Prenatal Care Flashcards

1
Q

calculate EDD

A

add 7 days to LMP & subtract 3 mo. and add 1 year

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2
Q

early term?

A

37 weeks to 38 weeks and 6 days

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3
Q

full term

A

39 weeks to 40 weeks and 6 days

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4
Q

late term

A

41 weeks to 41 weeks and 6 days

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5
Q

post term

A

42 weeks to beyond

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6
Q

bluish/purple coloration of the vagina/cervix due to increased blood flow

A

Chadwick’s sign

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7
Q

palpable softening at the isthmus

A

Hegar’s sign

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8
Q

always collected at 1st prenatal visit (3)

A

Pap smear
chlamydia swab
gonorrhea swab

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9
Q

when can fetal cardiac motion be visualized?

A

5.5-6.0 weeks via transvaginal US

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10
Q

fetal heart tones detectable? and WNL?

A

10-12 weeks w/ Doppler

120-160 bpm is WNL

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11
Q

fundal height at 12 weeks?

A

pubic symphysis

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12
Q

fundal height at 20 weeks

A

umbilicus

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13
Q

when to screen for gestational diabetes and how

A

24-28 weeks with OGTT

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14
Q

when to do GBS swab

A

b/w 35-37 weeks

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15
Q

when to screen for Rh

and what do you do

A

initial lab work & repeated in early 3rd trimester

if negative Rh, give globulin b/w 28-30 weeks

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16
Q

nuchal translucency screening?

A

11-13 weeks

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17
Q

maternal serum screen aka quad screen

when and what does it measure

A

15-18 weeks

AFP, uE3, hCG, inhibin A

18
Q

biophysical profile (4 things)

A

fetal breathing movements
fetal movement
fetal tone
quantification of amniotic fluid vol.

19
Q

normal BMI (18.5-24.9) weight gain

20
Q

overweight (25.0-29.9) weight gain

21
Q

obese (>30.0) weight gain

22
Q

false labor vs true labor

A

false: irregular intervals & duration, unchanged intensity, no dilation, relief from sedation

true labor has regular intervals, gradual increases in frequency & intensity, no relief from sedation

23
Q

nitrazine test results?

A

pH 6.5-8.0 = ruptured membranes, blue paper

pH 5.0-6.0 = intact membranes

24
Q

1st stage of labor

A

between onset of labor & full cervical dilation & effacement

25
2nd stage of labor
complete dilation to delivery of infant | the pushing phase of childbirth
26
3rd stage of labor
delivery of the infant to delivery of the placenta
27
adequate labor is?
3-5 contractions in 10 min
28
macrosomic?
> 4500 g
29
3 P's of Labor progress
Power Passenger Passage
30
most & least common pelvic shape
gynecoid platypelloid
31
6 cardinal movements of labor
``` engagement flexion descent internal rotation extension external rotation ```
32
normal heart rate variability?
both short term (beat to beat variation) and long term (wavelike pattern that changes 4-6 cycles/min)
33
early deceleration caused by?
head compression | physiologic
34
variable deceleration is caused by
cord compression | doesn't mirror contractions
35
late deceleration caused by (4)
fetal hypoxia placental insufficiency maternal hypotension hypoxia
36
1st degree perineal laceration
involves vaginal mucosa or perineal skin but not underlying tissue
37
2nd degree perineal laceration
involves underlying subcutaneous tissue but not the rectal sphincter or mucosa
38
hospitalization postpartum (2)
vaginal birth: 1-2 days | C/S: 2-4 days
39
lactation timeline (2)
colustrum after 1st day | mature milk after 3rd-5th day
40
v, w, x, y, z
v: pregnancies w: full term births x: preterm births y: abortions z: living children