Prenatal, Labor and Delivery Flashcards
Estimating date of confinement (EDC)
LMP plus 7 days minus three months
Chorionic villous sampling
Should not be done before 10 wks
Screens for downs and such
Empiric tx of bacteriuria/cystitis
Amoxicillin 500mg PO TID for 3-7
Nitrofurantoin 50mg PO QID for 7 days
If mother is Rh-
Give rhogam at 28 wks
Down syndrome MSAFP
Low
High MSAFP =
Neural tube defects
Ancephaly
Multiple gestation
Prenatal visit schedule
every 4 wks to 28 wks
every 2 wks to 34-36 wks
then every week til delivery
Headaches are common in…
early pregnancy
When does baby start to move?
18-20 wks
called quickening
Gestational diabetes values
Random > 200
Fasting > 126
Glucose challenge > 130
When to screen for group B strep
35 - 37 wks
Contractions w/o a change in cervical dilation or effacement
Braxton-hicks contractions
When should mom come in for imminent birth
contractions every 5 mins for an hour
Water broken
SIgnificant bleeding
Decreased fetal mvmt
1st stage of labor
Dilation of the cervix to 10 cm (average)
2nd stage
Begins w/ complete dilation
ends w/ delivery
