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HD 201 E2 > Return Demo: Prenatal Care > Flashcards

Return Demo: Prenatal Care Flashcards

1
Q

Positive pregnancies regardless whether patient had a planted ovum, abortion, etc.

A

Gravidity

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2
Q

Pregnancies that have reached 20 weeks and beyond

A

Parity

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3
Q

Format (in letters) of Obstetric Score

A

GxPx (F-P-A-L)

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4
Q

Period of time between conception and birth during which the fetus grows and develops inside the mother’s womb (preferably in weeks)

A

Age of Gestation (AOG)

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5
Q

Naegele’s Rule

A

Add 7 days to the FIRST day of last (normal) menstrual period, then subtract 3 months

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6
Q

How may alcohol affect the baby’s health inside the womb?

A

Fetal Alcohol Syndrome

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7
Q

How may illicit drugs affect the baby’s health inside the womb?

A

Microsmia

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8
Q

What are the aspects of menstruation one must ask the patient during history taking?

A

Menarchy, frequency, duration, regularity, amount of flow (how many napkins on average per day/cycle), presence of dysmenorrhea, intensity and duration of dysmenorrhea, last normal menstrual period (LNMP)

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9
Q

What are the general aspects of history taking in pregnant women?

A

Chief complaint, past medical history, family history, vices (inform patients in advance that you will be asking them sensitive questions), personal and social history, menstrual history, obstetrical history, present and previous pregnancies

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10
Q

Aspects of present pregnancy

A

LMP, EDC, AOG, quickening, prenatal visits, contraceptive methods used

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11
Q

Aspects of previous pregnancies

A

Number, dates, AOG, mode of delivery, place, sex, birth weight, singleton/multiple, outcome/complications (APGAR)

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12
Q

Which vital signs do you check for?

A

HR, BP, RR, Height (meters), Weight (kg), Temperature, Pulse Rate

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13
Q

Where do you take the fundic height?

A

Distance between the top of the symphysis pubis to the top of the fundus

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14
Q

When do you conduct the measurement of fundic height?

A

Past 20 weeks

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15
Q

When the fundic height reaches the umbilicus, how many weeks AOG?

A

20 weeks

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16
Q

During which weeks does the fundic height correlate closely with the AOG?

A

Between 20-34 weeks

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17
Q

By how much does the bladder affect the fundic height measurement when it is not emptied?

A

+3 cm

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18
Q

What position relaxes the mother’s abdominal muscles during examination?

A

Dorsal Recumbent. Characterized by supine position w/ knees bent and head resting on pillow

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19
Q

Why must hands be warmed and rubbed before abdominal examinations?

A

Cold hands stimulate contractions

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20
Q

Other name for 1st maneuver (Leopold’s)

A

Fundic Grip

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21
Q

Which part of the fetus upon palpation would move with the trunk?

A

buttocks

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22
Q

Which part of the fetus upon palpation would move independently of the trunk?

A

head

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23
Q

Characteristic of head in Fundic Grip

A

hard, round, firm

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24
Q

Characteristic of the buttocks in Fundic Grip

A

w/ small bony prominences, soft

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25
Q

Other name for 2nd maneuver (Leopold’s)

A

Umbilical Grip

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26
Q

What does the 2nd maneuver determine?

A

location of back and extremities

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27
Q

Importance of 2nd maneuver

A

for determining fetal heart sound

28
Q

Characteristics of the fetal back

A

firm and smooth

29
Q

Characteristics of the fetal extremities

A

w/ small irregularities and protrusions

30
Q

Other name for 3rd maneuver (Leopold’s)

A

Pawlik’s Grip

31
Q

What does the Pawlick’s Grip…grip?

A

presenting part

32
Q

What does Pawlik’s Grip measure?

A

Engagement of the presenting part (how much farther along the pelvis is the baby)

33
Q

How do you report findings in Pawlik’s Grip?

A

“Engaged” (presenting part is immovable) or “Floating” (presenting part may still be pushed back and forth)

34
Q

Another name for the 4th maneuver (Leopold’s)

A

Pelvic Grip

35
Q

What is the purpose of the 4th maneuver?

A

To confirm engagement obtained from the assessment of the 3rd maneuver

36
Q

Reporting findings of the 4th maneuver: when cephalic prominence is on the same side as bony structures

A

vertex

37
Q

Reporting findings of the 4th maneuver: when cephalic prominence is on the same side as the back

A

face

38
Q

normal fetal heart tone accdg to Williams

A

110/160bpm

39
Q

When is the earliest time fetal heart tone may be appreciated via transvaginal ultrasound?

A

5th week

40
Q

When is the earliest time fetal heart tone may be appreciated via doppler?

A

10th week

41
Q

When is the earliest time fetal heart tone may be appreciated via stethoscope?

A

19-20 weeks

42
Q

Which part of the stethoscope is used to assess fetal heart tone?

A

bell

43
Q

What is the analogy of the fetal heart sound heard at 19-20 weeks?

A

clock ticking under a pillow

44
Q

The determining point for breech presentation

A

sacrum

45
Q

The determining point for vertex presentation

A

occiput

46
Q

The determining point for face presentation

A

chin (mentum)

47
Q

The determining point for shoulder presentation

A

scapula (acromion)

48
Q

Refers to the position of the long axis/spinal column of the mother

A

Fetal lie

49
Q

Types of fetal lie

A

longitudinal, transverse, oblique

50
Q

Part of the fetus lying right above the pelvic brim

A

Presentation

51
Q

Kinds of fetal presentation

A

vertex, breech, shoulder

52
Q

Basic prenatal laboratory tests

A

CBC (hemoglobin and hematocrit), Blood Type, Syphilis screening, HBS Ag testing, urine culture/urinalysis, pap smear, oral glucose test

53
Q

how many grams of glucose for the oral glucose test?

A

75g

54
Q

Which blood type needs attention due to high chance of severe bleeding during delivery?

A

ABO

55
Q

Danger signs of pregnancy (head)

A

persistent severe headache, blurring of vision, hyperenemia gravidarum, chills and fever

56
Q

Danger signs of pregnancy (abdomen)

A

severe persistent pain in the RUQ, dysuria, sudden decrease in intensity and frequency of quickening

57
Q

Danger signs of pregnancy (vagina/perineum)

A

vaginal bleeding, watery leakage

58
Q

Danger signs of pregnancy (lower ex)

A

severe pitting edema

59
Q

Condition indicated by the ff danger signs: blurring of vision, severe persistent headache, pain in the RUQ, severe pitting edema

A

preeclampsia

60
Q

Follow-up prenatal visit frequency by the 29th-36th week (early 8th to 9th months)

A

every 2 weeks

61
Q

Follow-up prenatal visit frequency if less than 28 weeks

A

once every 4 weeks

62
Q

Follow-up prenatal visit frequency by the 37th week (more than 9 months)

A

every week

63
Q

Follow-up prenatal visit frequency in complicated pregnancies

A

more frequent visits in a week

64
Q

DOH recommended prenatal visits

A

on or before 1st trim, 2nd trim, 3rd trim, and every 2 weeks after the 8th month ‘til pregnancy

65
Q

When should folic acid supplements be taken?

A

At least 3 months before conception

66
Q

How much iron must be taken?

A

27 mg

67
Q

Which vitamin is dangerous to a pregnant woman’s health and may cause abortion?

A

Vit. A

HD 201 E2 (5 decks)

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