Prenatal visits Flashcards

1
Q

for which weeks are you doing FU visits every 4 weeks

A

first 28

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2
Q

for which weeks are you doing FU visits every 2 weeks

A

28 to 36

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3
Q

for which weeks are you doing FU visits weekly

A

36 +

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4
Q

what are you doing at the visit for a preggo 6 to 8 weeks GA / confirmation of pregnancy

A
  • 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
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5
Q

what are you doing at the visit for a preggo 11 to 14 weeks GA

A
  • vaginal cx
    • Gonoccocal/ chlamydia
    • BV
  • UA: glucose, ketones, protein
  • Optional
    • Cystic fibrosis
    • genetic screening
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6
Q

what genetic testing can be done during the first trimester

when is it done

A

PAPP-A

serum hCG

and

nuchal translucency

done at 12-13 weeks

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7
Q

when do you do the dating US

A

10 weeks

6 weeks is the earliest

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8
Q

when can you give zofran

A

after the first trimester

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9
Q

when do you start listening for FHT

A

14 weeks

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10
Q

when does the preggo start feeling fetal movements

A

20 weeks

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11
Q

when is the anatomy US done

A

18- 20 weeks

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12
Q

when do you do amniocentesis

A

15-18 weeks

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13
Q

when do you do the quad screen (genetic testing) to test for NTDs

A

20 weeks

serum AFP

estriol

hCG

inhibin A

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14
Q

which is better, nuchal translucency or quad screen

A

nuchal translucency

plus you can do it earlier

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15
Q

when do you do the growth US

A

28 + weeks

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16
Q

when do you do the 1 hr OGTT

A

24 to 26 weeks

17
Q

when do you give Rhogam (if needed)

A

28 to 30 weeks

and

within 72 hours after childbirth

18
Q

when do you do HSV prophylaxis

19
Q

what are you doing at the visit for a preggo 20 weeks GA

A

fetal movements

anatomy US

amniocentesis (optional)

quad screen (optional)

20
Q

what are you doing at the visit for a preggo 24 weeks GA

A

UA: glucose, ketones, protein

order the growth US for the next visit

1 hr OGTT

21
Q

what are you doing at the visit for a preggo 28 weeks GA

A

growth US

CBC: Hgb, WBC, platelets

Rhogam (if needed)

22
Q

what are you doing at the visit for a preggo 30-32 weeks GA

A

UA: glucose, ketones, proteinuria

US

NST/BPP if indicated

23
Q

what are you doing at the visit for a preggo 34 weeks GA

A

UA: glucose, ketones, proteinuria

24
Q

what are you doing at the visit for a preggo 36 weeks GA

A

GBS cx

cervical check

UA: glucose, ketones, proteinuria

25
what are you doing at the visit for a preggo 37 weeks GA
cervical check UA: glucose, ketones, proteinuria
26
what are you doing at the visit for a preggo 38 weeks GA
cervical check UA: glucose, ketones, proteinuria
27
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
28
when do you do NST
32 weeks
29
when do you begin cervical checks
36 weeks
30
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
31
is postpartum bleeding normal
yes normal to spot after delivery
32
are blues after pregnancy normal
yes normal for mood changes 2-3 days after delivery if it persists for weeks, consider postpartum depression
33
what do you ask every prenatal pt
abnormal bleeding, fluid loss, fetal movements, contractions