Diagnosis And Pregnancy Flashcards

(60 cards)

1
Q

What is the typical duration of pregnancy?

A

10 lunar months or 9 calendar months + 7 days or 280 days or 40 weeks

The duration of pregnancy is often calculated from the first day of the last menstrual period.

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2
Q

What is Naegele’s formula used for?

A

Calculation of EDD from LMP

EDD stands for Estimated Due Date, and LMP refers to Last Menstrual Period.

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3
Q

What is meant by menstrual or gestational age?

A

All calculated from the first day of last menstrual period

This age is important for determining the expected date of delivery.

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4
Q

What is the true gestational period?

A

280-14-266 is called fertilization or ovulatory age

This refers to the actual time from fertilization to birth.

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5
Q

What are subjective symptoms of pregnancy during the first trimester?

A

Diagnosis of pregnancy

Subjective symptoms may include missed periods, nausea, and fatigue.

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6
Q

What is the significance of cyclical scanty bleeding during pregnancy? Amenorrhea

A

Roughly corresponds to menstrual period; known as implantation bleed or Hartman sign

This can indicate early pregnancy.

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7
Q

What are Montgomery’s tubercles?

A

Breast changes where they become more prominent and colostrum appears

These changes occur due to hormonal influences during pregnancy.

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8
Q

What is Chadwick’s sign? Or jacquemiers

A

Dusky color of vestibule and anterior vaginal wall at 8 weeks

Aadi aadi qil ninnal colour povum.

This sign indicates increased blood flow to the pelvic area.

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9
Q

At what week does Goodell’s sign occur and what does it indicate?

A

6 weeks; cervix becomes soft
Good cervix
## Footnote

The cervix changes from a firm to a softer state during early pregnancy.

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10
Q

What is Piskacek’s sign?

A

Asymmetrical enlargement of uterus if there is lateral implantation

This sign indicates that the embryo has implanted on one side of the uterus.

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11
Q

What is Hegar’s sign?

A

Occurs between 6-10 weeks; due to softness of isthmus

Heg aaru

This is a physical examination finding indicating pregnancy.

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12
Q

What does the term ‘quickening’ refer to in pregnancy?

A

First fetal movements felt by the mother; occurs at 18 weeks in primi and 16 weeks in multi

Kutti anangumbol netti povum

Primigravida refers to a woman who is pregnant for the first time, while multigravida refers to a woman who has been pregnant multiple times.

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13
Q

What is the significance of the fetal heart rate (FHR)?

A

Most conclusive sign of pregnancy; detectable by ordinary stethoscope by 18-20 weeks

Monitoring FHR is crucial for assessing fetal well-being.

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14
Q

What is the ‘Double deciding sac sign’ (DDSS)?

A

Visible at 5 menstrual weeks; indicates the presence of gestational sac and yolk sac

This is an early ultrasound finding in pregnancy.

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15
Q

At what week can embryonic movements be detected?

A

7 weeks

This is an early sign of fetal development.

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16
Q

What is the fundal height at 24 weeks?

A

At umbilicus

Fundal height is used to assess fetal growth and development during pregnancy.

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17
Q

What is Chloasma?

A

Pigmentation of forehead and cheek occurring around 24 weeks

Also known as the ‘mask of pregnancy,’ it is caused by hormonal changes.

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18
Q

What is the significance of external ballottement?

A

Occurs at 20 weeks; a sign of fetal position and assessment of amniotic fluid

It is a technique used in the physical examination of pregnant women.

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19
Q

What happens to the fetal head by the 40th week?

A

Engaged at the level of the 32nd

Engagement indicates that the fetal head has descended into the pelvis in preparation for birth.

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20
Q
A
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21
Q

Pulsation at lateral fornix in 8th week

A

Osiander sign

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22
Q

Size of uterus at 6th week

A

Hens egg

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23
Q

Size of uterus at 8th week

A

Cricket ball

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24
Q
A
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25
Oscidander sign at ?
8th week Osci -8
26
Plamer sign
4th week Plam kondu contractile nalla opp ittu
27
Gestational sac and yolk
5 menstral week
28
Double bleb sign, fetal pole, cardiac activity
6th week
29
Embryonic movement
7th week
30
Fetal age in 1 st trimester
Crl 7-12 weeks
31
Double Doppler test
Heart rate by 10 th week
32
Most conductive sign in pregnancy
FHS 18 TH TO 20 TH WEEK
33
What is lightening in relation to pregnancy?
Occurs around 38 weeks in primi, signifying the descent of the fetus into the pelvis ## Footnote Lightening can lead to increased frequency of urination as pressure on the bladder increases.
34
What is the normal fetal heart rate range during pregnancy?
110-160 beats per minute ## Footnote This range is considered normal for a developing fetus.
35
What does SFH stand for and what does it correspond to?
Symphysis-Fundal Height; corresponds to the number of gestation weeks in cm, e.g., 24 cm at 24 weeks ## Footnote A variance of + or - 2 cm is considered normal.
36
What is pseudocyesis?
A phantom or spurious pregnancy ## Footnote It can be confused with real pregnancy due to similar symptoms.
37
List some conditions that can mimic pregnancy.
* Cystic ovarian tumour * Fibroid * Encysted peritonitis * Distended urinary bladder ## Footnote These conditions can present symptoms similar to those of pregnancy.
38
What are the formulas used for estimating fetal weight?
* Johnson formula * ShePard's formula * Hadlock's formula Johnson sheepukale lock cheythu weight nokki ## Footnote These formulas take various measurements to estimate fetal weight.
39
What age is considered elderly primi according to FIGO?
Above 30 years, specifically 35 years or older ## Footnote Elderly primigravida may have different risk factors during pregnancy.
40
Define grand multi-pregnant women.
Women who have had four or more viable births ## Footnote This term indicates a high parity status.
41
What is the minimum spacing recommended between two children?
2 years ## Footnote Adequate spacing can reduce health risks for both mother and children.
42
How often should obstetric visits occur in developing countries according to WHO?
* 1st visit around 16 weeks * 2nd visit between 24-28 weeks * 3rd visit at 32 weeks * 4th visit at 36 weeks ## Footnote These visits are crucial for monitoring maternal and fetal health.
43
What is the frequency of obstetric visits in the first trimester?
Once every 4 weeks until 28 weeks ## Footnote After 28 weeks, visits increase in frequency to monitor pregnancy closely.
44
What is a nullipara?
A woman who has never completed a pregnancy to the stage of viability ## Footnote This term can include women who have had abortions.
45
What is the definition of a parturient woman?
A woman in labor ## Footnote This term is used in obstetrics to refer to women who are about to give birth.
46
What is the obstetric visit schedule after 36 weeks?
Weekly visits ## Footnote This increased frequency is to ensure the health of both mother and baby as the delivery date approaches.
47
State of previous pregnancy beyond the period of viability
Parity
48
Lecithin sphingomyelin ratio
2:1
49
8-12 weeks Post conception fetal development
External genitalia develops
50
Anatomical closure of Umbilical artery Ductus arteriosus Foramen ovale
2-3 months 1-3 months 1 yr
51
Livin' ligature
Intermediate uterine fiber Criss cross fashion gives 8
52
Amount of water retained during pregnancy
6.5 l
53
Blood volume during pregnancy
4000 , pregnancy -5500
54
Plasma volume
2500 pregnancy -3750
55
Hematocrit
38% pregnancy -32%
56
Albumin ratio
1:1near term
57
Iron required during pregnancy
1000mg
58
Daily requirement of iron during 2nd half of pregnancy
6-7 mg
59
Iron required during lactation
1mg/day
60
Daily requirement of calcium during pregnancy
1-1.5gm