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Antepartum > Week 1 > Flashcards

Week 1 Flashcards

1
Q

Varneys 7 steps

A

investigate
make accurate diagnosis
anticipate other potential problems r/t current dx
evaluate need for immediate intervention/consult
develop POC
implement POC
evaluate the effectiveness of POC

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2
Q

subjective findings

A

OLDCART

what the pt reports

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3
Q

Objective findings

A

facts, dates, findings, values

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4
Q

EDC must be documented by how many weeks gestation?

A

20

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5
Q

lack of menses is a ______ finding

A

presumptive

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6
Q

breast tenderness is a ______finding

A

presumptive

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7
Q

urinary frequency is a _____finding

A

presumptive

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8
Q

abd enlargement is a ______finding

A

probable

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9
Q

change in shape of uterus is a _____ finding

A

probable

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10
Q

Braxton hicks ctx are ______ finding

A

probable

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11
Q

positive urine pregnancy test is a _____finding

A

probable

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12
Q

palpation of fetal outline is a ______finding

A

probable

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13
Q

chadwicks is a ______finding

A

presumptive

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14
Q

observed fetal movement is a ______finding

A

positive

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15
Q

FHT are _______findings

A

positive

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16
Q

chadwicks sign

A

bluish coloration of vagina and cervix

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17
Q

when is chadwicks seen?

A

6 weeks

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18
Q

goodells sign

A

softening of cervix

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19
Q

when is goodells seen?

A

6 weeks

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20
Q

goodells is a ______finding

A

probable

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21
Q

hegars sign

A

softening of the isthmus

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22
Q

when is hegars seen?

A

6 weeks

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23
Q

hegars is a______ finding

A

probable

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24
Q

piskacks sign

A

rough irregular uterine contour

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25
Q

when is piskacks seen?

A

8-10 weeks

26
Q

piskacks is a _______sign

A

probable

27
Q

significant difference in measuring is ______

A

> 2cm in either direction

28
Q

when will you see a sauce like depression just below umbilicus?

A

posterior presentation

29
Q

What are the 4 bones of the pelvis

A

ischium, illium, sacrum, coccyx

30
Q

the bony pelvis above the linea terinalis is known as _________

A

false pelvis

31
Q

below the linea terminalis is known as the ______

A

true pelvis

32
Q

the upper entry into the true pelvis is known as the _____

A

inlet

33
Q

what are the 3 AP diameters of the inlet?

A

true, obstetric, diagonal

34
Q

what is normal diagonal conjugate?

A

at least 11.5cm

35
Q

which of the three inlets can be measured clinically

A

diagonal

36
Q

midplane is known as the _________

A

plane of least dimensions

37
Q

transverse diameter is the distance between _____

A

ischial spines

38
Q

what are the four pelvic shapes?

A

gynecoid
android
anthropoid
platypelloid

39
Q

worst pelvis for delivery?

A

platypelloid

40
Q

three goals to preconception care?

A
  1. optimize womens health
  2. minimize risks and improve outcomes
  3. provide info about future reproduction
41
Q

folic acid in normal pregnancy

A

.4mg

42
Q

two major meds contraindicated in pregnancy

A

ACE inhbitors and accutane

43
Q

metformins use in pregnancy

A

used in type II to help manage the insulin that they have more effectively

44
Q

“prils”

A

ace inhibitors

45
Q

folic acid recommendation for high risk

A

4mg (need rx)

46
Q

with recurrent preg loss, check_____

A

clotting factors

47
Q

zygotic period

A

1-2 weeks after fertilization

48
Q

embryonic period

A

3-8 weeks after fertilization

49
Q

fetal period

A

9 weeks to full term

50
Q

implantation occurs when?

A

150 hours after ovulation

51
Q

fetal placental circulation is completed when?

A

the blood vessels of the embryo are connected with the chorionic vessels

52
Q

by what day is placental circulation established?

A

17th day

53
Q

oligo

A

no pocket of fluid >1cm

54
Q

polyhyramnios

A

> 2000ml fluid

55
Q

25% of poly is caused by _________

A

diabetes

56
Q

amniotic fluid peaks at ____weeks

A

34

57
Q

most critical time for teratogenic exposure?

A

3-8 weeks

58
Q

congenital heart defects can be seen on US at _____weeks

A

20-22

59
Q

when is AFP done

A

15-22 weeks

60
Q

if AFP > 2-2.5 then_______

A

increased risk of NTD or other anomaly

Antepartum (6 decks)

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