Prenatal visits Flashcards
for which weeks are you doing FU visits every 4 weeks
first 28
for which weeks are you doing FU visits every 2 weeks
28 to 36
for which weeks are you doing FU visits weekly
36 +
what are you doing at the visit for a preggo 6 to 8 weeks GA / confirmation of pregnancy
-
UA
- hcg
- glucose
- ketones
- protein
-
OB labs
- CBC- Hgb/HCT, WBC, platelets
- STD- RPR, Hep B, HIV
- Rubella UgG, Varicella
- blood group and Rh status
- urine cx and sensitivity
what are you doing at the visit for a preggo 11 to 14 weeks GA
- vaginal cx
- Gonoccocal/ chlamydia
- BV
- UA: glucose, ketones, protein
- Optional
- Cystic fibrosis
- genetic screening
what genetic testing can be done during the first trimester
when is it done
PAPP-A
serum hCG
and
nuchal translucency
done at 12-13 weeks
when do you do the dating US
10 weeks
6 weeks is the earliest
when can you give zofran
after the first trimester
when do you start listening for FHT
14 weeks
when does the preggo start feeling fetal movements
20 weeks
when is the anatomy US done
18- 20 weeks
when do you do amniocentesis
15-18 weeks
when do you do the quad screen (genetic testing) to test for NTDs
20 weeks
serum AFP
estriol
hCG
inhibin A
which is better, nuchal translucency or quad screen
nuchal translucency
plus you can do it earlier
when do you do the growth US
28 + weeks
when do you do the 1 hr OGTT
24 to 26 weeks
when do you give Rhogam (if needed)
28 to 30 weeks
and
within 72 hours after childbirth
when do you do HSV prophylaxis
33 weeks
what are you doing at the visit for a preggo 20 weeks GA
fetal movements
anatomy US
amniocentesis (optional)
quad screen (optional)
what are you doing at the visit for a preggo 24 weeks GA
UA: glucose, ketones, protein
order the growth US for the next visit
1 hr OGTT
what are you doing at the visit for a preggo 28 weeks GA
growth US
CBC: Hgb, WBC, platelets
Rhogam (if needed)
what are you doing at the visit for a preggo 30-32 weeks GA
UA: glucose, ketones, proteinuria
US
NST/BPP if indicated
what are you doing at the visit for a preggo 34 weeks GA
UA: glucose, ketones, proteinuria
what are you doing at the visit for a preggo 36 weeks GA
GBS cx
cervical check
UA: glucose, ketones, proteinuria
what are you doing at the visit for a preggo 37 weeks GA
cervical check
UA: glucose, ketones, proteinuria
what are you doing at the visit for a preggo 38 weeks GA
cervical check
UA: glucose, ketones, proteinuria
what are you doing at the visit for a preggo 39 weeks GA
cervical check
UA: glucose, ketones, proteinuria
maybe strip the membrane to induce labor
when do you do NST
32 weeks
when do you begin cervical checks
36 weeks
what do you ask about at the postpartum visit
Bleeding
Bowels- constipation?
Bladder- incontinent?
Breastfeeding/ formula
Baby- pediatrician visit?
Birth control- offer methods
Belly- check incision if C/S
Blues- depression
is postpartum bleeding normal
yes
normal to spot after delivery
are blues after pregnancy normal
yes
normal for mood changes 2-3 days after delivery
if it persists for weeks, consider postpartum depression
what do you ask every prenatal pt
abnormal bleeding, fluid loss, fetal movements, contractions
