Pregnancy Flashcards

(46 cards)

1
Q

what prenatal vitamin should be taken to prevent nueural tube defects

A

400 mg folic daily

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2
Q

what is the best weight gain for healthy pregnant woman

A

25- 35 lbs

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3
Q

what should underweight pregnant pt gain

A

28 - 40 lbs

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4
Q

obese patient should gain only

A

11 - 20 lbs

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5
Q

what are the positive signs of pregnancy

A

palpatoin of the fetus by MD
US and visualazation of the fetus
Fetal heart tones

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6
Q

what are the probable signs of pregancy

A

Goodells sign (4 weeks) cervical softening
Chadwick’s - blue discolaration of the cervix
enalrged uterus
urine or blood test positive HCG

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7
Q

presumptive signs of pregnancy

A

amenorrhea
n/v
fatigue
breast enlargement
urineary frequency

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8
Q

all probable signs are

A

goodells, Chadwicks, hegar

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9
Q

quicking is considered a

A

presumptive sign

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10
Q

Urine serum pregnancy tests are considered what sign of pregnancy

A

probable

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11
Q

fetal hight at 12 weeks is at

A

rises above the symphysis pubis

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12
Q

16 weeks the fetus is

A

between teh symphysis pubis and the umbilicus

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13
Q

20 weeks the fetus is

A

level of umbilicus

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14
Q

Naegeles rule

A

LMP - 3 months + 7 days

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15
Q

The LMP month on the exam will either be January (01), February (02), or March (03)

A

LMP: EDD:
January October
February November
March December

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16
Q

what heart sound is normal in pregnancy

A

S3

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17
Q

chloasma and melasma is due to what

A

high estrogen levels

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18
Q

placenta prevdia is what

A

vaginal bleeding (bright red) without hypertonic tender uterus

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19
Q

placenta abruptio is

A

vaginal bleeding that is intermittent with hypertonic, hard and tender uterus

20
Q

ashkenazi jews should be screened for

A

tay-sachs disease

21
Q

preferred med for HTN in pregnancy is

A

methyldopa, labetaol, hydralazine and long acting nifedipine

22
Q

when taking methyldopa what should be checked

A

baseline LFT - stop if jaundice

23
Q

what count in UA is considered a UTI in pregnant women

24
Q

what drug is given for mastitis

A

Dicloxacillin or cephalexin (reflex) 10 - 14 days

25
first line treatment for chlamydia infeciton is
azithromyocin
26
27
Placenta previa occurs in 2
2nd & 3rd trimester
28
Placenta period bleeding can be
Bright red painless bleeding - can cause preterm labor
29
What are positive signs of pregnancy
Fetal movement US Delivery of baby Fetal movement
30
How do we ex placenta previa
US
31
Ph of vagina is normally
4.5 - 6.0
32
Goodall sign
Probable sign of pregnancy Softening of cervix Around 5WKS
33
Chadwick sign (probable signs
Occurs around 4th wk Blue color
34
Hegar sign
Softening of uterine body
35
Placenta abruption
Dark red blood S painful Ripping pain
36
Placenta abrupt is an
Emergency
37
- Fundal height at 12 woks
Above the pubic symphysis
38
Fundal I height at 20 was
At the umbilicus
39
Fundal height 16 weeks
In between pubic syphisis E umbilicus
40
Measuring what is ok
2 cm above or below
41
What is the 1st line med for pregnant patient with uti
~nitroforonton _macrobid can give in 1st and 2nd trimester not 3rd
42
What med can be given in 3rd trimester for patient pregnant with urinary tract infection
Cephalexin_keflex
43
What do you tell patient with mastitis
Keep breast feeding
44
Drug of choice for mastitis
Reflex or dicloxacillin keflex
45
Sudden spike in patients blood pressure
Pre-eclampsia
46
Nägel rule
' Last day of LMP add 9 months + 7 days