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Clinical: Woman's Health > Prenatal Care and Normal Pregnancy > Flashcards

Prenatal Care and Normal Pregnancy Flashcards

1
Q

What is the normal APGAR score range?

A

normal = 7 to 10

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2
Q

When is APGAR score recorded?

A

one and five minutes

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3
Q

An infant with what apgar score warrants further evaluation and possible resuscitation?

A

4-6 warrents further eval + possible resuscitation

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4
Q

What is the first A in APGAR indicative of?

A

appearance

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5
Q

What does the P in APGAR score stand for?

A

Pulse

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6
Q

what does the G in APGAR score indicate

A

Grimace

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7
Q

what does the R in APGAR stand for

A

Respiration

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8
Q

what is the second A in APGAR stand for

A

Activity

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9
Q

what is fetal attitude

A

relationship of fetal parts to one another

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10
Q

what is fetal lie

A

relationship of fetal cephalocaudal axis (spinal column) to maternal cephalocaudal axis

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11
Q

what is fetal presentation

A

fetal/presenting part enters the pelvic inlet first
(breech vs cephalic)

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12
Q

what is frank breech position

A

hips flexed, knees extended, bottom presents first

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13
Q

what is complete breech position

A

hips, knees flexed, bottom presents first

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14
Q

what is incomplete breech position

A

one/both hips not completely flexed; feet present

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15
Q

what is shoulder breech position

A

transverse lie; shoulders present first

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16
Q

What does Monozygotic twins mean

A

identical twins
multiple (typically two) fetuses produced by the splitting of a single zygote

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17
Q

what are dizygotic twins

A

fraternal
multiple (typically two) fetuses produced by two zygotes

18
Q

what are polyzygotic twins

A

multiple fetuses produced by two or more zygotes

19
Q

what is a normal newborn heart rate

A

120-160 bpm

20
Q

what is late fetal decelerations

A

FHR drops at the end of the contraction - ureteroplacental insufficiency
always worrisome

21
Q

what is Hegar’s sign

A

softening of uterine isthmus

22
Q

What is Goodells sign

A

a probable sign of pregnancy that occurs when the cervix softens during early pregnancy

23
Q

what are striae gravidarum

A

stretch marks

24
Q

what are nutritional needs during pregnancy

A
  • additional 300kcal/day, weight gain of 24-25lbs
  • 600mcg folic acid/day
  • 1,000-1,300mg calcium/day supports pregnancy, lactation
  • 60g protein daily supports tissue growth
  • 27 mg iron/day supports increase RBCs
25
Q

What is Naegele’s sign

A

expectant date of confinement
first day of last menstrual period + 7 days - 3 months + 1 year

26
Q

What is the triple screen

A

AFP, HCG and estriol

27
Q

what is a Quad Screen

A

AFP, HCG, Estriol, Inhibin A

28
Q

when is Chorionic villus sampling completed

A

between 10-12 weeks (end of first trimester)

29
Q

When is amniocentesis completed

A

between 15-18 weeks (beginning of the second trimerster) - especially for women over 35 in high-risk group

30
Q

when is the 2hour glucose test completed

A

between 26-28 weeks

31
Q

when is groupB strep test completed

A

between 35-37 weeks

32
Q

what is the estimate gestational age by uterine size at 12 weeks?

A

pubic symphysis

33
Q

what is the estimate gestational age by uterine size at 16 weeks

A

midway from symphysis to umbilicus

34
Q

what is the estimate gestational age by uterine size at 20 weeks

A

at umbilicus

35
Q

what is the estimate gestational age by uterine size at 20-36 weeks

A

height (in cm) above pubic symphysis correlates with weeks of gestation

36
Q

What weeks are considered the first trimester

A

week 1 - week 12

37
Q

what weeks are the second trimester

A

Week 13- week 26

38
Q

what weeks are third trimester

A

WEek 27 to end of pregnancy

39
Q

When is RhoGAM given

A

between 28-30 weeks gestation

40
Q

mothers at 28-32 weeks gestation who have pre-gestational diabetes must undergo what type of testing and how often

A

stress testing - twice weekly until delivery

Clinical: Woman's Health (12 decks)

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