Women's health Flashcards
what is the fundal height at 12-14 weeks pregnant?
just above the pubic bone
what is the fundal height at 16 weeks pregnant?
halfway between the symphysis pubis and umbilicus
what is the fundal height at 20-22 weeks pregnant?
at the umbilicus
what is the fundal height after 24 weeks pregnant?
fundal height often matches how many weeks pregnant
What two vaccines are given during pregnancy?
Influenza and Tdap (27-36 weeks)
what is normal weight gain during a pregnancy?
25-35 pounds
when do you screen for gestational diabetes?
24-28 weeks
how is gestational diabetes diagnosed?
fasting glucose >126
A1C > 6.5
random glucose > 200
*same criteria for dx diabetes
When to give Rhogam?
if mother is RH (-) and fetus is RH (+)
give Rhogam at 28 weeks and within 72 hours of delivery
What is Naegele’s Rule?
subtract 3 months from LMP
add 7 days
painful vaginal bleeding and hard uterus during 3rd trimester.
treatment?
placenta abruption
tx: refer to ETC
strict bedrest or C-section if mother is in danger
painless vaginal bleeding during 3rd trimester.
treatment?
placenta previa
tx: refer to ETC, avoid intercourse, bed rest, close fetal and maternal monitoring
* if mother’s life is in danger, perform C-section
treatment for UTI when pregnant
Keflex or Macrobid (but not in 3rd trimester)
What does the Coombs test detect?
Rh antibodies
pap smear screening vs HPV screening
pap smear: age 21 every 3 years
HPV: age 30 every 5 years
Postmenopausal Bleeding
Concerning even if very small amount. Refer to gyno to for biopsy to r/u cancer.
mammogram guidelines
every 2 years age 50-75,
safe meds for HTN in pregnancy
labetalol, nifedipine, methyldopa
Galactorrhea is too much or too little prolactin? and what does it cause?
too much prolactin
production of breastmilk in men/women when not pregnant
How long does Mirena IUD last? Copper IUD?
5 years
10 years
flaky or scaly skin on nipple, may have crusting or oozing
Paget’s disease, order mammogram and refer to breast surgeon
