Normal Preganancy Flashcards
(23 cards)
When to ask about fetal movements
After 20 weeks
What is gravidity
Number of pregnancies including current one
What is parity
Number of live births beyond 24 weeks
Inspection of pregnant abdomen
- Appernet sixe of abdominal distension
- Note any asymmetry
- Cutaneous signs of pregnancy
- Supeficial veins
- Surgical scars
What is cutaneous signs of pregnancy
- linea nigra (from xiphoid to suprapubic area)
- striae gravidarum (recent stretch marks purple in color)
- striae albicans (old stretch marks silvery white in color)
When to measure symphisis fundal height?
After 20w
Palpate only before 20 weeks
Value of symphysis fundal height
Detects approximately 40-60% of small for gestational age
(Not so much valuable in detecting large for gestational age)
How to measure symphysis fundal height
By measure tape from highest point of fundus to upper margi. Of symphysis pubis
Appropriate growth of SFH
Add
2 cm from 20w to 36w
3 cm from 36w to 40w
4 cm more than 40w
Palpation of pregnant abdomen
-SFH
- no. Of fetuses
- fetal lie
- presentation
- amniotic fluid volume
Amniotic fluid volume increased or decreased by palpation
Inc. > tense abdomen with fetal parts not easily palpated
Dec. > compact abdomen with fetal parts easily palpated
When we can use doppler u/s (sonicade) to hear fetal heart
After 12 weeks
When we can use fetal stethoscope (Pinard) to heart fetal heart
After 24 weaks
Fetal heart is best heard at which point
Anterior shoulder
BMI
Weight(kg)/ height (m2)
Pregnancy complications increase in which bmi
<18.5
>25
BP measured in pregnant women how
In semi recumbent position (45 degree tilt)
Cardiac murmurs can be heard for the first time in pregnancy
Flow murmurs are common in pregnancy and are not significant
Skeletal problems in pregnancy
Lumber lordosis can increase in normal pregnancy and can lead to lower back ache
Uterus is normally palpable at which week
12 week
Uterus reaches the level of umbilicus
At 20 weeks
Uterus reaches level of xyphoid at
36 weeks
Fetal heart in breech presentation can be heard on
On or above the level of umbilicus
