Routine Prenatal Care Flashcards

1
Q

Prenatal visits should occur every __-___ weeks until 28 weeks gestation, then every __-__ weeks?

A

4-5
2-3

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2
Q

What does “Gravida” or the G used when describing pregnancies?

A

of pregnancies

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3
Q

What is “Para” and what do the four sections stand for?

A

Para is a 4 digit number describing how pregnancies resulted:
1st is # of full term deliveries
2nd is # of preterm deliveries
3rd is # of miscarriage’s and abortions
4th is # of live births

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4
Q

How many weeks is considered full term prgancy?

A

> 37 weeks

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5
Q

You can see cardiac activity at what gestational age?

A

5.5-6 weeks

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6
Q

A fetal heart tone can be heard at ___-___ weeks on doppler?

A

9-12 weeks

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7
Q

What is the range of healthy fetal heat rate?

A

110-160 BPM

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8
Q

When do you preform a 1 hour glucose test?

A

24-28 weeks gestation

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9
Q

When can the sex of the fetus be seen on ultra sound?

A

18-20 weeks

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10
Q

When do you test for group B strep in pregnancy?

A

35-37 weeks

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11
Q

How do you calculate estimated delivery date?

A

Add 7 days to LMP and subtract 3 months

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12
Q

The uterine fundus extends out of the pelvis at how many weeks?

A

12

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13
Q

The uterine fundus is at the level of the umbilicus at how many weeks?

A

20

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14
Q

A sudden gushing or constant trickle of fluid prior to 37 weeks gestation is indicative of what?

A

Rupture of membranes and possible preterm labor - need immediate evaluation

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15
Q

What two labs need to be obtained at the first prenatal visit?

A

Blood type
antibody screening (to know Rh status)

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16
Q

What two vaccinations can only be given after the patient has given birth?

A

Rubella and varicella

17
Q

What are the four parts of the Leopold’s maneuver?

A
  1. palpate to see what body part is at the top or FUNDUS of the uterus (want feet)
  2. find the back- should be parallel with moms spine
  3. Identify presenting body part in the low pelvic area (want head)
  4. Place hands above pubic symphysis and see if heaad is in
18
Q

What are the four parts of the Leopold’s maneuver?

A
  1. palpate to see what body part is at the top or FUNDUS of the uterus (want feet)
  2. find the back- should be parallel with moms spine
  3. Identify presenting body part in the low pelvic area (want head)
  4. Place hands above pubic symphysis and see if head is in pelvis and ready for delivery
19
Q

don’t sleep on back starting in this trimester because of decreased blood return through venacava?

A

2nd

20
Q

RhoGAM (if needed) and 1 HR glucose test should be administered in this trimester?

A

3rd

21
Q

What is isoimmunization or Rh sensitization?

A

When a pregnant woman’s blood cells are exposed to the fetal cells and it see them as foreign and attacks