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Reproductive system (inpt) > babyyy > Flashcards

babyyy Flashcards

1
Q

prenatal care-how many visits?

A

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

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2
Q

Nageles rule

A

LMP-3mnth +7 dyas + 1 yr

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

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3
Q

embryo

A

fertilization to 8 wks

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4
Q

fetus

A

8 wks till birth

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5
Q

previable

A

<24 wks

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6
Q

preterm

A

24-37

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7
Q

term

A

37-42

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8
Q

what are you looking for during prenatal visits?

A

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

dysuria
blurred vision, HA, rapid weight gain, edema

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9
Q

objective findings

A

weight, fundal height, BP, edema,

dipstick urine protein and glucose

fetal heart tones (heard after 10-12 wks)

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10
Q

Fundal hieght

A

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

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11
Q

at 12 wks, FH?

A

at the pubic syphysis

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12
Q

at 16 wks? FH?

A

midway btw the pubic and umbilicus

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13
Q

at 20 wks fh?

A

at the umbilicus

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14
Q

at 20-32 wks

A

height above the pubic symphsis should equal GA in wks

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15
Q

nutrition for pregos

A

increased by 300 kcal/day

Iron and folate supplementation is recommentd

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16
Q

weight gain through out pregan

A

normal: 25-35 lbs for the entire pregan

17
Q

first trimester wieght gain

A

3-5 lbs total

18
Q

second trimester weight gain

A

0.5lb/wk

19
Q

third trimester weight gain

A

1 lb/wk

20
Q

prenatal labs initial visit

A

H/H, type, Rh, antibody screen

cystic fibrosis

papsmear, UA, urine culture, sickle prep

glucose

21
Q

what infectious agents do you need to watch for?

A

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

22
Q

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

A

nuchal thickness, PAPP-A, hcG

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

down syndrome, trisomeies

23
Q

16-20 wks labs

A

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

Offer MSAFP

US at 18-20 wks

24
Q

26-28 wks screening

A

DM! rf or not

RhoGam if pt Rh -

CXR if PPD +

25
Q

34-38 wks screening

A

CBC, VDRL, cervical chlamydia and gonorrhea

**group B streptococcus culture at 35-37 wks

26
Q

when can you visulaize a normal prg?

A

when BHCG is > 1800-2– (transvag US)

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

**discrimatory zone

27
Q

discrimatory zone cut off?

A

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

28
Q

what are the estrogen components of OCP?

A

ethinyl estradiol or mestrol

29
Q

progesterone compoentne of OCP

A

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

30
Q

what population has the most use for the minipills

A

lactating women and those older than 40

31
Q

contraceptive advnatages

A

 Less benign breast disease, iron deficiency anemia, and pelvic inflammatory disease as well as fewer ovarian cysts

  • Protection against ectopic pregnancy, reduced risk of ovarian and endometrial cancer, reduced dysmenorrhea and menorrhagia,
  • and improvements in hirsutism, acne, and symptoms of endometriosis. -Oral contraceptives also may protect against rheumatoid arthritis
32
Q

disadvantages of OCP

A

increased risk of thromboembolic ddz, abnormal lipids

-possilbe increased risk of breasat cancer, and rarely, HTN, cholelithiasis, benign liver tumores

33
Q

Adverse effects of OCP

A

missed periods, intermenstural bleeding

bloating, acne, N, HA wieght gain

34
Q

norplant systemt

A

levonorgestrel

ADR: menstrual irregularity, HA, wieght gain

35
Q

transdermal patch?

A

not effective in women who weiht more than 200 lbs

36
Q

absolute contraindication of an IUd?

A
  • current prego
  • undiagnosed vaginal bleed
  • acture infx
  • past alpingitis
  • suspected gynecologic malignancy
37
Q

relative CI for IUD

A

nulliparity, previous ectopic preg or STD, mult sex partners, severe dysmenorrhea, uterina apbnormalites, anemia, vavluar heart dz,

young age

Reproductive system (inpt) (9 decks)

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