Prenatal Care- Westra Flashcards
Calculate the EDD
First day of LMP - 3 months + 7 days + one year
Determine the Gravida and Parity
G = how many times the patient has been pregant
Parity: F = number of full term P = number of pre term births A = Number of abortions L = number of living children
“Florida Power and Light”
Why are folic acid supplementations recommended?
To prevent neural tube defects
Why is smoking cessation important during pregnancy?
Smoking increases risk for:
placenta previa
placenta abruption
ectopic pregnancy
premature rupture of membranes
Why is it important to check Rubella immunizations?
Torch infection!
Mild disease in children but severe congenital disease
Triad: PDA Cataracts Deafness \+/- blueberry muffin rash (sign of extramedullary hematopoeisis)
Epicanthal folds Flat nasal bridge Small palperbral fissures "Railroad tract" ears Unturned nose Smooth philtrum Thin upper lip
Fetal alcohol syndrome
What class of drugs are most epilepsy medications?
Class D - evidence of fetal risk but benefits may outweigh the risks
Which immunizations can you give during pregnancy?
Tdap - last trimester for protection against pertussis
Flu - NOT first trimester
Rubella/Varicella - NOT AT ALL, be conscious
What is considered preterm?
What is considered term?
37-40 weeks
What is considered post-term?
> 42 weeks
Trimester Break Down
First Trimester = 1-12 weeks
Second Trimester = 13-27 weeks
Third Trimester = 28- 40 weeks
Describe Drug Classifications
A= studies in humans no risk B = Studies in animals no risk C = No adequate studies D = Evidence of fetal risk, but benefits outweigh risks (some seizure meds/ ABs) X = Fetal risks clearly outweigh benefits
What drug category is Acutane?
Category X - fetal risks clearly outweigh benefits
Describe the schedule of prenatal visits
Starting around 6 weeks - every 4 weeks
At 28-36 weeks - every 2 weeks
36 - Delivery - WEEKLY
What is Chadwick’s Sign?
Purple coloration of cervix
Generalized engorgement of the pelvic organs and is the dark discoloration bluish appearance of vulva, vagina and cervix
What is Hegar’s Sign?
Softening of cervix
Typical weight gain during pregnancy?
20-35 lbs
When can you hear fetal heart tones with a doppler?
10-12 weeks
What category of medications is Tetracyclines? Why?
Class D- evidence of fetal risk but benefit may outweigh risk
Teeth Discoloration in infant
When should genetic screening be offered to pregnant women?
Age > 35 with singleton
Age > 32 with twins
Family History or ethnic group with an increased incidence of recessive mutations:
Thalassemia
Sickle Cell
Tay-Sachs
Cystic Fibrosis
When is the Rho immune globulin given to Rh negative mothers? (non-sensitized)
Know!!
28 Weeks gestation and within 72 hours of delivery if infant is Rh + (test the cord blood)
When do you test for Group B Strep?
35-37 weeks
