Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OBGYN rotation review > prenatal care > Flashcards

prenatal care Flashcards

1
Q

if a preggo is underweight w/ a BMI of less than 18.5, how many pounds is it recommended that she gain during pregnancy

A

28-40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how much exercise should a preggo be getting per week

A

150 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

2nd trimester is considered week ___ to ___

A

13 to 26 6/7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

when do fetal kick counts begin?

what are you wanting?

A

at the third trimester

want

10 kicks/rolls/flutters within 2 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Naegeles rule

A

how to estimate when baby will be born

add 7 days to LMP

add 9 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

LMP means

A

1st day of last menstrual cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

if a preggo is obese w/ a BMI over 30, how many pounds is it recommended that she gain during pregnancy

A

11-20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what bloodwork are you getting at the 1st trimester visit

A

​CBC (anemia?

blood type and RH

antibody screen

rubella and varicella titers

RPR (syphilis testing)

Hep B antigen

HIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is NIPT

A

Non-Invasive Prenatal Test

serum draw that tests DNA

coincides with a Nuchal Translucency scan that can be done instead of First Trimester Screening to indicate trisomies

done as early as 9 weeks

earlier detection than FTS but more expensive

(optional)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when is the 2nd trimester visit?

what diagnostic tests are done

A

18-22 weeks

ultrasound

look for abnormalities, fetal position, location and status of placenta, Amniotic Fluid Index, cervical length, estimate fetal weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what vaccinations does a woman trying to become pregnant need to be up to date on

A

MMR

varicella

Hep B

Flu

Tdap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

which weeks are you doing US and Leopold Maneuvers

A

(3rd trimester)

weeks 32 to 34

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is Non Stress Test (NST)

A

traces the fetal HR and uterine activity for 20 minutes

need minimum of 2 acclerations that increase by 15 bpm and last for 15 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

at 20 weeks, the fundal heigh is measured to

A

the umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

leopolds maneuvers

A

how you check the positioning of the fetus

done at 32 to 34 weeks

(3rd trimester)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if a preggo is of normal weight w/ a BMI of 18.5 to 24.9, how many pounds is it recommended that she gain during pregnancy

A

25-35

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how is the success rate of induction estimated?

A

Bishop score

8 to 13 = high chance of success

0 to 4 = high chance of failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the quickening and when does it occur

A

first fetal movements

1st pregnancy = 18 to 20 weeks

2+ pregnancies = 16 to 18 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how often should a patient be seeing the OBGYN during pregnancy

A

first 28 weeks = every 4 weeks

weeks 28-36 = every 2 weeks

weeks 36 onwards = weekly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when should the 1st trimester visit be

A

between 8-10 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

antenatal

A

means prenatal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what is the lightening and when does it occur

A

when the fetus drops into the pelvis

at 36 to 38 weeks

decreases Amniotic Fluid Index

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what are some social things you need to talk about with a newly pregnant patient

A

intentional pregnancy?

domestic violence?

substance abuse?

inherited diseases?

barriers to routine visits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is an NT scan

A

sonogram that determines if Nuchal Translucency (NT) is thickened which can indicate Down Syndrome and cardiac abnormalities

done between 11 and 14 weeks

(optional but often covered and available)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what urine lab tests are you doing at the 1st trimester visit

A

UA

urine cx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

when do you do a Quad Screen

A

if NT and FTS were not performed

(if they were, only do the AFP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

If you have a high risk pregnancy, what tests might you do in the 3rd trimester

A

NST

Biophysical Profile

28
Q

what is early term pregnancy

A

37 weeks to 38 6/7 weeks

29
Q

if you have a RhD negative mom, when are you giving Rh Immune Globulin and how much

A

at 28 to 30 weeks

300 ug

30
Q

what is the most accurate screen for Downs

A

NIPT

(Non-Invasive Prenatal Testing)

31
Q

what labs do you get at every visit

A

urine

(check glucose and protein)

32
Q

which weeks are you doing cervical exams to determine dilation, effacement, station, position, and presenting part

A

weeks 35 to 40

(3rd trimester)

33
Q

which prenatal visit is all about the US

(looks at anatomy, fetal position, location and status of placenta, Amniotic Fluid Index, cervical length, fetal weight estimates)

A

2nd trimester

18 to 22 weeks

34
Q

what is a Biophysical Profile (BPP)

A

fetal US that measures fetal:

  • movement
  • muscle tone
  • breathing (motion of diaphragm)
  • amniotic fluid level

each is worth 2 points w/ 8/8 being perfect

  • sometimes fetal HR is measured (so 10/10)
35
Q

when does the most accurate US dating occur

A

1st trimester

36
Q

what is AFP

A

Alpha FetoProtein

elevated levels could indicate neural tube defects

performed between 15 and 22 weeks, possibly with Quad Screen

optional test

37
Q

how do you do the 3 hour glucose tolerance test

A

load her up with 100 grams of oral glucose

4 blood draws

  • fasting should be less than 95
  • 1 hour should be less than 180
  • 2 hour should be less than 155
  • 3 hour should be less than 140

2 abnormal OR 1 value > 200 = FAIL = GDM

38
Q

EDC means

A

estimated date of confinement

same thing as estimated date of delivery

39
Q

hegars sign

A

palpable softening of the isthmus that is a sign of pregnancy

40
Q

what serum markers are measured during the Quad Screen

A

alpha fetoprotein

uE3

hCG

inhibin A

41
Q

what is full term pregnancy

A

39 weeks to 40 6/7 weeks

42
Q

GA means

A

gestational age

43
Q

at 12 weeks, the fundal height is measured to the

A

pubic symphysis

44
Q

what is a Quad Screen

A

aka Maternal Serum Screen

done between 15 and 22 weeks (most accurate between 16 and 18) along with AFP

screens for neural tube defects and trisomies

45
Q

when doing the Group B Strep Culture, what are you swabbing

A

the lower vagina and the rectum

46
Q

what is late term pregnancy

A

41 weeks to 41 6/7 weeks

47
Q

3rd trimester is considered week ___ to ___

A

week 27 to the end

48
Q

during the 1st trimester visit, you should instruct the preggo to avoid what foods

A

fish w/ high mercury content (tuna, swordfish, etc.)

raw meat/ eggs

hot dogs/ deli meat

unpasteurized dairy

more than 200 mg of caffeine/ day

49
Q

EDD means

A

estimated date of delivery

50
Q

how and when can you determine fetal gender

A

in the blood at 9 weeks

US at 16 weeks

51
Q

the Bishop score gives points based on what 5 things

A

C-PEDS

  1. Cervical consistency
  2. Position of cervix
  3. Effacement Percent
  4. Dilation (cm)
  5. Station
52
Q

when is everyone tested for Gestational DM

A

between weeks 24 and 28

(3rd trimester visit)

could be sooner if reason to suspect GDM

53
Q

chadwicks sign

A

blueish purple tint of vaginal walls/ cervix indicating pregnancy

(due to increased blood flow; occurs around 6-8 weeks)

54
Q

if a preggo is overweight w/ a BMI of less than 25 to 29.9 how many pounds is it recommended that she gain during pregnancy

A

15 to 25

55
Q

how do you do 1 hour glucose challenge

A

load her up with 50 grams of oral glucose

1 hour later…

  • BS < 140 = pass
  • BS 141 to 199 = abnormal ⇒ 3 hour glucose tolerance test
  • BS > 200 = automatic fail = GDM
56
Q

what is the earliest that a transvag US can visualize cardiac activity of the fetus

A

5.5 weeks

57
Q

1st trimester is considered week __ to ___

A

week 1 to 12 6/7

58
Q

which tests screen for neural tube defects

A

NT scan

AFP

Quad screen

59
Q

what is FTS

A

First Trimester Screening

serum draw that coincides with a Nuchal Translucency scan that determines if PAPP-A and beta HCG are elevated which can indicate trisomies

done between 11 and 14 weeks

(optional)

60
Q

what is post term pregnancy

A

42+ weeks

61
Q

in addition to bloodwork and urine testing, what other testing are you doing at the 1st trimester visit

A

cytology (Pap smear, gonorrhea, and chlamydia cx)

US (confirm EDD and r/o ectopic pregnancy)

maybe

TSH, CF screening, TB, HbA1C

62
Q

what labs are you drawing up at 24 to 28 week visits?

A

(3rd trimester)

CBC

RPR (syphillis)

ABO and Rh

antibody screen

blood glucose

63
Q

if someone comes in for prenatal care counseling, what supplements should you suggest

A

folic acid (0.4 to 0.8 mg/ day beginning 1 month prior to conception)

DHA (wards off postpartum depression)

64
Q

what are you giving someone with GDM

A

insulin

65
Q

which weeks are you doing the Group B Strep Culture

A

weeks 35 to 37

(3rd trimester)

66
Q

which tests screen for trisomies

A

NT scan

FTS

NIPT

Quad screen

OBGYN rotation review (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions