Exam 3 - Prenatal Care Flashcards

1
Q

What are the five basic components of prenatal care?

A
  • Early and accurate calculation of gestational age
  • Identifying risk factors and potential complications
  • Continuous assessment of fetal growth and well being
  • Health promotion
  • Interventions to treat identified problems
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2
Q

How often should nulliparous women attend prenatal visits?

A

8 total visits

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3
Q

How often should multiparous women attend prenatal visits?

A

6 total visits

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4
Q

How often should pregnant women beyond 40 weeks attend prenatal visits?

A

Add additional visits

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5
Q

What is the typical schedule for prenatal visits?

A

Every 4 weeks until 28 weeks

Every 2 weeks until 36 weeks

Every week until birth

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6
Q

Gravida

A

Total number of pregnancies, regardless of outcome

  • Includes current pregnancy
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7
Q

Nulligravida

A

Has never been pregnant

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8
Q

Primigravida

A

Pregnant for the first time

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9
Q

Para

A

Number of times a woman has given birth to a fetus of at least 20 weeks (one birth for twins)

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10
Q

Nullipara

A

Has not remained pregnant beyond 20 weeks

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11
Q

Primipara

A

One pregnancy beyond 20 weeks (has given birth once)

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12
Q

Multipara

A

Has had 2+ pregnancies beyond 20 weeks and given birth more than once (counting multiple births as one event)

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13
Q

What does GTPAL stand for?

A

G: gravida or number of pregnancies

T: number of term pregnancies

P: number of preterm infants

A: number of spontaneous or induced abortions

L: number of living children

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14
Q

What happens during the first trimester of pregnancy?

A

At weeks 1-12

  • Organogenesis completed by end of 12th week
  • Risk of spontaneous abortion reduced past 12 weeks
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15
Q

What happens during the second trimester of pregnancy?

A

Weeks 13-28

  • Point of fetal viability, but now reduced to 24 weeks d/t medical advacements
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16
Q

What happens during the third trimester of pregnancy?

A

Weeks 28-40

17
Q

Typical labs drawn during prenatal visits

A
  • Blood type, Rh factor, antibody screen
  • CBC
  • Hepatitis B surface antigen (HbsAg)
  • HIV screening
  • STI testing
  • Rubella titer
  • Varicella titer if status unknown or no history of chicken pox
18
Q

Additional tests that could be obtained to rule out UTI during pregnancy

A
  • Urinalysis for protein, glucose, or ketones
  • Urine culture and sensitivity
19
Q

Additional tests for pregnancy patients with risk of diabetes

A

Hemoglobin A1C and fasting blood glucose

20
Q

What are risk factors for diabetes in pregnant patients?

A
  • History of gestational diabetes
  • History of glucose intolerance
  • BMI >25
  • History of macrosomia or stillbirth
  • 1st degree relative with diabetes
  • Non-white race
21
Q

Required vaccinations

A
  • Tdap
  • Influenza
  • Hep B
22
Q

What should the provider assess for during the physical exam?

A
  • Blood pressure
  • Weight
  • Fundal height
  • Fetal heart tones
  • Fetal presentation
23
Q

What should be assessed during the third trimester of pregnancy?

A
  • Birth plan
  • Repeat STI testing
  • Kick counts
  • Group A beta strep
24
Q

What tests should be done during weeks 18-20?

A

OB ultrasound for dating and anatomical survey

25
Q

What tests should be done at weeks 24-28?

A

Glucose tolerance test to screen for gestational diabetes

26
Q

What tests should be done at weeks 36-38?

A

Group B strep

27
Q

Recommended weight gain for underweight patients (BMI <18.5)

A

28-40 lbs

28
Q

Recommended weight gain for normal patients (BMI 18.5-24.9)

A

25-35 lbs

29
Q

Recommended weight gain for overweight patients (BMI 25-29.9)

A

15-25 lbs

30
Q

Recommended weight gain for obese patients (BMI >30)

A

11-20 lbs

31
Q

When should pregnant patients take folic acid supplements?

A

3 months before pregnancy - helps prevent neural tube defects (neural tube closes by 4-6 weeks gestation)

32
Q

What is the recommended dose of folic acid during pregnancy?

A

400 mcg/day

4 mg/day if prior infant with neural tube defect

33
Q

How much caffeine intake is recommended during pregnancy?

A

No more than 200 mg/day