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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
when is piskacks seen?
8-10 weeks
26
piskacks is a _______sign
probable
27
significant difference in measuring is ______
>2cm in either direction
28
when will you see a sauce like depression just below umbilicus?
posterior presentation
29
What are the 4 bones of the pelvis
ischium, illium, sacrum, coccyx
30
the bony pelvis above the linea terinalis is known as _________
false pelvis
31
below the linea terminalis is known as the ______
true pelvis
32
the upper entry into the true pelvis is known as the _____
inlet
33
what are the 3 AP diameters of the inlet?
true, obstetric, diagonal
34
what is normal diagonal conjugate?
at least 11.5cm
35
which of the three inlets can be measured clinically
diagonal
36
midplane is known as the _________
plane of least dimensions
37
transverse diameter is the distance between _____
ischial spines
38
what are the four pelvic shapes?
gynecoid android anthropoid platypelloid
39
worst pelvis for delivery?
platypelloid
40
three goals to preconception care?
1. optimize womens health 2. minimize risks and improve outcomes 3. provide info about future reproduction
41
folic acid in normal pregnancy
.4mg
42
two major meds contraindicated in pregnancy
ACE inhbitors and accutane
43
metformins use in pregnancy
used in type II to help manage the insulin that they have more effectively
44
"prils"
ace inhibitors
45
folic acid recommendation for high risk
4mg (need rx)
46
with recurrent preg loss, check_____
clotting factors
47
zygotic period
1-2 weeks after fertilization
48
embryonic period
3-8 weeks after fertilization
49
fetal period
9 weeks to full term
50
implantation occurs when?
150 hours after ovulation
51
fetal placental circulation is completed when?
the blood vessels of the embryo are connected with the chorionic vessels
52
by what day is placental circulation established?
17th day
53
oligo
no pocket of fluid >1cm
54
polyhyramnios
>2000ml fluid
55
25% of poly is caused by _________
diabetes
56
amniotic fluid peaks at ____weeks
34
57
most critical time for teratogenic exposure?
3-8 weeks
58
congenital heart defects can be seen on US at _____weeks
20-22
59
when is AFP done
15-22 weeks
60
if AFP > 2-2.5 then_______
increased risk of NTD or other anomaly

Antepartum (6 decks)

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