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
