-A-L)
x-#of positive pregancies y-Pregnancies at least 20 wks F-Full term P-preterm A-Abortion L-Living children
what to check in past medical history
goiter, heart problems, diabetes, asthma, high bp
what to check in family history
hereditary/familial disease for both sides
what to ask about menatrual history?
menarche, frequency, duratoon, reularity, dysmenorrhea, LNMP
T/F in taking a good obstetrical history, it is important to note for spottif
T
the ff are true except
A. in history taking, it is not important to ask about contraceptive methods used 3mos before conception
B. It is important to ask about method of past deliveries if there had been any
C. in doing the abdominal exam, fundic height of 20cm=20 wks AOG
D. bladder must be emptied before measuring fundic height
A
give the names of the 4 leopold’s maneuvers and give their purposes
I - fundal grip; to determine which part of the fetus occupies the fundua
II - umbilical grip; to determine location of fetal back
III - Palwik’s grip; to determine presenting part and engagement
IV - Pelvic Grip; to determine presenting part and engagement
what is the normal fetal heart tone?
120-160bpm
fetal heart tone at 5 weeks can be appreciated through
transvaginal ultrasound
fetal heart tone at 10 weeks can be appreciated through
doppler
fetal heart tone at 19-20 weeks can be appreciated through
Stethoscope
4 signs in the head area
severe persistent headache and blurring vision - preeclampsia, persistent nausea and vomiting - hyperemesia gravidarum, chills and fever
3 abdominal signs
RUQ Pain - preterm labor/preeclampsia
Dysuria - UTI
Quickening
2 perineal signs
vaginal bleeding - placenta previa, abruptio, abortion
watery leakage - rupture of fetal membranes
1 sign lower ex
severe pitting edema -preeclampsia
frequency of prenatal check ups
<28 weeks: every 4weeks
29-36 weeks: every 2 weeks
37th week: every week
DOH recommended prenatal visits
before 4 months
2nd trimester
3rd trimester
every 2 weeks from 8th month to delivery
T/F
folic acid supplements should be started should be started at the time of conception
F; should be started 3 mos before
T/F Acne creams with vit A should be used during pregnancy
F; vit A is teratogenic
recommended Ca RDA
1,200mg
recommended ferrous iron supplement
27mg
a pregnant woman should increase caloric intake by how much?
100-300kcal compared to non pregnant
