Prenatal care - Diagnosis of pregnancy Flashcards
1
Q
Preferred method to diagnose normal pregnancy
A
Urine hCG
- Keyword:*
- Normal
2
Q
Naegele’s rule assumes two things
A
- A normal gestation is 280 days
- All patients have a 28-day menstrual cycle
3
Q
Margin of error for Naegele’s rule
A
± 2 weeks
4
Q
Presumptive symptoms
A
- Morning sickness
- Frequency in urination
- Quickening
5
Q
Presumptive signs
A
- Amenorrhea
- Beading cervical mucus
- Chadwick sign
- Breast engorgement
- Skin changes
- Increased temperature
- Note:*
- Of the discolorations in the reproductive tract, only Chadwick is presumptive
6
Q
Fetal movement
- AOG in primigravida
- AOG in multigravida
A
- AOG in primigravida
- 18-20 weeks
- AOG in multigravida
- 16-18 weeks
7
Q
Amenorrhea is not a reliale sign until ____ days or more after missed menses
A
10
8
Q
Cervical mucus in pregnancy
- Pattern
- Hormone responsible
A
- Pattern
- Beading
- Hormone responsible
- Progesterone
Memory aid:
- Beading Buntis
- Progesterone Pregnant
9
Q
Probable signs of pregnancy
A
- Enlargement of abdomen
- Hegar sign
- Goodell sogn
- Braxton Hicks contractions
- Ballottement
- Detection of β-hCG
10
Q
The fundic height in cm correlates with AOG when?
A
20 to 34 weeks
11
Q
When is ballottement evident?
A
In the 2nd trimester
12
Q
Positive signs of pregnancy
A
- Fetal heart tone
- Perception of fetal movement by examiner
- Sonographic recognition
13
Q
Fetal heart tone
- Auscultation
- Doppler
- TV-UTZ
A
- Auscultation
- As early as 16 weeks
- 80% at 20 weeks
- 100% at 22 weeks
- Doppler
- 10 weeks (as early as 8 weeks)
- TV-UTZ
- 5 weeks
14
Q
When are the structures seen in TVS
- Gestational sac
- Yolk sac
A
- Gestational sac
- 4-5 weeks
- Yolk sac
- 5 weeks
15
Q
A transvaginal ultrasound should be able to show at least a gestational sac once the hCG levels have reached ____
A
Between 1,000 – 2,000 mIU/mL
