Antenatal Flashcards

(40 cards)

1
Q

What is Nagele’s rule for estimating the due date?

A

Subtract 3 months from first day of last menstrual period and then add 7 days

This rule helps calculate the estimated delivery date (EDD) based on the menstrual cycle.

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2
Q

What is the most accurate method for determining gestational age?

A

First trimester ultrasound

Ultrasound measurements in the first trimester provide the best estimate of gestational age.

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3
Q

How often should prenatal visits occur from conception to 28 weeks?

A

Every 4 weeks

Regular check-ups are crucial for monitoring the health of both the mother and fetus.

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4
Q

What are the recommended frequencies for prenatal visits from 29 to 36 weeks?

A

Every 2-3 weeks

As pregnancy progresses, visit frequency increases to monitor for complications.

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5
Q

What are the recommended frequencies for prenatal visits from 37 weeks- till birth

A

weekly

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6
Q

what are the week ranges for the 1st 2nd and 3rd trimester

A

1st: 1-13 weeks
2nd: 14-26 weeks
3rd: 27weeks-through term

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7
Q

What Rh incompatibility cauces a problem between mother and baby

A

Mom is Rh negative and fetus is Rh positive

This condition can lead to hemolytic disease of the newborn if not managed.

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8
Q

What is a nuchal translucency ultrasound?

A

examines a fluid filled space behind the babies neck to detect for congenital abnormalities like down syndrome

This test is typically performed between 11-14 weeks of gestation.

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9
Q

What is the GBS screen and why is it done

A

Group B Streptococcus screen which is done since this bacteria can be dangerous to a baby

Positive results require antibiotic treatment during labor to prevent infection in the newborn.

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10
Q

Define Gravida in pregnancy terms.

A

Number of all pregnancies, including current

This term helps track a woman’s pregnancy history.

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11
Q

What is a Nulligravida?

A

A woman who has never been pregnant

This term is used to describe a woman’s obstetric history.

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12
Q

what does GTPAL stand for and state exactly what they mean

A

-Gravida: Number of all pregnancies irregardless of weeks and including current
-Term: Number of babies born after 37 weeks
Preterm: Number of babies born between 20-37 weeks
Abortion: Number of abortions under 20 weeks either spontaneous or elective
Living: Number of current living children not including current baby

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13
Q

What is parity

A

Number of pregnancies that went beyond 20 weeks

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14
Q

what is multipara

A

given birth to 2 children or more

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15
Q

nullipara

A

Not completed a pregnancy above 20 weeks

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16
Q

What are presumptive signs of pregnancy?

A

symptoms that suggest pregnancy but could be due to other conditions. often subjective indicators

These signs are subjective and may indicate pregnancy but are not definitive.

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17
Q

What are the probable signs of pregnancy?

A

Signs of pregnancy that are not definitive but are usually strong indicators and don’t suggest other conditions (like all the signs that we learned about)

These signs are more indicative of pregnancy but still not definitive.

18
Q

What is the risk associated with gestational diabetes?

A

Increased insulin resistance and potential macrosomia in the fetus

Managing gestational diabetes is crucial to prevent complications during delivery.

19
Q

What is the definition of pre-eclampsia?

A

Increase in BP > 20 weeks with or without proteinuria

Pre-eclampsia can lead to severe complications for both mother and baby.

20
Q

What is the purpose of magnesium sulfate in the context of pre-eclampsia?

A

To control seizures

Magnesium sulfate is used to prevent eclampsia in severe cases.

21
Q

What is goodell’s sign

A

Softening of the cervix or vagina

22
Q

what is chadwick’s sign

A

when cervix or vaginal mucosa becomes bluish

23
Q

What is hegar’s sign

A

softening of the uterus

24
Q

what is mcdonalds sign

A

when you can flex the body of the uterus against the cervix

25
does blood pressure change from baseline during pregnancy
no stays the same since there is less resistance in the peripheral vessels
26
what are two nutrients that are important to increase during and even before pregnancy
Iron Folic acid (B9)
27
what kind of vaccines are contraindicated during pregnancie
live virus vaccines
28
what blood pressures would indicate non severe and severe pre-eclampsia
140-90 non severe 160-110 severe
29
what is HELLP syndrome and what are its characteristics
severe form of pre eclampsia and involves -Hemolysis -Elevated Liver enzymes -Low Platelets
30
what are risk factors for Preeclampsia
-extremes of maternal age -chronic HTN -Diabetes -High BMI -family history -Multiple pregnancies -pregnancy with new partner
31
when does quickening usually occur and what can this event help determine
happens around 16-22 weeks and helps determine gestational age
32
what is a hydatidiform mole
when there is abnormal fertilization which results in an implanting of a nonviable cyst into the uterus
33
what are S&S of a hydatidiform mole
-hyperemesis gravidarum -vaginal bleeding -pelvic pain
34
what is the TORCH acronym describe
describes a group of infectious diseases that can be very damaging to a fetus and can be passed from mother to fetus
35
what does TORCH stand for
-Toxoplasmosis -Other agents (HIV, Hep B, listeria, chicken pox) -Rubella -Cytomegalovirus -Herpes
36
how much does cardiac output increase during pregnancy
20-50%
37
how much does blood volume increase during pregnancy
40-50%
38
how many fetal movements is normal per/hour
3 per hour
39
what is the week's classification for gestational vs non gestational HTN
if the HTN happens before 20 weeks than it is due to a pre existing condition if it is after 20 weeks then it is gestational HTN
40
what are risk factors for GDM
-obese mom -history of big infants -Mom older than 35 -previous unexplained stillbirth -history of GDM -use of corticosteroid medication