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
