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Clinical Med > OB/GYN Exam > Flashcards

OB/GYN Exam Flashcards

(49 cards)

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1
Q

What are the three goals of history taking with pregnancy?

A
  1. Risk assessment

2. Dating prego

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2
Q

When should a history be taken for OB/GYN pts?

A

At each visit

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3
Q

Why is it important to date a pregnancy?

A

Know the due date

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4
Q

Why is it important to know a the menstrual cycle with a pregnancy?

A

Affects how you date the pregnancy

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5
Q

When should women take folic acid during pregnancy?

A

Before getting prego if possible

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6
Q

What are the five immunizations that can be given in pregnancy?

A 
Flu
Tetanus
Hepatitis
MMR
Varicella
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7
Q

What are the five immunizations that should be checked in pregnancy?

A 
Flu
Tetanus
Hepatitis
MMR
Varicella
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8
Q

What does the G stand for in GPTPAL?

A

number of gravids

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9
Q

What does the first P stand for in GPTPAL?

A

Number of children with birth beyond 20 weeks

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10
Q

What does the T stand for in GPTPAL?

A

Number of term pregnancy

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11
Q

What does the second P stand for in GPTPAL?

A

Number of preterm pregnancies

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12
Q

What does the A stand for in GPTPAL?

A

number of abortions/miscarriages

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13
Q

What does the L stand for in GPTPAL?

A

Living pregnancies

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14
Q

What is Naegele’s rule for dating a pregnancy?

A

Subtract 3 months from the LMP and add 7 days

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15
Q

LMP is on which day first or last day)?

A

Day one of the LMP (start, not end)

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16
Q

When is an US performed for the prego?

A

First visit

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17
Q

How accurate is a OB US?

A

With 5 days if the crown-rump length if first 7 wks of prego

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18
Q

What is the relationship between US accuracy, and the length of the gestation?

A

Inversely related

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19
Q

When is the most accurate time of US (early, mid, late)?

A

Early

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20
Q

What are the two questions to ask yourself if a woman presents with an early pregnancy?

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A
  1. Where is it (ectopic?)

2. Is it viable

21
Q

How do you determine if a pregnancy is viable?

Study These Flashcards
A

1 .Date

  1. Doppler for Heart sounds
  2. HCG
  3. US
22
Q

What is a molar pregnancy?

Study These Flashcards
A

Inviable pregnancy d/t chromosomal defect

23
Q

When is a baby’s heart sounds first heard?

24
Q

Why is a pelvic exam necessary for an OB/GYN exam?

Study These Flashcards
A

Make sure baby can come out

25
Why is BP measured in an OB exam?
check baseline to compare for preeclampsia
26
What is checked at every visit?
1. Fetal heart sounds 2. weight 3. BP 4. urine glu/protein/nitrites
27
When is fetal activity perceived by the mother?
After 18-20 wks
28
When is the fundal height measured?
Each prenatal visit after 20 weeks
29
1 cm measurements from the symphysis pubis to the top of the fundus correlates with what?
Weeks gestation
30
True or false: hemorrhoids, pica, varicose veins, SOB, CP, and breast changes are all common physical changes in pregnancy?
All true except for CP
31
Why is carpal tunnel syndrome common in later pregnancy?
Edema in the forearm
32
What are the spider hemangiomas?
spider telangiectasia in pregnancy
33
What happens to RBC volume in pregnancy? Plasma volume? CO? Vascular resistance?
All increase except for vascular resistance--goes down
34
What is presentation?
Relation of the fetus to maternal spine (vertex, breech, transverse)
35
What is the position?
Relation of the fetal presenting part to the maternal pelvis
36
What are the leopold maneuvers?
Feeling the presentation of the fetus
37
Vertex position = ?
Baby's head is straight down
38
What is cervical effacement?
Thinning of the cervix as pregnancy progresses
39
What is the first stage of labor?
Onset of labor until completely dialtated
40
What is the second stage of labor?
Complete cervical dilation to delivery
41
What is the third stage of labor?
Delivery of infant to delivery of the placenta
42
What is the difference in labor times between parous and nulliparous women?
Longer for cervical dilation
43
When are pap smears done in pregnancy?
After age 21
44
Why are urine cultures necessary in pregnancy?
GBS
45
What is the pathogenesis of GERD in pregnancy?
Changes in estrogen and progesterone levels affect the LES
46
What causes the MS changes in pregnancy?
Progesterone thought to play a role
47
Plasma volume in pregnancy increases by what percent?RBC volume? CO?
Plasma = 30% RBC volume = 20% CO = 30-50%
48
How is fetal position determined?
Vaginal exam
49
How is fetal presentation determined
Leopold maneuvers

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