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Ambulatory Care of Women > Prenatal care > Flashcards

Prenatal care Flashcards

1
Q

Folic acid requirements?

A

.4 mg or 4 mg 4 weeks before conception and then 3 months after fertilization

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2
Q

Iron Requirements?

A

30 mg

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3
Q

Calcium Requirements?

A

1200 mg

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4
Q

Protein requirements?

A

80 mg

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5
Q

Average weight gain of pregnant mother?

A

25-35 pounds

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6
Q

What BMI is associated with cardiac defects, NTD, and anomalies?

A

> 30

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7
Q

What vaccinations should be given and should not be given?

A

TdAP and Flu after first trimester

NO live vaccines

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8
Q

When should you test for Group B Strep? and what do you use to treat?

A

35-36 weeks. Penicillin

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9
Q

Antibiotics that are OK during pregnancy?

A

PNC, erythromycin, cephalosporins, macrolides, nitrofuratonin

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10
Q

Antibiotics that need to be avoided during pregnancy?

A

aminoglycosides, quinolones, and tetracyclines

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11
Q

Presumptive signs of pregnancy?

A

N/V, fatigue, urinary frequency, breast changes, amenorrhea, quickening (fetal movement)

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12
Q

Probable signs of pregnancy

A

Pelvic organ changes, abdominal enlargement, uterine souffle, pigmentation changes, braxton hicks contrnactions, ballottement, positive pregnancy test

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13
Q

Positive symptoms of pregnancy

A

Fetal heart tones, US visualizations, fetal outline palpation, laboratory test

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14
Q

What is parity?

A

result of pregnancy >20 weeks

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15
Q

What is GTPAL

A

Gavid, term, preterm, abortion, living

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16
Q

How long is a woman post part?

A

6 weeks

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17
Q

Nagal’s rule to determine date of pregnancy

A

LMP minus three months plus 7 days. only 3-5% on actual due date

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18
Q

Length of trimesters?

A

0-13, 14-28, 28- delivery

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19
Q

Who is at risk for chromosomal abnormalities?

A

Moms over 35 and dads greater than 55

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20
Q

Who is at risk for hemoglobinopathies?

A

AA, jewish/french canadians, mediterrian decent (beta thalassemia)

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21
Q

Initial labs for all patients?

A

Type and Rh, CBC, rubella, RPR, Hep B, HIV, UA, pap smear and wet prep

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22
Q

When should a woman seek care?

A

Vaginal bleeding, fever >101, abdominal pain/cramping, UTI, severe N/V, headache unrelieved by tylenol, vaginal leadkage

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23
Q

When should MSAFP be done?

A

15-22 weeks?

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24
Q

When should U/S be done?

A

18-2- weeks

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25
When should another CBC be done?
24-28 weeks
26
When should glucose tolerance test be done?
24-28 weeks
27
When do you give Rhogam?
28 weeks if negative and then three days before delivery
28
When do you test for group B strep?
35-36 weeks
29
What should weight gain be like?
One pound per month until third trimester than 1 pound per week
30
What are signs of labor?
ligtening, increase activity, ripening of cervix, uterine contractions, bloody show, rupture of membranes
31
What do contractions look like in labor?
Increasing duration and frequency of contractions. Should last 60 seconds and be regular.
32
False labor and contractions?
Rest may stop them, walking may increase them, NO cervical dilation
33
Frequency of visits?
Q4 weeks for first two trimesters Q2 weeks till 36 weeks Q1 week until birth
34
What is concidered term?
37-41 weeks
35
What 6 things should be checked each visit?
Vitals, weight, urinalysis, edema, uterine size, and fetal hear ttones
36
When should you start feeling fetal movement?
20 weeks
37
Uterine height?
Pubic symphysis to top of funds | Should be at umbilicus @ 20 weeks. Each additional week is another centimeter
38
What are three ways to date pregnancy?
Fundal height Quickening 18-21 weeks Fetal heart tones- Doppler at 10 weeks and fetoscope at 20 weeks
39
Normal weight for fetus?
2500-4000 g
40
HR for fetus?
110-160
41
What is a biophysical profile?
Combines non-stress testing with ultrasound readings. Can assure fetal wellbeing for 3 days
42
What are screening tests for chromosomal abnormalities?
Quad test late- 15-20 weeks NSAFP 15-20 weeks Nuchal Transparency- 10-14 weeks HCG/PAPP-A 10-14 weeks
43
Diagnostic test for abnormalities?
- chorionic villus sampling 10 weeks | - Amniocentisis 15-20 weeks
44
Glucose challenge? When, how much, and good range
24-28 week, 50gm, less than 140 is normal
45
Where do you measure fetal station from?
Ischila spine
46
What pain medication can be used during pregnancy?
Tylenol
47
What medications should be avoided?
ASA, NSAIDs, peptobismal, anticofulsants
48
What medications are teratogens?
Lithium, isoteritonin, coumadin, ACE inhibitors, tetracycline
49
Common complaints in first trimester?
Ptyalism, stuffy nose, ambivalance, N/V, heaviness of breasts, increased urination
50
Common complaints in second trimester?
Low quad pain from round ligament (right), excess bile, more edema, nesting
51
Common complaints in third trimester?
Constipation, hemorrhoids, difficultiy urinating, pain over pubis, swelling over feet, lower leg, it over stomach
52
Medications for HTN in pregnancy?
Methyldopa, CCB
53
Medications to be avoided in pregnancy?
BB in first trimester, diuretics, ACE/ARBS
54
Preterm labor date?
before 37 weeks
55
Risks for preterm labor?
chorioamniocentesis, uterine abnormaliteis, multiple gestations, polyhdraminos, UTI, Genetis
56
Treatment for preterm labor?
MSO4, indocin, difedipine, betamethasone, terbutaline
57
When does N/V start usually and when does it end?
9-18 weeks
58
What are the drugs for peripartum N/V
Vit B6 10-50 mg QID Doxylamine 12.5 mg QID Antihistamine Promethazine 12.5-25 mg
59
What does the Kleihauer-Betke test do?
Determine the amount of immunoglobulin needed (Rhogam) if there is maternal bleeding/fetal bleeding.
60
Most likely diagnosis of third trimester bleeding? Painful and non painful?
Nonpainful- placenta prevea | Painful- Placental Abruption
61
What fish should a mother eat?
STKMS- high mercury fish | Swoardfish, tilefish, King mackerel, shark
62
How much low mercury fish and tuna can a mother eat?
12 and 6 oz

Ambulatory Care of Women (8 decks)

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