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Flashcards in babyyy Deck (37)
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1

prenatal care-how many visits?

1-28 wks= every mnth
28-36 wks= every 2-3 wks
36 wks until delivery=every week

2

Nageles rule

LMP-3mnth +7 dyas + 1 yr

ex. if LMP is Aril 14th 2011, then EDC will be Jan 21 2012

3

embryo

fertilization to 8 wks

4

fetus

8 wks till birth

5

previable

<24 wks

6

preterm

24-37

7

term

37-42

8

what are you looking for during prenatal visits?

fetal movement, vaginal discharge +/- bleeding, abdominal crapms or UC
leackage of fluid or signs of ROM

dysuria
blurred vision, HA, rapid weight gain, edema

9

objective findings

weight, fundal height, BP, edema,

dipstick urine protein and glucose

fetal heart tones (heard after 10-12 wks)

10

Fundal hieght

measured w/ tape measure from the top of the pubic symphysis to the top of the fundus

11

at 12 wks, FH?

at the pubic syphysis

12

at 16 wks? FH?

midway btw the pubic and umbilicus

13

at 20 wks fh?

at the umbilicus

14

at 20-32 wks

height above the pubic symphsis should equal GA in wks

15

nutrition for pregos

increased by 300 kcal/day

Iron and folate supplementation is recommentd

16

weight gain through out pregan

normal: 25-35 lbs for the entire pregan

17

first trimester wieght gain

3-5 lbs total

18

second trimester weight gain

0.5lb/wk

19

third trimester weight gain

1 lb/wk

20

prenatal labs initial visit

H/H, type, Rh, antibody screen

cystic fibrosis

papsmear, UA, urine culture, sickle prep

glucose

21

what infectious agents do you need to watch for?

rubella titier, VDRL for syphilis, HBsAG, VZV, PPD,HIV

22

what are some baby sceends that need to be done in the first trimester?

nuchal thickness, PAPP-A, hcG

+: increased nuchal thickness, decreased PAPPA, significanglty increased HCG

down syndrome, trisomeies

23

16-20 wks labs

Quad screen (HCG, AFP, estradiol) to test for Down, Edward's and neural tube defects

Offer MSAFP

US at 18-20 wks

24

26-28 wks screening

DM! rf or not

RhoGam if pt Rh -

CXR if PPD +

25

34-38 wks screening

CBC, VDRL, cervical chlamydia and gonorrhea

**group B streptococcus culture at 35-37 wks

26

when can you visulaize a normal prg?

when BHCG is > 1800-2-- (transvag US)

when BHCG is >3500-5000 (see transabdominal US)

**discrimatory zone

27

discrimatory zone cut off?

if HCG levels are above cut off an dIUP is not visualized- strong likelihood of an ectopic or other abnormal pregnancy

28

what are the estrogen components of OCP?

ethinyl estradiol or mestrol

29

progesterone compoentne of OCP

19-nortestosertone, including norethindrone acetate, norethindrone, levonorgestrel, ethynodiol diacetate, desogestrel, norgestimate, DL-norgestrel, gestodene, and drospirenone

30

what population has the most use for the minipills

lactating women and those older than 40