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Antepartum > week 3&4 > Flashcards

week 3&4 Flashcards

1
Q

There is a dexrotation of the uterus in early pregnancy to the ____

A

right

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2
Q

leukorrhea in pregnancy comes from _______

A

increased lactobacillus production

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3
Q

In pregnancy there are three carb metabolim states, what are they?

A

mild fasting hypoglycemia, pp hyperglycemia, hyperinsulemic state

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4
Q

Breastfeeding helps to decreaese _____postpartum

A

cholesterol

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5
Q

heart rate increases by ____

A

10bpm

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6
Q

where is the heart displaced in pregnancy?

A

left and up

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7
Q

tidal volume _____as pregnancy progresses

A

increases

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8
Q

what is the most effected system in pergnancy?

A

renal

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9
Q

what causes the increase in urination in first trimester?

A

increased uterine weight and softening of isthmus

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10
Q

what causes nocturia?

A

venous return of fluids

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11
Q

why is there increases change of gall stones in pregnancy?

A

progesterone causes statis

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12
Q

where is the appendix displaced to in prenancy?

A

and and lateral, may reach right flank

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13
Q

which gland in the brain increases dramtically in size during pregnancy?

A

pituitary

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14
Q

If previous thyroid issues, how frequenty would you monitor thyroid levels during pregnancy?

A

every trimester unless needed more

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15
Q

as far as the thyroid is conderned, there is an increased circulation of ____ in pregnancy

A

thyroxine

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16
Q

nasal congestion in pragnancy caused from ____

A

edema in the nose on the capillary level.

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17
Q

What are Varneys 3 steps to adaptation per trimester?

A

1st: period of adjustment
2nd: period of radiant health
3rd: period of watchful waiting

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18
Q

Safe herbs

A

rr leaf tea
echinacea
ginger
chamomile

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19
Q

what are two phytoestrogen herbs to avoid?

A

isoflavone extracts and red clover

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20
Q

when watching kick counts, elapsed time for baby to make four movements should not exceed ___

A

60minutes

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21
Q

with NST 2 15x15 in 20 minutes applies to what gestation?

A

> 32weeks

22
Q

what are the five components of BPP?

A
  1. NST
  2. fetal breathing movements
  3. fetal movement
  4. fetal tone
  5. fluid level
23
Q

criteria for fetal breathing in BPP?

A

one or more episodes of fetal breathing rythyms lasting 30 seconds within 30 minutes

24
Q

cirteria for fetal movement for BPP

A

three or more discrete body or limb movements within 30 minutes

25
Q

fetal tone criteria for BPP

A

one or more episode of extention of limb and returning to flexion, or opening and closing of hand

26
Q

citeria of amniotic fluid for BPP

A

single pocket of 2cm or greater

27
Q

what does doppler velocity measure?

A

blood flow through the umbilical cord

28
Q

Abnormally low HCG can be indicative of ____

A

ectopic

29
Q

Abnormally high HCG could be from …

A

muliple fetus’, anomalies, down syndrome (trisomy 21)

30
Q

HCG should ____every 48 hours

A

double

31
Q

normal HCG at 6-8 weeks should be

A

15,000-200,000

32
Q

birth rate

A

the number of live births per 1000 population

33
Q

birth

A

complete expulsion >20wks and >500g

34
Q

fertility rate

A

number of live births per 1000 females aged 15-44

35
Q

live birth

A

used to record a birth when fetus breaths, had any cardiac activity, or volumntary movement

36
Q

still birth/fetal death

A

absence of signs of life at or after birth

37
Q

early infant death

A

death during the first 7 days of life.

38
Q

late infant death

A

death after 7 days but before 29

39
Q

abortus/abortion

A

fetus expelled before 20 weeks or >500g

40
Q

maternal mortality ratio

A

the number of maternal deaths resulting from reproductive causes per 100,000 live births

41
Q

term pregnancy

A

37 completed weeks to 42 completed weeks

42
Q

preterm

A

fetus born before 37 completed weeks

43
Q

postterm

A

baby born after 42 completed weeks

44
Q

specificity

A

negatives, rules out

45
Q

sensitivity

A

positives, rules in

46
Q

naegeles rule

A

minus 3 months add 7 days

47
Q

fetal deaths within ____week of antenatal survallence is rare

A

1

48
Q

nulligravida

A

not pregnant, never has been

49
Q

nullipara

A

never completed pregnancy > 20 weeks

50
Q

when is CVS usually obtained

A

12 weeks

51
Q

when is amniopcentesis perfomed for diagnosis of genetic anomalies?

A

20weeks

Antepartum (6 decks)

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