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

A

33 weeks

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
Q

what are you doing at the visit for a preggo 37 weeks GA

A

cervical check

UA: glucose, ketones, proteinuria

26
Q

what are you doing at the visit for a preggo 38 weeks GA

A

cervical check

UA: glucose, ketones, proteinuria

27
Q

what are you doing at the visit for a preggo 39 weeks GA

A

cervical check

UA: glucose, ketones, proteinuria

maybe strip the membrane to induce labor

28
Q

when do you do NST

A

32 weeks

29
Q

when do you begin cervical checks

A

36 weeks

30
Q

what do you ask about at the postpartum visit

A

Bleeding

Bowels- constipation?

Bladder- incontinent?

Breastfeeding/ formula

Baby- pediatrician visit?

Birth control- offer methods

Belly- check incision if C/S

Blues- depression

31
Q

is postpartum bleeding normal

A

yes

normal to spot after delivery

32
Q

are blues after pregnancy normal

A

yes

normal for mood changes 2-3 days after delivery

if it persists for weeks, consider postpartum depression

33
Q

what do you ask every prenatal pt

A

abnormal bleeding, fluid loss, fetal movements, contractions