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3. Y5 Zero to finals: O&G > Pregnancy Timeline > Flashcards

Pregnancy Timeline Flashcards

1
Q

What does Gravida refer to?

A

Total number of pregnancies a woman has had

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2
Q

What does Para refer to?

A

Total number of times a woman has given birth (after 24 wks gestation)

(Regardless of fetus was alive / stillborn)

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3
Q

When does the timeline of a pregnancy start from?

A

Last Menstrual Period (LMP)

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4
Q

What is the timeline of a pregnancy measured in?

A

Gestational Age (GA)

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5
Q

What is the Gravida / Para of a woman who is currently Pregnant and had 3 previous deliveries?

A

G4 P3

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6
Q

What is the Gravida / Para of a woman who is currently NOT Pregnant and had a previous birth of twins?

A

G1 P1

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7
Q

What is the Gravida / Para of a woman who is currently NOT Pregnant and had a previous miscarriage?

A

G1 P0 + 1

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8
Q

What is the Gravida / Para of a woman who is currently NOT Pregnant and had a previous stillbirth (after 24 wks gestation)?

A

G1 P1

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9
Q

What is the timeframe for the FIRST trimester?

A

0-12 weeks gestation

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10
Q

What is the timeframe for the SECOND trimester?

A

13-26 weeks gestation

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11
Q

What is the timeframe for the THIRD trimester?

A

27 weeks gestation -> birth

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12
Q

What week are fetal movements meant to start from?

A

20 weeks gestation

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13
Q

What is a key milestone in pregnancy that should happen before 10 weeks?

A

Booking clinic

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14
Q

What is the point of a Booking Clinic in pregnancy?

A

Baseline assessment + Plan the pregnancy

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15
Q

What is a key milestone in pregnancy that should happen between 10 – 13+6 weeks?

A

Dating scan

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16
Q

What is the point of a Dating scan? (2 things)

A
  1. Calculate accurate Gestational Age (GA)
  2. Identify multiple pregnancies
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17
Q

How is the Gestational Age (GA) accurately measured in the Dating Scan?

A

From Crown Rump Length (CRL)

18
Q

What is a key milestone in pregnancy that should happen at 16 weeks?

A

Antenatal appointment

19
Q

What is the point of the Antenatal appointment? (2 things)

A
  1. Discuss results
  2. Plan future appointments
20
Q

What is a key milestone in pregnancy that should happen between 18 – 20+6 weeks?

A

Anomaly scan

21
Q

What is the point of the Anomaly scan?

A

US to identify any anomalies (e.g heart conditions)

22
Q

What weeks should the Antenatal appointments that happen late in pregnancy occur at? (9 things)

A

25, 28, 31, 34, 36, 38, 40, 41, 42

23
Q

What is the point of the Antenatal appointments starting from 25 weeks? (2 things)

A
  1. Monitor pregnancy
  2. Discuss future plans
24
Q

What are some Additional appointments that some women may need? (4 things)

A
  1. Oral glucose tolerance test
  2. Anti-D injections
  3. US @ 32 weeks
  4. Serial growth scans
25
Q

Which women require Oral glucose tolerance tests during pregnancy?

A

Women @ risk of gestational diabetes

26
Q

When do Oral glucose tolerance tests occur during pregnancy?

A

Between 24-28 weeks

27
Q

Which women require Anti-D injections during pregnancy?

A

Women who are Rhesus negative

28
Q

When are Anti-D injections given during pregnancy? (2 times)

A
  1. 28 weeks
  2. 34 weeks
29
Q

Which women require US scan @ 32 weeks during pregnancy?

A

Women w Placenta Praevia on anomaly scan

30
Q

Which women require Serial growth scans during pregnancy?

A

Women @ risk of fetal growth restriction

31
Q

What things are discussed at the Antenatal Appointments? (2 things)

A
  1. Plans for rest of pregnancy
  2. Delivery plans
32
Q

What investigations are done at the Antenatal Appointments? (5 things)

A
  1. Symphysis-fundal height measurement
  2. Fetal presentation assessment
  3. Urine dipstick
  4. Blood pressure
  5. Urine
33
Q

When is the Symphysis-fundal height measured?

A

24 weeks onwards

34
Q

When is the Fetal presentation assessed?

A

36 weeks onwards

35
Q

What are you checking for in the Urine dipstick @ Antenatal appointment, and what does it mean?

A

Protein = Pre-eclampsia

36
Q

Why do you check Blood Pressure @ Antenatal appointment?

A

Check for Pre-eclampsia

37
Q

Why do you take a urine sample @ Antenatal appointment? (2 points)

A
  1. For microscopy + culture
  2. To check for Asymptomatic Bacteriuria
38
Q

What Vaccines are offered to all pregnant women? (2 things)

A
  1. Whooping cough (pertussis)
  2. Influenza (flu vax)
39
Q

When is the Whooping cough vaccine given to pregnant ladies?

A

16 weeks gestation

40
Q

When is the Influenza (flu vax) given to pregnant ladies?

A

Whenever it’s available in Autumn / Winter

41
Q

What vaccines are avoided in during pregnancy?

A

Lives vaccines (e.g MMR)

3. Y5 Zero to finals: O&G (27 decks)

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