Prenatal Care Flashcards
When should an initial visit occur?
Between 6-10 wks
What is included in the panel of tests that are done in the initial 1T visit?
CBC H&H Blood type and Antibody screen HBSAg Gonorrhea/chlamydia Pap PPD RPR/VDRL (for syphilis) Rubella Ab screen UA Urine Cx. and Urine Pregnancy test (if unsure)
Nuchal translucency via US (for aneuploidy, Down Syn)
What tests are done in routine Prenatal Visits?
BP, weight
Fundal height
FHR auscultation
Urine dipstick for protein, glucose, blood, Leuk Esterase
Vaginal bleeding, discharge, fluid
After 20 wks:
Contractions, Fetal movement
of contractions/hr that may indicate preterm labor
> 5-6/hr
What are Braxton Hicks contractions?
Irregular contractions common in the 3T
Tests done in the 2T?
Triple or Quad Screen (Estriol, MSAFP, B-hCG + Inhibin A) Obstetric US (amniotic fluid vol, placenta location, GA) Amniocentesis for women interested in prenatal diagnosis
Tests done in 3T (27-29 wks)?
H&H (Hct
When is a MSAFP performed? Significance?
15-18 wks.
Increase MSAFP = Increased NTDs
Decreased MSAFP = Down Syndrome
When should patients who are Rh (-) receive Rhogam?
28 wks
When are Leopold’s maneuvers performed to determine fetal presentation?
beyond 32-34 wks
How is a GLT done?
50 g oral glucose dose then check glucose 1 hr later.
> or equal to 140 then do Glucose Tolerance Test
What happens in a GTT?
Fasting serum glucose then 100g oral loading dose then measure at 1, 2, and 3 hrs after.
Gestational Diabetes if 2 or more abnormal/greater: Fasting: 95 1 hr: 180 2 hr: 155 3 hr: 140
When should a woman with latent HSV be treated? What if it’s active?
36 wks. If active: do C-section.
When should screening for GBS infection be performed? Treat with?
36 wks. Tx: PCN
How is a Nuchal Translucency performed?
measurement of posterior fetal neck taken in profile view (60-90% sensitive)
