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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
Q

When should another CBC be done?

A

24-28 weeks

26
Q

When should glucose tolerance test be done?

A

24-28 weeks

27
Q

When do you give Rhogam?

A

28 weeks if negative and then three days before delivery

28
Q

When do you test for group B strep?

A

35-36 weeks

29
Q

What should weight gain be like?

A

One pound per month until third trimester than 1 pound per week

30
Q

What are signs of labor?

A

ligtening, increase activity, ripening of cervix, uterine contractions, bloody show, rupture of membranes

31
Q

What do contractions look like in labor?

A

Increasing duration and frequency of contractions. Should last 60 seconds and be regular.

32
Q

False labor and contractions?

A

Rest may stop them, walking may increase them, NO cervical dilation

33
Q

Frequency of visits?

A

Q4 weeks for first two trimesters
Q2 weeks till 36 weeks
Q1 week until birth

34
Q

What is concidered term?

A

37-41 weeks

35
Q

What 6 things should be checked each visit?

A

Vitals, weight, urinalysis, edema, uterine size, and fetal hear ttones

36
Q

When should you start feeling fetal movement?

A

20 weeks

37
Q

Uterine height?

A

Pubic symphysis to top of funds

Should be at umbilicus @ 20 weeks. Each additional week is another centimeter

38
Q

What are three ways to date pregnancy?

A

Fundal height
Quickening 18-21 weeks
Fetal heart tones- Doppler at 10 weeks and fetoscope at 20 weeks

39
Q

Normal weight for fetus?

A

2500-4000 g

40
Q

HR for fetus?

A

110-160

41
Q

What is a biophysical profile?

A

Combines non-stress testing with ultrasound readings. Can assure fetal wellbeing for 3 days

42
Q

What are screening tests for chromosomal abnormalities?

A

Quad test late- 15-20 weeks
NSAFP 15-20 weeks
Nuchal Transparency- 10-14 weeks
HCG/PAPP-A 10-14 weeks

43
Q

Diagnostic test for abnormalities?

A
  • chorionic villus sampling 10 weeks

- Amniocentisis 15-20 weeks

44
Q

Glucose challenge? When, how much, and good range

A

24-28 week, 50gm, less than 140 is normal

45
Q

Where do you measure fetal station from?

A

Ischila spine

46
Q

What pain medication can be used during pregnancy?

A

Tylenol

47
Q

What medications should be avoided?

A

ASA, NSAIDs, peptobismal, anticofulsants

48
Q

What medications are teratogens?

A

Lithium, isoteritonin, coumadin, ACE inhibitors, tetracycline

49
Q

Common complaints in first trimester?

A

Ptyalism, stuffy nose, ambivalance, N/V, heaviness of breasts, increased urination

50
Q

Common complaints in second trimester?

A

Low quad pain from round ligament (right), excess bile, more edema, nesting

51
Q

Common complaints in third trimester?

A

Constipation, hemorrhoids, difficultiy urinating, pain over pubis, swelling over feet, lower leg, it over stomach

52
Q

Medications for HTN in pregnancy?

A

Methyldopa, CCB

53
Q

Medications to be avoided in pregnancy?

A

BB in first trimester, diuretics, ACE/ARBS

54
Q

Preterm labor date?

A

before 37 weeks

55
Q

Risks for preterm labor?

A

chorioamniocentesis, uterine abnormaliteis, multiple gestations, polyhdraminos, UTI, Genetis

56
Q

Treatment for preterm labor?

A

MSO4, indocin, difedipine, betamethasone, terbutaline

57
Q

When does N/V start usually and when does it end?

A

9-18 weeks

58
Q

What are the drugs for peripartum N/V

A

Vit B6 10-50 mg QID
Doxylamine 12.5 mg QID Antihistamine
Promethazine 12.5-25 mg

59
Q

What does the Kleihauer-Betke test do?

A

Determine the amount of immunoglobulin needed (Rhogam) if there is maternal bleeding/fetal bleeding.

60
Q

Most likely diagnosis of third trimester bleeding? Painful and non painful?

A

Nonpainful- placenta prevea

Painful- Placental Abruption

61
Q

What fish should a mother eat?

A

STKMS- high mercury fish

Swoardfish, tilefish, King mackerel, shark

62
Q

How much low mercury fish and tuna can a mother eat?

A

12 and 6 oz

Ambulatory Care of Women (8 decks)

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