Sprint review Flashcards
When would edema be concerning?
Generalized or doesn’t resolve with rest
Exercises you can do to strength the pelvic floor muscles?
Kegel Exercises
Comfort strategies for heartburn?
Don’t lie down after eating
Small frequent meals
Avoid trigger foods
When would urinary frequency be worrisome?
If accompanied by pain, burning, urgency
What period of development would be most concerning for exposure to substances?
1st trimester
Is SOB expected in the third trimester?
Yes, but not OK if persistent or have cough, chest pain, heart palpitations
What is guidance you would give to help a patient avoid round ligament pain?
Slow transitions from lying-sitting-standing
What are some dangers/ warning signs in pregnancy that would be important to report for a patient <37 weeks gestation?
Vaginal bleeding
>4-6 CTXs/hr
Leaking of fluid
Decreased FM
When would be you concerned about fetal movement?
<10 movements in 2 hours after FM regular
Should you/could you do the following during pregnancy?
Exercise?
Drink Alcohol?
Have sex?
Smoke?
Caffeine?
Exercise- Yes
Drink alcohol- No, FAS, increased risk of miscarriage, IUFD, LBW
Sex- Yes
Wear a seat belt- Yes, lap belt under abdomen
Smoke- No, preterm birth, IUGR/LBW, premature rupture of membranes, placental problems, SIDS
Caffeine- Yes limit to 200mg/day
What is a craving for nonnutritive substances called?
Pica
What is the phenomenon whereby expectant partners experiences symptoms of pregnancy?
Couvade
At what age (at delivery) is a woman considered Advanced Maternal Age (AMA)?
35
Risk of AMA?
Chromosomal abnormalities
Infertility
Miscarriage
GDM
Preeclampsia
Preterm delivery
LBW
Cesarean delivery
Multiple gestation
Risk of adolescent pregnancy?
Preterm birth
LBW
Preeclampsia
Anemia
CPD
STI
Effects of drugs/alcohol
Carrier screening
Screening or diagnosis?
When done?
What is assessed
Screening
Anytime
Blood or cells from cheeck
MSAFP (Quad screening)
Screening or diagnosis?
When done?
What is assessed
Screening
15-22 weeks
Maternal blood
NIPT (cell free DNA)
Screening or diagnosis?
When done?
What is assessed
Screening
Starting at 10 weeks
Maternal Blood
Nuchal Translucency
Screening or diagnosis?
When done?
What is assessed
Screening
11-14 weeks
Back of fetal neck (+ maternal blood)
Chorionic Villis Sampling (CVS)
Screening or diagnosis?
When done?
What is assessed
Diagnostic
10-13 weeks
Sample of chorionic Villi
Amniocentesis
Screening or diagnosis?
When done?
What is assessed
Diagnostic
Typically 15-20 weeks for genetics
Amniotic fluid
L/S ratio indicating fetal lung maturity
2:1 (Done amniocenesis)
CST with contractions in 10 minutes and late decelerations of the FHR would be noted as?
Positive
NST on patient at 35 weeks with 2 accelerations (15 beats by 15 seconds) but no decelerations noted as?
Reactive`
Components of BPP
Fetal breathing
Fetal gross body movements
Fetal Tone
Amniotic fluid volume
NST (if indicated)
Normal or abnormal? 6/8
Abnormal likely send for NST
When would a transvaginal ultrasound be done?
Early pregnancy or measure cervical length/ assess for preterm labor
Recommended daily folic acid intake prior to and during pregnancy?
400mcg
Why is folic acid recommended?
Prevent neural tube defects/ promote closure of neural tube
How much folic acid recommended if mother has hx of having a baby with neural tube defect?
4mg
IPV tends to go in what direction during pregnancy?
Increases
Uterine/ cervical changes:
Softening of cervix?
Goodell’s sign
Softening of uterus?
Hegar’s sign
Bluish discoloration of the cervix?
Chadwick’s sign
Which hormone is primarily responsible for relaxing body structures?
Progesterone
Nutrient-dense milk substance produced by breasts?
ColostrumWh
What type of breathing do expectant mothers usually use in 3rd trimester?
Thoracic
Condition caused by gravid uterus compressing vena cava resulting in a drop in maternal blood pressure?
Supine hypotension
Normal or Abnormal?
Hematocrit slightly lower than non-pregnancy levels?
Normal
Normal or Abnormal?
SOB at rest in 1st trimester?
Abnormal
Normal or Abnormal?
Increase in clotting factors?
Normal
Normal or Abnormal?
Hyperpigmentation across cheeks and forehead?
Normal
Normal or Abnormal?
Separation of rectus abdominus muscles
Normal
Total amount of recommended weight gain in woman with normal BMI?
25-35 lbsP
Presumptive signs of pregnancy?
Amenorrhea
N/V
Excessive fatigue
Urinary frequency
Breast changes
Quickening
Probable signs of pregnancy?
Change in pelvic organs
Enlargement of abdomen
Braxton hicks contractions
Abdominal striae
Other hyperpigmentation
Uterine souffle
Positive pregnancy test
Palpation of fetal outline
Positive Signs of pregnancy?
Auscultation of fetal heart beat with doppler
Fetal movement felt by hands or seen on US
Visualization of fetus on US
Using Naegele’s rule, calculate a patients EDC with an LMP of January 30th.
Nov. 6th
At how many weeks do you begin measuring fundal height?
20 weeks
You want fundal height and gestational age to be how close?
+/- 2cm
What method should be used to calculate a due date if LMP is undertain?
U/S
Why should rubella vaccine not be given in pregnancy
Live vaccine
At what gestational age do we test for Group B strep?
36 weeks
