Week 1 Flashcards
Varneys 7 steps
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
subjective findings
OLDCART
what the pt reports
Objective findings
facts, dates, findings, values
EDC must be documented by how many weeks gestation?
20
lack of menses is a ______ finding
presumptive
breast tenderness is a ______finding
presumptive
urinary frequency is a _____finding
presumptive
abd enlargement is a ______finding
probable
change in shape of uterus is a _____ finding
probable
Braxton hicks ctx are ______ finding
probable
positive urine pregnancy test is a _____finding
probable
palpation of fetal outline is a ______finding
probable
chadwicks is a ______finding
presumptive
observed fetal movement is a ______finding
positive
FHT are _______findings
positive
chadwicks sign
bluish coloration of vagina and cervix
when is chadwicks seen?
6 weeks
goodells sign
softening of cervix
when is goodells seen?
6 weeks
goodells is a ______finding
probable
hegars sign
softening of the isthmus
when is hegars seen?
6 weeks
hegars is a______ finding
probable
piskacks sign
rough irregular uterine contour
when is piskacks seen?
8-10 weeks
piskacks is a _______sign
probable
significant difference in measuring is ______
> 2cm in either direction
when will you see a sauce like depression just below umbilicus?
posterior presentation
What are the 4 bones of the pelvis
ischium, illium, sacrum, coccyx
the bony pelvis above the linea terinalis is known as _________
false pelvis
below the linea terminalis is known as the ______
true pelvis
the upper entry into the true pelvis is known as the _____
inlet
what are the 3 AP diameters of the inlet?
true, obstetric, diagonal
what is normal diagonal conjugate?
at least 11.5cm
which of the three inlets can be measured clinically
diagonal
midplane is known as the _________
plane of least dimensions
transverse diameter is the distance between _____
ischial spines
what are the four pelvic shapes?
gynecoid
android
anthropoid
platypelloid
worst pelvis for delivery?
platypelloid
three goals to preconception care?
- optimize womens health
- minimize risks and improve outcomes
- provide info about future reproduction
folic acid in normal pregnancy
.4mg
two major meds contraindicated in pregnancy
ACE inhbitors and accutane
metformins use in pregnancy
used in type II to help manage the insulin that they have more effectively
“prils”
ace inhibitors
folic acid recommendation for high risk
4mg (need rx)
with recurrent preg loss, check_____
clotting factors
zygotic period
1-2 weeks after fertilization
embryonic period
3-8 weeks after fertilization
fetal period
9 weeks to full term
implantation occurs when?
150 hours after ovulation
fetal placental circulation is completed when?
the blood vessels of the embryo are connected with the chorionic vessels
by what day is placental circulation established?
17th day
oligo
no pocket of fluid >1cm
polyhyramnios
> 2000ml fluid
25% of poly is caused by _________
diabetes
amniotic fluid peaks at ____weeks
34
most critical time for teratogenic exposure?
3-8 weeks
congenital heart defects can be seen on US at _____weeks
20-22
when is AFP done
15-22 weeks
if AFP > 2-2.5 then_______
increased risk of NTD or other anomaly
