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Obstetrics I > LE 3: Prenatal Care > Flashcards

LE 3: Prenatal Care Flashcards

0
Q

a useful measure of prenatal care adequacy

A

Keissner index

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1
Q 
Length of gestation
Timing of the 1st prenatal visit
Number of visits
 w/c are incorporated from the birth     
  certificate
A

Keissner index

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2
Q

most common barrier to care

A

Late identification of pregnancy

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3
Q

Second most commonly barrier to care

A

money or insurance

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4
Q

3rd most common barrier

A

inability to obtain an appointment

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5
Q

the abrupt cessation of menstruation in a healthy reproductive-aged woman who previously has experienced spontaneous cycle

A

Amenorrhea

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6
Q

dark bluish red and congested vaginal mucosa

A

Chadwick sign

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7
Q

softer fundus and compressible interposed softened isthmus

A

Hegar sign

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8
Q

soft, blowing sound that is synchronous with the maternal pulse

A

uterine souffle

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9
Q

it is produced by the passage of blood through the dilated uterine vessels and is heard more distinctly near the lower portion of the uterus.

A

uterine souffle

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10
Q

a sharp, whistling sound that is synchronous with the fetal pulse

A

funic souffle

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11
Q

it is caused by the rush of blood through the umbilical arteries and may not be heard consistently

A

funic souffle

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12
Q

when is the quickening felt in primigravida?

A

16 - 18 wks AOG

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13
Q

depending on maternal habitus, when can an examiner begin to detect fetal mov’ts?

A

20 wks AOG

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14
Q

it is the detection of hCG in maternal blood and urine is the basis for endocrine assays of pregnancy

A

Pregnancy test

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15
Q

this hormone prevents involution of the corpus luteum

A

hCG

16
Q

what is the principal site of progesterone formation during the first 6 weeks of pregnancy

A

Corpus Luteum

17
Q

this, produces hCG in amounts that inc. exponentially during the 1st trimester following implantation

A

Syncytiotrophoblast

18
Q

what are the 3 hormones which HCG is STRUCTURALLY and IDENTICAL with?

A

Fsh
Lh
Tsh

19
Q

what is the distinctive characteristic of Beta subunit from LH, FSH TSH?

A

structurally

20
Q

what is the distinctive characteristic of Alpha subunit from LH, FSH TSH?

A

Identical

21
Q

this test, a monoclonal antibody against the beta subunit bound to a solid-phase support, attached antibody is then exposed to and binds hCG in the serum or urine specimen, 2nd antibody is then added, binds to another site on the hCG molecule

A

sandwich-type immunoassay

22
Q

this modality for pregnancy imaging and is commonly used to accurately establish gestational age and confirm pregnancy location

A

Tansvaginal Sonography

23
Q

a small anechoic fluid collection within the endometrial cavity and it is the first sonographic evidence of pregnancy

A

Gestational sac

24
Q

a fluid collection, but, can also be seen w/in the endometrial cavity w/ an ectopic pregnancy

A

Pseudogestational sac or pseudosac

25
Q

potential indicator of early intrauterine pregnancy are an anechoic center surrounded by a single echogenic rim

A

intradecidual sign

26
Q

a brightly echogenic ring w/ an anechoic center

A

Yolk sac

27
Q

Major goals of prenatal care?

A
  • Define health status of the mother and fetus
  • estimate gestational age
  • initiate plan for continuing obstetrical care
28
Q

woman who is not pregnant nor has ever been pregnant

A

Nulligravida

29
Q

woman currently pregnant or has been in the past, irrespective of the pregnancy outcome

A

Gravida

30
Q

woman’s first pregnancy

A

primigravida

31
Q

woman with successive pregnancies

A

multigravida

32
Q

woman who has never completed a 20 wks gestation

A

Nullipara

33
Q

woman who has been delivered only once of a fetus born alive or dead w/ an estimated length of gestation of 20 or more weeks

A

Primipara

34
Q

woman who has completed two or more pregnancies to 20 or more weeks of gestation

A

Multipara

Obstetrics I (13 decks)

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