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WH 3 > prenatal care & complication lectures > Flashcards

prenatal care & complication lectures Flashcards

1
Q

when does hcg start to appear in urine

A

8 days before missed period (clear blue can do 6 days)

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2
Q

pregnancy may be diagnosed as early as ____ days after implantation

A

3-4

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3
Q

when does HcG levels start to drop

A

around 12 wks

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4
Q

expected time for fetal heart tone, movement & morning sickness

A

heart– 10-12 wks via doppler at 12
movement— 16-20
N/V <6-7 wks and ends at 13-16 wks

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5
Q

if theres discrepancy in fundal height by 3+cm whats next

A

do US

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6
Q

why should you get urine culture in first trimester

A

to detect asymptomatic bacteruria for tx

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7
Q

what do you get when Rh- mom carries Rh+ baby & blood leaks into mom causing her to make antibodies against baby

A

fetal fetalis hydrops

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8
Q

when should you give mom RhoGAM

A

28 wks & if bleeding/miscarriage occurs

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9
Q

when do you check AFP and what does high levels mean

A
  • check in 2nd trimester (14-20ish) with the triple/quad screen
  • high is associated with open neural tube defects
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10
Q

what should you do if there is high AFP

A

evaluate with amniocentesis

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11
Q

when should you give rubella vaccine?

A

after pregnancy

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12
Q

normal nuchal translucency in 1st trimester

A

< 3mm

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13
Q

when should you screen for GDM (high risk vs normal)

A
  • high risk– 1st trimester
  • nomral– 24-28 wks (2nd trimester)
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14
Q

when should you give Tdap booster to mom

A

28 wks

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15
Q

3 things to do at 36 wks

A
  • CBC, GBS screening-not indicated if pt had GBS bacteriuria in pregnancy
  • confirm fetal position w/ US; NST and BPP
  • start acyclovir prophylaxis if genital HSV
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16
Q

how is GDM screened?

A
  1. 1 hr OGTT with 50g non-fasting flucose
  2. if over 140 then 3 hr OGTT 100g fasting
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17
Q

untreated UTIs can cause (2 things)

A
  • preterm labor & delivery
  • fetal loss
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18
Q

2 other teratogenic meds

A

methotrexate & ribavirin

19
Q

1 in _ americans are obese at start of pregnancy; same stat gains more than 40lbs in pregnancy

A

5

20
Q

leading cause of death & disability in pregnant people is

A

MVA– seat bealt should be under uterus and above fundus btwn breasts

21
Q

OTC pain med recommended for pregnant people

A

tylenol

22
Q

med to prevent or delay onset of preeclampsia

A

low dose aspirin btwn 12-18 wks

23
Q

what trimester should pelvic exam be avoided unless placenta previa has been excluded

A

3rd trimester

24
Q

premature separation of part of placenta from uterine wall; range from no bleeding to significant; can be precipitated by blunt trauma or MVA

A

placental abruption

25
Q

2 things that placenta previa increases the risk of

A

abruption & massive bleeding

26
Q

STI that can cause neonatal CT pneumonia

A

chlamydia

27
Q

a type of vaginitis Associated w/ preterm labor/delivery

A

BV

28
Q

a type of vaginitis that presents no risk to pregnancy or fetus & how its tx

A

yeast
topical clotrimazole or miconazole NO PO

29
Q

condition that can cause PDA, cognititve issues and deafness

A

rubella

30
Q

can cause neonatal GC ophthalmia

A

Gonococcal conjunctivitis

31
Q

rare but common in pregnancy, related to contamined foods where mom has no sx but baby is tested after delivery

A

listeriosis

32
Q

2 readings >140/90 at least 4 hrs apart after 20 wks means

A

gestational HTN

33
Q

how is gestational HTN treated? (2)

A

expectant management with increased monitoring
delivery by 37 weeks

34
Q

2 tx of preeclampsia with severe features

A
  • seizure prophylaxis w/ magnesium sulfate IV
  • may need meds to lower BP
35
Q

tx of preeclampsia < 37 wks without severe features (2)

A

increased monitoring including BP
2x/wk NST

36
Q

tx of preeclampsia after 37 wks or with worsening condition

A

delivery

37
Q

3 ways to predict premature labor

A
  • measuring cervical length (over 25mm is reassuring)
  • fetal fibronectin (negative is reassuring)
  • bishops score
38
Q

membrane ruptures before 37 wks from intrauterine infection; high morbidity but survival likely if 24-26 wks; avoid digital exams

A

PROM

39
Q

Often diagnosed by lagging fundal height; May be seen on screening US; serial US used to monitor growth

A

Intrautering growth restriction (IUGR)

40
Q

what is the biggest risk with having multiples

A

preterm labor and delivery

41
Q

most common non-traumatic cause of FT bleeding

A

spontaneous miscarriage

42
Q

leading cause of 1st trimester pregnancy-related death

A

ectopic

43
Q

commonly present w/ vaginal bleeding in early pregnancy; Increased risk at extremes of maternal age and previous molar pregnancy; bHCG over 100,000 mIu/mL

A

GTD/hydatidiform mole

WH 3 (3 decks)

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