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OB > PRENATAL CARE > Flashcards

PRENATAL CARE Flashcards

1
Q

Perception of fetal movement

A

16-18 weeks - multigravida

18-20 weeks - nulligravida

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2
Q

B-hCG

A

8-9 days after ovulation - detection

60-70 days - reach peak levels

16 weeks - plateau

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3
Q

gestational sac

A

small anechoic fluid collection within the endometrial cavity

4-5 weeks

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4
Q

The first sonographic evidence of pregnancy

A

gestational sac

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5
Q

pseudogestational sac or pseudosac

A

fluid collection within the endometrial cavity with an ectopic pregnancy

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6
Q

intradecidual sign

A

anechoic center surrounded by a single echogenic rim

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7
Q

double decidual sign

A

two concentric echogenic rings surrounding the gestational sac

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8
Q

yolk sac

A

brightly echogenic ring with an anechoic center

5.5 weeks

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9
Q

Confirms intrauterine location

A

yolk sac

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10
Q

Cardiac motion is noted

A

6 weeks

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11
Q

Crown rump length - predictive of gestational age within 4 days

A

up to 12 weeks gestation

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12
Q

Major goals of prenatal care

A

define the health status of the mother and fetus

estimate the gestational age

initiate a plan for continued obstetrical care

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13
Q

Pelvic Inlet Landmarks

A

POSTERIOR
promontory
sacral alae

LATERAL
linea terminalis

ANTERIOR
pubic symphysis
pubic rami

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14
Q

True/Anatomic Conjugate

A

promontory to upper margin of symphysis

11 cm

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15
Q

Obstetric Conjugate

A

promontory to posterior symphysis

subtract 1.5 to 2 cm from diagonal conjugate

> 10 cm

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16
Q

Diagonal Conjugate

A

promontory to LOWER margin of symphysis

> 11.5 cm

measured manually

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17
Q

Subsequent Prenatal Visits

A

4 week intervals – until 28 weeks

every 2 weeks – until 36 weeks

weekly – after 36 weeks

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18
Q

Weeks wherein the fundal height correlates closely with gestational age in weeks

A

b/w 20 and 34 weeks gestation

19
Q

FHR

A

110-160 bpm

20
Q

fundic soufflé

A

sharp, whistling sound that is synchronous with the FETAL pulse

caused by the rush of blood through the umbilical arteries

21
Q

uterine soufflé

A

soft, blowing sound that is synchronous with the MATERNAL pulse

produced by the passage of blood through the DILATED UTERINE VESSELS

heard most distinctly near the lower portion of the uterus

22
Q

35-37 weeks

A

• vaginal and rectal group B streptococcal (GBS) cultures obtained in all women

23
Q

24-28 weeks

A

All pregnant women are screened for GESTATIONAL DM, whether by history, clinical factors, or routine laboratory testing

24
Q

15-20 weeks

A

Serum screening for neural-tube defects

25
Q

11-14 weeks and/or 15-20 weeks

A

Fetal aneuploidy screening; depending on the protocol selected

26
Q

Average retained pregnancy weight

A

2.1 Ib or 1 kg

27
Q

With potentially toxic effects

A

iron, zinc, selenium, and vitamins A, B6, C, and D

28
Q

Caloric increase recommended during pregnancy

A

100 to 300 kcal/d

29
Q

Recommended protein intake during pregnancy

A

1 g/kg/d

30
Q

Supplemented daily iron for pregnant women

A

27 mg of elemental iron

31
Q

Recommended elemental iron per day for large women, has a multifetal gestation, begins supplementation late in pregnancy, takes iron irregularly, or has a depressed hemoglobin level

A

60 to 100 mg of elemental iron per day

32
Q

Recommended iodine allowance

A

220 µg/d

33
Q

Recommended daily intake during pregnancy

A

12 mg

34
Q

Manifested by a frequently fatal cardiomyopathy in young children and reproductive-aged women

A

Selenium deficiency

35
Q

Develops in the same circumstances as in nonpregnant individuals-a common example is hyperemesis gravidarum

A

Potassium deficiency

36
Q

Supplementation in early pregnancy can lower neural-tube defect risks

A

400 µg/d

37
Q

Recommended for woman with a prior child with a neural-tube defect

A

4 mg/d

38
Q

Has been associated with congenital malformations when taken in high doses (> 10,000 IU/d) during pregnancy

A

Vitamin A

39
Q

In the absence of obstetrical or medical complications, pregnant women can safely travel

A

up to 36 weeks’ gestation

40
Q

Immunization in Pregnancy

A

Tetatus-Diptheria-Acelluar Pertussis (TDAP)

Influenza Vaccine

Hepatitis B

41
Q

Safe vaccines during pregnany

A

rabies vaccine (killed-virus)
Hepatitis A
Pneumococcus
Varicella Ig (post exposure)

42
Q

Contraindicated vaccines during pregnancy

A 
Measles
Mumps
Rubella
Varicella
HPV
43
Q

INCREASED hCG CONDITIONS

A 
multiple pregnancy
molar pregnancy
exogenous injection
impaired renal clearance
hCG secreting tumors from GI, ovary, bladder, lungs
44
Q

Predictive of gestational age w/n 4 days

A

Crown Rump Length

OB (16 decks)

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