Assessments Flashcards

1
Q

Ss preeclampsia

A

HA
Visual
Epigastric
Edema
Proteinuria (kidney)
Increased uric acid in serum (kidney)
Decreased platelets
Increased reflexes

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2
Q

Glucose levels in different pregnancy phases

A

HypoG 1st trimester and labor/PP
HyperG 2nd and 3rd trimester

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3
Q

Characteristics and timeframe of GHTN

A

After 20 w
No proteinuria
140/90

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4
Q

Characteristics of preeclampsia

A

After 20 w
With proteinuria
140/90

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5
Q

Timeframe of chronic HTN

A

Before pregnancy/20 w

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6
Q

HELLP for severe preeclampsia

A

Hemolysis
Elevated liver
Low platelet

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7
Q

Antepartum testing

A

Fetal movement
Ultrasound
Doppler blood flow analysis
Amniotic fluid index
Biophysical profile
NST

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8
Q

5 types of miscarriages

A

Threatened (fine for now)
Inevitable (happening)
Incomplete (need to evacuate the rest)
Complete
Missed

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9
Q

Ss/dx for ectopic

A

Bleeding
Pain
Positive pregnancy test
HCG
Transvaginal US

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10
Q

Sign of placenta previa

A

Painless bright red bleeding

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11
Q

Accreta/increta/percreta

A

Accreta beyond normal boundary
Increta into myometeium
Percreta into adjacent organs

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12
Q

RF for placenta abruption

A

Trauma
HTN
Coke and smoke
Twins

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13
Q

Ss placenta abruption

A

Extreme pain
Contractions
Tenderness
Bleeding
No FHTS/fetal distress

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14
Q

High risk pre existing conditions

A

DM
Thyroid
CV
Anemia
Asthma
Lupus
SUD

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15
Q

Normal AFI (amniotic fluid index)

A

5 to 25 cm

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16
Q

NST (non stress test) frequency guidelines

A

2x weekly after 28 weeks
For DM and other high risk patients

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17
Q

Good BPP (biophysical profile) score

A

7 to 10

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18
Q

Ss PTL

A

20 to 37 w
Contractions
Cervical change
Discharge
Bleeding
Backache
Cramps

Also: GI issues, pressure at pelvis

19
Q

3 most common RF PTL

A

Hx of PTL
Multiple gestation
Cervical/uterine structural problems

20
Q

Predict PTB with…

A

Positive FFN
Short CL
Prior PTB

21
Q

CL length indicating PTB risk

A

Less than 15mm

22
Q

How do you measure CL?

A

Transvaginal ultrasound

23
Q

Assessments for PTL

A

Cervical exam
ROM exam
Amnisure and fern
UTI and other infection screenings
Fetal monitor
Toco for uterine activity

24
Q

When can you hear baby heart?

A

W12

25
Q

When can you feel baby move?

A

W16-20

26
Q

When does fetus gender become apparent?

A

W12

27
Q

Prenatal genetic testing options

A

Maternal serum
Fetal ultrasound
Invasive: amniocentesis, chorionic villus

28
Q

Maternal serum for…

A

Neural tube defects
Down
Trisomy

29
Q

Fetal ultrasound for…

A

Heart
Gestational age
Growth
Anatomy
Disorders, cleft
Placenta
Well being

30
Q

Predictive testing for…

A

HD

31
Q

Cervix and vagina changes with pregnancy

A

Goodell (soft)
Chadwick (dark)
Leukorrhea drainage
Operculum (mucus plug)

32
Q

CV changes with pregnancy

A

Hypertrophy
Heart pushed up
Increase blood volume
Murmur and palpitations
Increase pulse (10-15 bpm)
Increase clotting
Anemia / increased RBC size
Increased WBC

33
Q

Respiratory changes with pregnancy

A

O2 needs increase
Ribs relax and widen
Elevated diaphragm leads to dyspnea

34
Q

Renal changes with pregnancy

A

Frequency
UTI common
Nocturia
Increased GFR
Increased blood flow

35
Q

Musculoskeletal changes in pregnancy

A

Lordosis
Center of gravity shift
Waddling
Relax and increase mobility pelvis
Abdominal muscle stretch and lose tone

36
Q

Neuro changes in pregnancy

A

Carpal tunnel
Tension HA
Lightheaded
Hypocalcemia leads to tetany and cramps

37
Q

GI system changes in pregnancy

A

Heartburn
Constipation
Gallstones more likely due to delayed emptying
Increase thirst and hunger
Hyperemesis
Hyperemic gums

38
Q

Endocrine changes in pregnancy

A

Increased BMR
Heat intolerance
Larger thyroid

39
Q

What is done in routine prenatal office visits?

A

FHTS
VS
Urine (protein, glucose)
Weight
Fetal movement
Fundal height
Education

40
Q

Prenatal labs and tests

A

CBC
VDRL for syphilis
STD screening
Pap smear
Antibody titers for rubella and Hep B
Blood type
Glucose
UA
TB screen
TORCH screen
AFP for neural tube
GBS
HIV

41
Q

What is done in the initial provider visit?

A

Total physical exam
Pap smear
Labs
UA and culture
US

42
Q

Prenatal return visit schedule

A

qMonth 4-28W
GDM screen at 24-28w
q2week 28-36w
qWeek 36w to delivery
PP visit at 6 weeks or earlier

43
Q

Preeclampsia effects on fetus

A

Hypoxia
IUGR
Abruption

44
Q

The 5 parameters in the BPP (biophysical profile) test

A

Amniotic fluid volume
Fetal breathing movements
Fetal reactivity
Fetal movement
Fetal tone