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OB Exam one > Promoting Healthy Pregnancies > Flashcards

Promoting Healthy Pregnancies Flashcards

1
Q

What could alcohol do to a developing fetus

A

can cause physical/mental abnormalities, can also cause fetal alcohol syndrome

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2
Q

how many weeks is early term

A

37 0/7 - 38 6/7 weeks

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3
Q

how many weeks is full term

A

39 0/7 - 40 6/7 weeks

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4
Q

how many weeks is late term

A

41 0/7 - 41 6/7 weeks

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5
Q

how many weeks is post term

A

42+ weeks

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6
Q

how many weeks is preterm

A

20 1/7 - 36 6/7

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7
Q

What is included in the initial prenatal assessment

A

biographical data( name, marrital status, DOB), Current pregnancy (EDB expected/unexpected), Past medical history, Oral hygiene, Vaccination hx, OB hx, Family hx, Social hx

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8
Q

Who can give child bearing care

A

certified nurse midwife, family practice physician, obstetrician

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9
Q

what do you need to make sure when a patient picks a medical professional for pregnancy

A

need to ensure the provider and patient have the same views on management of pregnancy, and assessing cultural factors in relation to maternity care

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10
Q

would you give FDA category C meds to a pregnant patient

A

if the benefits outweigh the risks

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11
Q

why would you need to increase consumption of iron

A

to maintain O2 carrying capacity of blood and provide adequate number of RBCs

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12
Q

how much iron should a pregnant patient consume a day

A

27mg/day

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13
Q

where can you find iron in foods

A

spinach, organ meets

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14
Q

how teaching should be included for iron (for taking it and prevent side effects)

A

take with orange juice to increase absorption, dont take with tea, milk, or coffee

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15
Q

what does parity mean

A

number of pregnancies carried to viability

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16
Q

what does nullipara mean

A

no pregnancies carried to viability

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17
Q

what does primipara mean

A

1st pregnancy carried to viability

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18
Q

what does mullipara mean

A

2 or more pregnancies carried to viability

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19
Q

what could cannabis do to a developing fetus

A

could be born with hyper irritability, tremors, and/or photosensitivity

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20
Q

what is pre-conceptive care and when would it start

A

before pregnancy to identify adverse complications that may present future complications, begins at first trimester if not started before

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21
Q

what is a reproductive life plan tool

A

reflects number and timing of pregnancies intended

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22
Q

why do you need to increase protein when pregnant

A

increase in growth of maternal tissue

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23
Q

how much should you increase protein when pregnant (mg and servings)

A

60mg/day approx 5-6 servings

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24
Q

what foods contain protein

A

milk, eggs, meat, fish

25
Q

would you give FDA category A meds

A

yes - no association with fetal risk

26
Q

what does cocaine do to developing fetus

A

at risk for significant congenital abnormalities, also at risk for still birth, abruptio placentae, preterm labor, small baby

27
Q

a non pregnant women should eat how many calories a day

A

1200-2400cal/day

28
Q

when pregnant how many calories should be added to diet

A

300 cal/ day (1500- 2700cal/day)

29
Q

how much weight should a pregnant person gain per term (and total)

A

25-35lbs (1b per month for 1st trimester then 1lb/ week)

30
Q

would you give FDA category B meds

A

yes- no studies on pregnant women

31
Q

when should you start taking folic acid (vit B9)

A

should take a month before conception to decrease neural tube defects

32
Q

how much folic acid should a pregnant person take

A

4000mcg/day

33
Q

what foods include folic acid (B9)

A

eggs, dark green leafy,

34
Q

what should you take folic acid (B9) with

A

orange juice to increase absorption

35
Q

what does G stand for in GTPAL

A

gravid - how many times pregnant
(nulligravid - none
Primigravid - 1st time
Mulligravid - 2 or more times )

36
Q

what does T stand for in GTPAL

A

term pregnancies

37
Q

what does P stand for in GTPAL

A

preterm pregnancies

38
Q

what does A stand for in GTPAL

A

abortions (miscarriage or assisted)

39
Q

what does L stand for in GTPAL

A

living children

40
Q

what could tobacco do to a developing fetus

A

SAB, decrease birth weight, IUGR (intrauterine growth restriction), preterm labor, placenta previa, premature ROM, SIDs

41
Q

how often does a patient need to be seen when pregnant

A

every 4 weeks till 28 weeks
every 2 weeks will 36 weeks
then every week till birth
if they are a high risk pregnancy then they will need to be seen more often

42
Q

would you give FDA category D meds

A

no - adverse and fetal risk

43
Q

what is included in prenatal 1st exam

A

complete physical exam, pelvic exam, VS, wt, BMI

44
Q

would you give FDA category X meds

A

no never - evidence of fetal risk and congenital abnormalities

45
Q

what is leopold maneuvers

A

4 part assessment of palpation to determine fetal lie and presenting position

46
Q

what are some prescription meds you should avoid if pregnant

A

accutane, some antimicrobals

47
Q

what foods should be avoided when pregnant

A

deli meats (unless heated up) raw unpasterirzed foods/drinks,

48
Q

how much caffeine can a pregnant patient have

A

200mg/day (12oz cup)

49
Q

where is FHR best heard at on baby and where is that on mom

A

over fetal upper back, usually maternal lower abdomen

50
Q

FHR is assessed with a doppler at ____ weeks, should have ___ accels in ___ min

A

10 weeks 3 accels in 20min

51
Q

if fetal heart rate is heard in mother upper abdomen what might that mean

A

baby in breach position

52
Q

what is a gynecoid pelvic type

A

most common in 40% of women circular shape

53
Q

what is android pelvic shape

A

male - heart shaped

54
Q

what is anthrpoid pelvic shape

A

most common in non Caucasian oval shape ()

55
Q

what is a playtypelloid pelvic shape

A

rarest type 3% oval shale <>

56
Q

what should be done at each prenatal exam

A

BP, Wt, fundal height, urine, FHT, fetal movement

57
Q

what does fundal height correlate to

A

weeks gestation

58
Q

what herbs should be avoided when pregnant

A

feverfew, senna, licorice root, juniper berries

OB Exam one (8 decks)

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