Prenatal Visit Flashcards
First assessment during prenatal visit
Physical Assessment: Head to toe
Examine the teeth first because it is the target of infection
Second assessment during prenatal visit
Pelvic Examination
Second assessment
Purpose of pelvic examination
to determine CGH
Second assessment
what does internal examination determines?
chadwick, gooddell, and hega’s saign
Second assessment
assessment during prenatal visit by doing physiological test to detect cervical cancer
papanicolaou test / PAP smear
findings of PAP smear
class 1: absence of atypical cell
class 2: presence of atypical cell
class 3: presence of atypical cell SUGGESTIVE of malignancy
class 4: presence of atypical cell STRONGLY SUGGESTIVE of malignancy (75%)
class 5: confirmation for malignancy
findings of PAP smear
class 1: absence of atypical cell
class 2: presence of atypical cell
class 3: presence of atypical cell SUGGESTIVE of malignancy
class 4: presence of atypical cell STRONGLY SUGGESTIVE of malignancy (75%)
class 5: confirmation for malignancy
STAGES OF CERVICAL CANCER
- cancer can be found on cervix
- cancer can be find beyond the cervix into the vagina
- cancer metastasis to the pelvicwalls
- cancer mestastasis beyond the pelvic wall into the bladder to rectum
STAGES OF CERVICAL CANCER
- cancer can be found on cervix
- cancer can be find beyond the cervix into the vagina
- cancer metastasis to the pelvic walls
- cancer mestastasis beyond the pelvic wall into the bladder to rectum
Second assessment
what assessment is performed 2 weeks prior to EDC that is best method to determine Cephalopelvic Disproportion
x-ray pelvimetry
Second assessment
It is performed after 5th lunar month to confirm that swelling of the uterus is due to a fetus rather than a tumour or other abnormality.
ballotement
Second assessment
Leopold’s manuever has 3 purpose:
- determine fetal size
- locate fetal parts
determine position, presentation, engangement, and attitude
third assessment during prenatal visit and what is its purpose
Vitals signs (BP + Weight) to determine signs of pregnancy induced hypertension / toxemia
4th / laboratory assessment during prenatal visit
blood and urine exam
fourth assessment
lab exam to determine anemia or infection
complete blood count (hemoglobin and hematocrit)
fourth assessment
what does high/low cbc suggests?
very low: pathologic anemia
very high: infection
fourth assessment
lab examination to know if the fetus is at risk for hyperbilirubinemia / if the fetus and the mother have a compatible rhesus factor
blood typing and Rh determination
fourth assessment
lab examination during 1st and 3rd trimenster to detect untreated syphillis
kahn wasserman test
fourth assessment
test to determine if the mother has enough antibodies for rubella / measles
Hemagglutination Inhibition Test (HAI)
fourth assessment
HAI test findings:
below 1:8 = fetus is prone to german measles
greater than 1:16 = mother has enough antibodies
between 1:8 and 1:16, needs further examination
fourth assessment
HAI test findings:
below 1:8 = fetus is prone to german measles
greater than 1:16 = mother has enough antibodies
between 1:8 and 1:16, needs further examination
fourth assessment
checking of maternal blood to identify compatibility of fetus and mother’s Rh
(indirect) Coom’s Test
fourth assessment
determines the presence of albumine, sugar, and pus in the urine
urine exam
what does albumin present in urine signifies?
it indicates toxemia
test to determine sugar in the urine
benedict’s test
what does +1 indicate in benedicts test in a pregnant woman
gestational diabetes // glycosuria
condition where an individual has high level of pus cells in the urine
pyuria
