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Flashcards in Pregnancy Deck (27)
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1

How much folic acid is recommended for women of childbearing age?

0.4-0.8mg daily or more if at risk

2

Immunizations needed prior to pregnancy

Influenza
Rubella if neg titer
Varicella if at high risk of exposure otherwise wait
TdaP after 20 weeks EVERY pregnancy

3

Negals rule

Subtract 3 months from last menstrual period than add 7 days and one year

4

What should be routinely screened during pregancy according to ACOG and AMA?

domestic violence 7-20% abused during pregnancy

5

Dx studies first prenatal visit

Pregnancy test
CBC or H&H and MCV
urinalysis
Blood type and Rh
Rubella titer
STD testing
TSH

6

Classic sx ectopic pregnancy

Previous case
Tubal pathology, tubal surgery
Current IUD use
Cervicitis
Hx of PID

7

How many extra calories are needed during pregnancy?

240 second trimester and 452 third trimester

8

BMI 18.5-24.9 weight gain during pregnancy

25-35lbs

9

Needed increase in iron for pregnancy

15-30mg elemental iron

10

Exercise during pregnancy

30 minutes moderate activity

11

When should cramping be a concern?

Getting worse or with bleeding

12

Uterine size at 16 weeks

midway between symphysis and umbilicus

13

Uterine size 20 weeks

level of umbilicus

14

Uncomplicated appt schedule with pregnancy

every 4 weeks until 28 weeks then 2 weeks until 36 then weekly

15

2 step approach for gestational diabetes

50g glucose load without regard to meals. Measure one hour later. >130-140 than positive

If positive screen 3 hour 100g OGTT If 2 of the following are true, positive
FAsting >95
1 hour >180
2 hour > 155
3 hour > 140

16

Fundal Height - McDonalds Rule

Uterine fundal height measured in cm from symphysis pubis to top of uterous. Between 18-36 weeks there is a good coorilation between height and gestational age

17

Down Syndrome

trisomy 21. Most common chromosomal abnormality in live births

18

Turner Syndrome

Most common sex chromosome in females. Loss of part or all of X chromosome. Short in stature, square chest

19

Quickening detected

Primapara 17-20 weeks
Subsequent - 15-16 weeks

20

What is given to prevent Rh neg mother from making Rh positive antibodies

Anti(D)-immune globulin

21

What is screened at 35-37 weeks

Group B strept screen of rectal and vaginal areas to prevent sepsis

22

pH of amniotic fluid

7-7.5, higher than vaginal secretions

23

Placenta previa

Assessment finds painless vaginal bleeding, do NOT perform vaginal exam

24

Preeclampsia

New onset HTN plus protienuria after 20 weeks

25

Eclampsea

Development of seizures with gestational HTN or preeclampsia

26

Gestational HTN

HTN without protienuria

27

Management of HTN in pregnancy

diuretics/ACE not recommended
methyldopa DOC