Westra's prenatal care; 4.14 Flashcards
What is a big goal of prenatal care?
Active decisions prior to becoming pregnant
What is the traditional schedule for prenatal visits?
Every 4 wks starting in 6-8th wk
Every 2 wks from 28-36 wks
Weekly from 36wks-delivery
What is Naegele’s Rule of estimating delivery date?
First day of LMP - 3months + 7 days + 1yr
What is Chadwick’s sign?
Cervix and vaginal walls are a little blue
Chadwick’s = Color
What is Hegar’s sign?
Cervix feels softer
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?
Rhogam is started at 28 weeks
What congenital defects can be seen with maternal rubella?
Murmur
Hearing loss
Cataracts
Why can’t pregnant women be vaccinated against rubella or varicella?
The rubella and varicella vaccines are LIVE vaccines
How much weight is typically gained during pregnancy? How many extra calories is that per day?
25-35lbs.
Roughly 150 extra calories per dayW
How much Folic Acid should be supplemented for prenatal care?
0.4mg/day
When is genetic screening done?
> 35wks with a singleton
> 32wks with twins
How can Down’s be tested for?
Fetal DNA in maternal circulation…expensive and only 4 companies do it
Increased nuchal translucency
What is screened for in the third trimester?
Group B strep (GBS)
35-37wks
What is done of a pregnant woman is GBS positive?
Intrapartum antibiotic prophylaxis
With Gravidity and Parity, what is the number following the ‘G’?
Number of pregnancies (including current pregnancy)
With gravidity and parity, what are the numbers that follow the ‘P’?
Full-term births
Pre-term births
Abortions
Living children
(Florida Power And Light)
What are category A drugs?
They have been studied in humans and pose no risk
What is an example of a category A drug?
Prenatal vitamin
What are category B drugs?
They have been studied in animals…and have not shown any risk
What are examples of category B drugs?
Azithromycin Cephalosporins Erythromycin Penicillins Sulfonamides
What are category C drugs?
No adequate studies
What are examples of category C drugs?
Aminoglycosides
Fluoroquinolones
Trimethoprim
Vancomycin
What are category D drugs?
There is evidence of fetal risk…but benefit may outweigh the risk
What are examples of category D drugs?
Streptomycin
Tetracyclines
What is the effect of tetracyclines on fetuses?
Teeth discoloration
What are category X drugs?
There is evidence that fetal risk outweighs the benefit
What is an example of a category X drug?
Acutane
