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OB-GYNE > Pregnancy, Maternal Adaptations, Prenatal Care > Flashcards

Pregnancy, Maternal Adaptations, Prenatal Care Flashcards

1
Q

Whats Nagele’s Rule?

A

Estimated date of Confinement/ Estimated Date of Delivery = Last Menstrual Period - 3 months +7 days

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2
Q

What does G-TPAL stand for?

A

Gravidity
Parity
Term
Preterm
Abortus
Live children

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3
Q

This is the bluish discoloration of the vagina and cervix during pregnancy?

A

Chadwick sign

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4
Q

This is the softening and cyanosis of the cervix at or after 4 weeks

A

Goodell sign

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5
Q

These are painless contractions that occur infrequently and with irregular rhythm unaccompanied by cervical changes?

A

Braxton Hicks Contractions

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6
Q

Cardiac output increases by how much during pregnancy?

A

30-50%

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7
Q

During pregnancy when would be the maximum cardiac output be expected?

A

20-24 weeks

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8
Q

This is pathological morning sickness associated with weight loss, ketosis, and loss of electrolytes.

A

Hyperemesis gravidarum

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9
Q

How much more calories are needed by pregnant women during pregnancy?

A

300 kcal / day

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10
Q

How much more calories needed when breastfeeding?

A

500 kcal/ day

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11
Q

Early screening for aneuploidy is done using which test? And when are those tests done?

A

Nuchal translucency + Serum Markers (hCG, PAPP-A)
Done at 11-14 weeks

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12
Q

What are the components of the triple screen? And when is it done?

A

MSAFP
B-hCG
Estriol
Done at 15-20weeks

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13
Q

What are the components of the quad screen? And when is it done?

A

MSAFP
B-hCG
Estriol
Inhibin
Done at 15-20wks

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14
Q

What are the components of biophysical profile? (5)

A
  1. Fetal breathing
  2. Amniotic fluid volume
  3. Fetal tone
  4. Fetal movement
  5. Non-stress test
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15
Q

What is measured to evaluate fetal lung maturity?

A

Lecithin to Sphingomyelin Ratio

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16
Q

Women who are underweight should ideally gain how many lbs?

A

28-40lbs

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17
Q

What test is used to screen tuberculosis in high risk patients during 1st trimester?

A

PPD Tuberculin Skin Testing

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18
Q

When is the screening test for GBS done during pregnancy?

A

35-37 wks

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19
Q

Percent sensitivity of quadruple screen to detect trisomy 21?

A

0.8

20
Q

Vaccines that are recommended routinely for all pregnant women? (3)

A
  1. Influenza
  2. Tetanus- Diphtheria - Acellular Pertusis (Tdap)
  3. COVID
21
Q

When is platelet count expected to be lowest in pregnancy?

A

Third trimester

22
Q

Less than how many mg of caffeine daily does not show a higher risk for miscarriage or preterm birth?

A

<200mg/d

23
Q

What skin lesion improves during pregnancy?

A

Psoriasis

24
Q

What increases the risk of colon cancer in pregnant patients?

A

Increasing age of pregnant women

25
Q

Percentage of pregnancies that undergo spontaneous abortion?

A

15-25%

26
Q

Reference of a face presentation?

A

Mentum

27
Q

hCG values in pregnancy?

A

Normal : <2 iu/L
Negative: <5 iu/L
Indeterminate: 5-25 iu/L
Positive: >25 iu/L

28
Q

Ultrasound finding of aneuploidy?

A

Nuchal translucency

29
Q

Prerequisite for implantation of blastocyst?

A

Production of early pregnancy factor

30
Q

Term for most common dermatosis in pregnancy?

A

Pruritic, Urticarial Papules and Plaque of pregnancy (PUPP)

31
Q

Immunization during pregnancy?

A

Influenza (inactivated Tdap)

32
Q

Initial prenatal work up? (10)

A
  1. CBC with PC
  2. Blood typing
  3. Urine Culture
  4. FBS
  5. HBsAg
  6. Rubella IgG
  7. VDRL
  8. RPR
  9. HIV ELISA
  10. Pap Smear
33
Q

Components of routine prenatal examinations? (7)

A
  1. Abdominal palpation
  2. Blood pressure measurement
  3. Evaluation for edema
  4. FHR
  5. Fundal height
  6. Urine dipstick
  7. Weight measurement
34
Q

Timing of doppler to auscultate FHR?

A

After 10-14 wks

35
Q

Ureters dilating during pregnancy increase the risk of this conditions?

A

pyelonephritis

36
Q

Respiratory changes during pregnancy?

A
  1. Increased in tidal volume
  2. Increased in respiratory drive due to progesterone
  3. Total lung capacity is unchanged
37
Q

How many months after the repair of mitral stenosis sjould a woman ideally become pregnant?

A

At least 12 months

38
Q

The lemon sign and banana sign on ultrasound findings are diagnostic of which disorder?

A

Spina bifida

39
Q

The following is included in the triple screening test for aneuploidy except which?
a. MSAFP
b. B-hCG
c. Estriol
d. Inhibin A

A

Inhibin A

40
Q

What is the term used to describe the fluttery sensation experience by pregnant women when she first feels the fetal movement?

A

Quickening

41
Q

What is the most common type of breech presentation ?

A

Frank

42
Q

Which screening test is highly correlated with the risk of neural tube defects?

A

Maternal serum Alpha feto protein

43
Q

When is the screening for aneuploidy recommended?

A

Between 11 and 13 weeks of gestation

44
Q

Recommended daily dietary Calcium allowance for pregnant women?

A

1,200mg

45
Q

Recommended daily dietary Calcium allowance for lactating women?

A

1,200 mg

46
Q

Recommended daily dietary Calcium allowance for non-pregnant women above 18yo?

A

800mg

OB-GYNE (14 decks)

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