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HD201 Exam 2 Reviewer > Prenatal Care > Flashcards

Flashcards in Prenatal Care Deck (23)
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0

describe each component of the obstetric score
GxPy (F-P-A-L)

x-#of positive pregancies
y-Pregnancies at least 20 wks
F-Full term
P-preterm
A-Abortion
L-Living children

1

usual chief complaint

amenorrhea

2

what to check in past medical history

goiter, heart problems, diabetes, asthma, high bp

3

what to check in family history

hereditary/familial disease for both sides

4

what to ask about menatrual history?

menarche, frequency, duratoon, reularity, dysmenorrhea, LNMP

5

T/F in taking a good obstetrical history, it is important to note for spottif

T

6

the ff are true except

A. in history taking, it is not important to ask about contraceptive methods used 3mos before conception
B. It is important to ask about method of past deliveries if there had been any
C. in doing the abdominal exam, fundic height of 20cm=20 wks AOG
D. bladder must be emptied before measuring fundic height

A

7

give the names of the 4 leopold's maneuvers and give their purposes

I - fundal grip; to determine which part of the fetus occupies the fundua
II - umbilical grip; to determine location of fetal back
III - Palwik's grip; to determine presenting part and engagement
IV - Pelvic Grip; to determine presenting part and engagement

8

what is the normal fetal heart tone?

120-160bpm

9

fetal heart tone at 5 weeks can be appreciated through

transvaginal ultrasound

10

fetal heart tone at 10 weeks can be appreciated through

doppler

11

fetal heart tone at 19-20 weeks can be appreciated through

Stethoscope

12

4 signs in the head area

severe persistent headache and blurring vision - preeclampsia, persistent nausea and vomiting - hyperemesia gravidarum, chills and fever

13

3 abdominal signs

RUQ Pain - preterm labor/preeclampsia
Dysuria - UTI
Quickening

14

2 perineal signs

vaginal bleeding - placenta previa, abruptio, abortion
watery leakage - rupture of fetal membranes

15

1 sign lower ex

severe pitting edema -preeclampsia

16

frequency of prenatal check ups

<28 weeks: every 4weeks
29-36 weeks: every 2 weeks
37th week: every week

17

DOH recommended prenatal visits

before 4 months
2nd trimester
3rd trimester
every 2 weeks from 8th month to delivery

18

T/F
folic acid supplements should be started should be started at the time of conception

F; should be started 3 mos before

19

T/F Acne creams with vit A should be used during pregnancy

F; vit A is teratogenic

20

recommended Ca RDA

1,200mg

21

recommended ferrous iron supplement

27mg

22

a pregnant woman should increase caloric intake by how much?

100-300kcal compared to non pregnant