prenatal & postpartum care Flashcards
bluish discoloration of vagina
chadwick sign
softening of cervix
hegar sign
patient’s initial perception of fetal movement 16-20 wk gestation
quickening
chadwick sign, hegar sign, quickening are all signs of
pregnancy
standard lab urine pregnancy tests become positive at ____ following 1st day of LMP
4 weeks
what can be used to test for pregnancy before missed period?
serum pregnancy test
fetal heart tones can be detected on doppler when?
12 weeks
the _____= the gestational age of the fetus
fundal height in cm
gestational age is ____elapsed b/w ____ and date of delivery
gestational age is # weeks elapsed b/w 1st day of LMP ad date of delivery
another way of determining EDD
naegele rule
naegele rule estimates EDD by adding ____year+ ___days to the 1st day of the LMP and subtracting_____
adding 1 yr + 7 days to 1st day of LMP and subtract 3 months
abd U/S can detect pregnancy sac at ____ or BHCG_____
5-6 weeks; BHCG 5000-6000
T/V U/S can detect pregnancy sac at ____ or BHCG_____
3;4 weeks; BHCG 1000-2000
term for # pregnancies
gravida
term for # delivered pregnancies
parity
measurement of uterine fundus - when felt at pubis, then how many weeks?
12 weeks
when is uterine fundus 1st palpable?
12 weeks at pubis
measurement of uterine fundus - when felt at umbilicus, then how many weeks?
20 weeks
how to measure uterine fundus
measure from upper part of pubis symphisis to fundus
when to do gestational diabetes screening?
24-28 weeks
when to do GBS vaginal culture?
35-37 weeks
what needs to be done postpartum day 1
Hbg
bleeding during 1st trimester
threatened abortion
when is rhogam adminstered?
28 weeks
placental abruption is assc’d with? (3)
- HTN
- trauma
- IVDU
excessive bleeding around week 32-34 is?
placenta previa
when uterine contractions start 3rd month of gestation
braxton hicks
what hormones are indicated in softening of pelvic cartilage & widening of pelvis
- relaxin
2. progesterone
how frequently is fetal heart monitored after 10 weeks?
done at every visit
the first 6 weeks after delivery is?
the puerperium
woman presents with fever, discharge, tender uterus during puerperium
endomyometriosis
