Pregnancy Flashcards
(46 cards)
What are some main s/sx of pregnancy
Amenorrhea N/V Breast changes Fetal movement Elevated body temp Skin changes
What is known as “the mask of pregnancy” or darkening of forehead, bridge of nose, cheekbones
Chloasma
What is known as the bluish coloration of the vagina/cervix due to increased congestion of vasculature
Chadwick sign
What is softening of the uterine isthmus
Hegar sign
What is the softening of the tip of the cervix
Goodell’s sign
What is increased vaginal discharge due to hormonal changes
Leukorrhea
When is b-hcg produced by the placenta
8 days after fertilization
How do you difinitivly diagnose a pregnancy
Visualization
Transvaginal US- 3-4 weeks
Trans abd US- 5-6 weeks
When can you hear fetal heart tones
Handheld Doppler at 10-12 weeks
What is a normal fetal heart rate
110-160
How do you determine the gestational age
1st day of LNMP—subtract 3 months, add 7 days and 1 year
How can you determine GA by US
Crown to rump measurement from 6-13 weeks
When is the uterine size palpable at the pubic symphysys
8 weeks
When is the uterine size between the pubic symphysis and umbilicus
16 weeks
When is the uterine size at the umbilical
20 weeks
When can you feel quickening in a pregnancy
18-20 weeks
When are FHT heard on Doppler? How about fetoscope?
Doppler- 10-12 weeks
Fetoscope- 18-20
What do you need to give a pregnant patient to reduce the risk of neural tube defects
Folic acid 0.4-0.8 daily
What genetic testing can be done in the first trimester
US for nucal cord translucency and serum PAPP-A
Screens for Down syndrome and other aneuplodies
What genetic screening can be done in the second trimester
Quad screen and screen for Down syndrome, other aneuplodies, and neural tube defects
What vaccines should be given in pregnancy
Flu, and t-dap in third trimester
What does one need to avoid in the first trimester because of increased risk of neural tube defects
Hot tubs and saunas
When should a pregnant patient no longer fly
After 34 weeks
What can contain high levels of mercury so a pregnant patient should avoid this
Shark, swordfish, tilefish, white tuna
