Prenatal Visits Flashcards
What are the primary goals of routine prenatal visits?
Monitor maternal and fetal health, screen for complications, provide patient education.
How often should prenatal visits occur during an uncomplicated pregnancy?
Every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then weekly until delivery.
What are the routine assessments at every prenatal visit?
Weight, blood pressure, fetal heart rate (after 10 weeks), fundal height (after 24 weeks), urine dipstick (if indicated).
When does fundal height measurement begin, and why is it performed?
After 24 weeks; to monitor fetal growth.
When does auscultation of fetal heart rate typically begin?
At 10–12 weeks using a Doppler device.
What are key screening tests in the first trimester?
Blood type and Rh, CBC, STI screening, rubella immunity, urine culture, prenatal genetic testing if desired.
When is the first-trimester ultrasound recommended?
At 11–14 weeks for nuchal translucency and dating.
What screening tests are performed between 24–28 weeks?
Glucose challenge test for gestational diabetes, CBC for anemia, Rh antibody screening (if Rh-negative).
What vaccinations are recommended during pregnancy?
Influenza (inactivated), COVID-19, and Tdap (between 27–36 weeks).
What prenatal counseling topics are commonly discussed?
Nutrition, weight gain, exercise, warning signs, labor precautions, fetal movement awareness.
When do most pregnant individuals begin to feel fetal movement?
Between 16–20 weeks.
What additional tests are performed in high-risk pregnancies?
Additional ultrasounds, fetal nonstress tests, biophysical profile, Doppler studies.
When is the second-trimester anatomy scan performed?
Between 18–22 weeks to evaluate fetal development.
What is assessed during third-trimester prenatal visits?
Continued monitoring of fetal growth, position, maternal blood pressure, and signs of preeclampsia.
What routine test is performed at 36 weeks?
Group B Streptococcus (GBS) screening.
When is Rh immunoglobulin (Rhogam) given to Rh-negative patients?
At 28 weeks and postpartum if the baby is Rh-positive.
When should a pregnant patient be advised to seek urgent medical attention?
Severe headache, vision changes, contractions before 37 weeks, vaginal bleeding, reduced fetal movement, rupture of membranes.
