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Flashcards in Prenatal Care Deck (31)
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1

What supplementation is important in preconception care?

Folic acid and vitamins

2

What medications are of concern with epilepsy and pregnancy?

Phenytoin
Valproic acid
Carbamazepine

3

When is the most important timeframe for organogenesis?

First 12 weeks

4

What is considered "pre-term"?

< 37 weeks

5

What is considered "term"?

37-42 weeks

6

What is considered "post-term"?

> 42 weeks

7

What is the timeframe of the first trimester? What is its role?

LMP to 12 weeks
Embryo develops major organs and becomes a fetus

8

What is the timeframe of the second trimester? What is its role?

13 weeks - 27 weeks
Fetus continues to develop and reaches viability

9

What is the timeframe of the third trimester? What is its role?

28 weeks - 40 weeks
Fetus finishes developing and prepares for delivery

10

What is Naegele's Rule?

EDD
First day of LMP - 3 months + 7 days + 1 year

11

When is quickening experienced?

Primigravid? 18-19 weeks
Multigravid? 16-17 weeks

12

When are fetal heart tones first heard?

Doppler 10-12 weeks
Fetoscope 18-20 weeks

13

How do you date the delivery in the first trimester?

Ultrasound

14

G(n)P(fpal)
What does the G(n) stand for?

Gravida: Number of pregnancies total

15

G(n)P(fpal)
What does the "f" stand for?

Number of full term births

16

G(n)P(fpal)
What does the "p" stand for?

Number of preterm births

17

G(n)P(fpal)
What does the "a" stand for?

Number of abortions, spontaneous or elected, or ectopics

18

G(n)P(fpal)
What does the "l" stand for?

Number of living children

19

What are the drug classifications and what do they mean for pregnancy?

A: Studies in humans no risk
B: Studies in animals no risk
C: No adequate studies
D: Evidence of fetal risk but benefit may outweigh risk
X: Fetal risks clearly outweigh benefit

20

What is an ultrasound marker that can show trisomy 13, 18 or 21?

Nuchal lucency

21

What are risks associated with chorionic villus sampling?
When do you do it?

Miscarriage, inconclusive test results, <1% risk of limb defects
Do at 10-12 weeks gestation

22

Increased alpha fetoprotein?

Neural tube defects

23

Decreased alpha fetoprotein?

Down syndrome

24

What is involved in the quad screen?

Alpha fetoprotein
hCG
Pregnancy-associated plasma protein A
Unconjugated estriol

25

What is the average caloric requirement more for amother?

150 a day for first trimester
300-500 more in second and third trimesters

26

When do you do a gestational diabetes screen?

24-28 weeks gestation

27

What is an abnormal gestational diabetes test?

>130 after 1 hour

28

When do you test for Rho(D) immune globulin

28 weeks
Within 72 hours of delivery if infant is RhD positive

29

When should Tdap be given in pregnancy?

between 27 and 36 weeks

30

When should women get screened for group B strep?

35-37 weeks