Prenatal Care- Westra Flashcards

1
Q

Calculate the EDD

A

First day of LMP - 3 months + 7 days + one year

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2
Q

Determine the Gravida and Parity

A

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”

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3
Q

Why are folic acid supplementations recommended?

A

To prevent neural tube defects

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4
Q

Why is smoking cessation important during pregnancy?

A

Smoking increases risk for:

placenta previa
placenta abruption
ectopic pregnancy
premature rupture of membranes

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5
Q

Why is it important to check Rubella immunizations?

A

Torch infection!
Mild disease in children but severe congenital disease

Triad:
PDA
Cataracts
Deafness
\+/- blueberry muffin rash (sign of extramedullary hematopoeisis)
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6
Q
Epicanthal folds
Flat nasal bridge
Small palperbral fissures
"Railroad tract" ears
Unturned nose
Smooth philtrum
Thin upper lip
A

Fetal alcohol syndrome

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7
Q

What class of drugs are most epilepsy medications?

A

Class D - evidence of fetal risk but benefits may outweigh the risks

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8
Q

Which immunizations can you give during pregnancy?

A

Tdap - last trimester for protection against pertussis

Flu - NOT first trimester

Rubella/Varicella - NOT AT ALL, be conscious

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9
Q

What is considered preterm?

A
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10
Q

What is considered term?

A

37-40 weeks

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11
Q

What is considered post-term?

A

> 42 weeks

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12
Q

Trimester Break Down

A

First Trimester = 1-12 weeks
Second Trimester = 13-27 weeks
Third Trimester = 28- 40 weeks

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13
Q

Describe Drug Classifications

A
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
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14
Q

What drug category is Acutane?

A

Category X - fetal risks clearly outweigh benefits

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15
Q

Describe the schedule of prenatal visits

A

Starting around 6 weeks - every 4 weeks

At 28-36 weeks - every 2 weeks

36 - Delivery - WEEKLY

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16
Q

What is Chadwick’s Sign?

A

Purple coloration of cervix

Generalized engorgement of the pelvic organs and is the dark discoloration bluish appearance of vulva, vagina and cervix

17
Q

What is Hegar’s Sign?

A

Softening of cervix

18
Q

Typical weight gain during pregnancy?

A

20-35 lbs

19
Q

When can you hear fetal heart tones with a doppler?

A

10-12 weeks

20
Q

What category of medications is Tetracyclines? Why?

A

Class D- evidence of fetal risk but benefit may outweigh risk

Teeth Discoloration in infant

21
Q

When should genetic screening be offered to pregnant women?

A

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

22
Q

When is the Rho immune globulin given to Rh negative mothers? (non-sensitized)

A

Know!!

28 Weeks gestation and within 72 hours of delivery if infant is Rh + (test the cord blood)

23
Q

When do you test for Group B Strep?

A

35-37 weeks