Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Patient Assessment > Pregnant > Flashcards

Pregnant Flashcards

(74 cards)

Start Studying
1
Q

When does the ovaries differentiate?

A

12 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the male fetus turn off?

A

mullerian system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the dating of pregnancy?

A

280 days from LMP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is first trimester?

A

LMP - 13 6/7 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is second trimester?

A

14 - 27 6/7 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is third trimester?

A

28 wk - delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is primaparous?

A

first delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are 6 causes of obstretical deaths?

A

HTN, hemorrhage, infection, thromboembolism, complicated labor or illegal abortions, ectompic pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are indirect causes of obstretical deaths?

A

asthma, heart disease, DM type 1, SLE,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How much does body water increase in preg?

A

6.5-8.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the cardiac changes?

A

enlarge heart, increase HR, increase CO, decrease VR, split 1st heart sound, bP changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When do you see CV changes in preg?

A

early as 5 wk gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is normal UR changes?

A

increase secretions, swollen mucous membrane, increase epistaxis, chronic resp alkalosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How much should you increase calories in preg?

A

300kcal/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some GI changes in preg?

A

GERD, constipation, position of appendix, decrease albumin, N/V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are urologic changes in preg?

A

kidneys enlarge, ureters dilate, bladder increases vascularity, BUN/Cr decrease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are changes in pancreas?

A

fasting hypoglycemia, postprandial hyperglycemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is thyroid changes?

A

increase in size, decrease TSH first tri

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are adrenal changes?

A

increase cortisol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are pituitary changes?

A

increase size, anterior - prolactin

posterior - oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are dental changes in preg?

A

increase sensitivity, bleeding gum, increase susceptibility to bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is gum disease linked to?

A

low birth wt and preterm labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is age if fundus at ASIS?

A

16 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is age if fundus at umbilicus?

A

20 wk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is age if fundus at pubic symph?
12 wk
26
What do you do at new OB?
fundal ht, LMP and US, hx, LABs
27
What timing do you only use the spatula and not brush for pap smear?
10 wk preg
28
What should all visits include?
``` Maternal vitals FHTs (doppler) Fundal height (>20w) Basic questions regarding fetal movement (>20w), bleeding, leaking, pain, dysuria Review medications ```
29
What is ultrascreen?
Ultrasound to look at nuchal translucency PAPP-a and HCG 11-13 6/7 weeks Screening for Trisomy 21 and 18
30
What is the quadruple screen at 2nd trimester?
hCG, estriol, inhibin-A, AFP 15-19 6/7w – longer if specialty labs Can be elevated in twins, diabetes, smoking, obesity
31
When do you do anatomy US?
>20 wks
32
When do you do gestational DM screen?
24-28 wks | 27-36?
33
What do you do at 36 wks exam?
Group B Hemolytic Strep testing Gonorrhea/Chlamydia testing Leopold maneuvers to estimate fetal size Begin more routine checking of cervix
34
What is term considered?
>37 wks
35
What is fetal pole?
fetal lie, hands on each side, longitudinal or transverse
36
What is umbilical pole?
small parts/big parts, which way is back facing
37
What is pawlicks grip?
confirm cephalic
38
What is pelvic grip?
attitude, head flexed or extended
39
When do you see for post partum care?
4-6 wks
40
What post partum labs do you get?
GMD, CBC, TSH
41
What are the B of postpartum?
bleeding, breastfeeding, bowels, bladder, blues, birth conrol, intercourse
42
What is the teratogenic period?
31-71 days
43
When are all major organs established?
10 wk;
44
What does smoking cause?
Abruption, previa, growth restriction, prematurity, prolonged rupture of membranes, SAB, SIDs, cleft palate
45
What does ETOH do?
facial anomalies, growth retardation, CNS
46
What does cocaine do?
cardiac, CNS, abruption
47
What are the 5 components to EFM?
``` Baseline heartrate Beat-to-beat variability Presence of accelerations Presence of decelerations Maternal contractions ```
48
What is post term?
>42 wks
49
What is the fetal occiput has reached the ischial spines and widest traverse part of infants head?
0 station
50
Circular pelvis, best for deliver?
gynecoid
51
oval AP pelvis
anthropoid, favorable
52
egg shaped pelvis
android
53
Transverse oval pelvis,
platyupelloid, bad
54
What are the cardinal movements of labor?
engagement, descent, flexion, internal rotation, extension, external rotation, expulsion
55
What causes relaxation of LES?
progestrone
56
What is too low placenta?
placenta previa
57
What ht usually requires C section?
5 ft
58
How do you calculate due date?
3 months + 1 year + 7 days
59
What is nagele's rule?
280 days to LMP
60
What is reduction in fundal ht btw 38-40 wks?
lightening
61
What is a normal fetal HR?
120-160 bpm
62
What is dusty blue cervix?
chadwicks sign
63
What is softening of entire isthmus of cervix?
Hegar's sign
64
What is the most common cause of abruptio placentae?
HTN
65
what is the MCC of maternal death?
postpartum hemorrhage
66
What is mask of pregnancy?
cholasma
67
What is normal with thyroid during pregnancy?
bruit
68
What is the weird lactation the first few days after giving birth?
colostrum
69
What will remain unchanged in preg?
respiratory rate
70
What is thinning of cervix ?
effacement
71
What is relationship of baby to ischeal spines?
station
72
What is caused by decreased vascular resisitance and vasodilation in preg?
palmar erythema and spider telangiectasia
73
What is the def of pre eclampisa?
>160/>110
74
What are two msk complaints?
carpal tunnel and lordosis

Patient Assessment (23 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions