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Obstetrics > Prenatal Care > Flashcards

Prenatal Care Flashcards

0
Q

Presumptive signs

A 
Changes in breast
Cessation of menses
Chadwick sign
Changes in mucus
Thermal signs
Inc skin pigmentation
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1
Q

Changes related to hormones

Not uterus and fetus

A

Presumptive

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2
Q

Presumptive sx

A

NV
Breast tenderness
Urinary disturbance
Fatigue

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3
Q

Changes related to uterus or placenta

A

Probable

Enlargement of abdomen
Ballottement
Physical outlining
Braxton Hick's
Hegar's sign
Goodell's sign
Changes in cervix
Positive pregnancy test
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4
Q

Changes related to fetus

A

Definitive

Fetal heart tones
Fetal movement
Utz

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5
Q

Fetal heart
Ultrasound
Doppler
Stethoscope

A

5 w
10 w
17-19 w

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6
Q

Naegele’s rule

A

Add 7 days

Subtract 3 mos

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7
Q

Asx bacteriura tx

A

Nitrofurantoin
Amoxicillin
First gen ceohalosporin
X 7d

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8
Q

Follow up

A

Every 4 weeks until 28
2 until 36
Weekly

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9
Q

Weight gain for BMI 19.8-26

A

25-35 lbs

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10
Q

Iron supplement

A

27-30 mg

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11
Q

Zinc

A

12 mg/day

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12
Q

Iodine

A

220 mcg/day pregnant

290 lactating

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13
Q

Safe immunization

A

Hepa A and B pre and post exposure
Pneumococcus HR
Meningococcus outbreaks
Influenza

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14
Q

Pathologic causes of leukorrhea

A

BV metro
Trichinoniasis metro
Candidiasis mico clotri nystatin

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15
Q

Discrepancy of fundal size

A

+/- 3 cm

16
Q

Obstetrical milestones

16-18 wks

A

Maternal screening for NTDs and chromosomal abnormalities

17
Q

Obstetrical milestones

24-28 wks

A

GDM screening
Rhogam administration
Fetal counting at 28: 8-10/2 h

18
Q

Obstetrical milestones

28-32 wks

A

Repeat Hgb and Hct

19
Q

Obstetrical milestones

35-37 wks

A

GBS infection screening

20
Q

Obstetrical milestones

>41 wks

A

Non stress test

21
Q

Indications for GBS prophylaxis

A

Previous infant
GBS bacteriuria
Positive GBS screening
Unknown GBS + delivery of 18h/ intrapartum temp >38

22
Q

Intrapartum prophylaxis

A

PenG alt: Ampicillin

Allergy: LR Cefazolin HR Erythromycin or Clindamycin

23
Q

Fetal Assessment

A

Kick count
NST
CST
BPP

24
Q

Reactive NST

A

2 or more FHR accelerations in 20 mins that peak at least 15 bpm above baseline lasting for 15 sec
Rpt weekly

25
Q

Negative CST

A

3 contractions in 10 minutes

No late decelerations

26
Q

Positive CST

A

Repetitive late decelerations in 3UCs in 10 mins

Deliver

27
Q

Equivocal suspicious

A

Int late decel

Significant variable decel

28
Q

Equivocal hyperstimulatory

A

UCs more freq than every 2 min or lasting longer than 90 s

29
Q

5 BPP components

A 
FHR acceleration reactive NST
Fetal breathing 1/30s
Fetal movements 3/30m
Fetal tone 1/30m
AFV >2 cm
30
Q 
BPP
10 to 8 normal AFV
8 abnormal AFV
4-6 
0-2
A

Norm rpt test wkly and twice wkly for DM and post term
Chronic asphyxiated >37 deliver 36 or AFV ABNORMAL deliver 6 observe
Almost certain fetal asphyxia deliver

31
Q

Single most important indicator of an adequately oxygenated fetus

A

Baseline or beat to beat variability

6-25

32
Q

Causes of deceleration
Early mirror image
Variable
Late

A

Head compression
UC compression
Uteroplacental insufficiency

33
Q

Candidates for Prenatal Diagnosis

A 
Primigravid >35
Twin gestation >31
Autosomal trisomy
Triple X or Klinefelter
Chromosomal abnormalities
Spontaneous abortions
Major structural defect
34
Q

Most common isolated structural defects

A

Congenital Heart Defects

35
Q

Second most common

A

NT defects

RF: FH

36
Q

Major serum protein in the embryo-fetus

A

Maternal Serum AFP screening
14-22 wks
Multiple of median

37
Q

Five cranial signs of NTD

A

Small BPD
Ventriculomegaly
Frontal bone scalloping “Lemon sign”
Elongation and downward displacement of the cerebellum “Banana sign”
Effacement or obliteration of Cisterna Magnus

38
Q

Down syndrome

A

Low AFP
Low estriol
High HCG
High Inhibin

Obstetrics (18 decks)

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