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HRM > Westra's prenatal care; 4.14 > Flashcards

Westra's prenatal care; 4.14 Flashcards

1
Q

What is a big goal of prenatal care?

A

Active decisions prior to becoming pregnant

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2
Q

What is the traditional schedule for prenatal visits?

A

Every 4 wks starting in 6-8th wk
Every 2 wks from 28-36 wks
Weekly from 36wks-delivery

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3
Q

What is Naegele’s Rule of estimating delivery date?

A

First day of LMP - 3months + 7 days + 1yr

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4
Q

What is Chadwick’s sign?

A

Cervix and vaginal walls are a little blue

Chadwick’s = Color

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5
Q

What is Hegar’s sign?

A

Cervix feels softer

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6
Q

If a G2P1001 is Rh- and both the first child and the developing child are Rh+, what medication should be started? When should the medication be started?

A

Rhogam is started at 28 weeks

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7
Q

What congenital defects can be seen with maternal rubella?

A

Murmur
Hearing loss
Cataracts

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8
Q

Why can’t pregnant women be vaccinated against rubella or varicella?

A

The rubella and varicella vaccines are LIVE vaccines

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9
Q

How much weight is typically gained during pregnancy? How many extra calories is that per day?

A

25-35lbs.

Roughly 150 extra calories per dayW

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10
Q

How much Folic Acid should be supplemented for prenatal care?

A

0.4mg/day

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11
Q

When is genetic screening done?

A

> 35wks with a singleton

> 32wks with twins

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12
Q

How can Down’s be tested for?

A

Fetal DNA in maternal circulation…expensive and only 4 companies do it

Increased nuchal translucency

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13
Q

What is screened for in the third trimester?

A

Group B strep (GBS)

35-37wks

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14
Q

What is done of a pregnant woman is GBS positive?

A

Intrapartum antibiotic prophylaxis

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15
Q

With Gravidity and Parity, what is the number following the ‘G’?

A

Number of pregnancies (including current pregnancy)

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16
Q

With gravidity and parity, what are the numbers that follow the ‘P’?

A

Full-term births
Pre-term births
Abortions
Living children

(Florida Power And Light)

17
Q

What are category A drugs?

A

They have been studied in humans and pose no risk

18
Q

What is an example of a category A drug?

A

Prenatal vitamin

19
Q

What are category B drugs?

A

They have been studied in animals…and have not shown any risk

20
Q

What are examples of category B drugs?

A 
Azithromycin
Cephalosporins
Erythromycin
Penicillins
Sulfonamides
21
Q

What are category C drugs?

A

No adequate studies

22
Q

What are examples of category C drugs?

A

Aminoglycosides
Fluoroquinolones
Trimethoprim
Vancomycin

23
Q

What are category D drugs?

A

There is evidence of fetal risk…but benefit may outweigh the risk

24
Q

What are examples of category D drugs?

A

Streptomycin

Tetracyclines

25
Q

What is the effect of tetracyclines on fetuses?

A

Teeth discoloration

26
Q

What are category X drugs?

A

There is evidence that fetal risk outweighs the benefit

27
Q

What is an example of a category X drug?

A

Acutane

HRM (40 decks)

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