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Flashcards in Prenatal Care Deck (74):
1

at what gestation is the uterus at the xyphoid process?

36 weeks

2

at what age does the mother feel quickening?

20 weeks

3

labs to do at 16-18 weeks

serum markers for NTD

4

labs to do at 24- 28 weeks

glucose screen, Indirect coomb's if mother is Rh negative and given RhoGam, CBC, RPR

5

Which vaccine should NOT be given in pregnancy?

MMR, varicella

6

When should Rhogam be given?

In Rh neg mother when there is:
- abdominal trauma
- amniocentesis
- abortion
- 28 weeks gestation

Also given postpartum within 72 hours if baby is Rh positive

7

What is the emergency care for a pt with prolapsed umbilical cord outside the hospital?

Place mother in knee chest or with head down (Trendelenburg) and elevate presenting part, do not stuff cord back in but relieve the pressure on it

8

A variant of PIH with abnormal LFTs and poor clotting

HELLP

9

Characterized by painless bright bleeding, uterus and soft and nontender

placenta previa

10

Meds that category C, D, and X

quinolones, lithium, tetracycline, warfarin, isotretinoin, valproic acid, methotrexate

11

softening of the isthmus of the uterus

Hegars sign

12

dark blue to purplish-red color of vaginal mucosa

Chadwick's sign

13

softening of the cervix

Goodell's sign

14

soft blowing systolic murmur heard down at the sides of the uterus. The sound is synchronous with the maternal pulse.

uterine souffle

15

Para is the number of births (regardless if living) after ___ weeks gestation.

20

16

Term is considered

after 37 weeks

17

Preterm is considered

20-37 weeks

18

Nagele's rule

LMP minus 3 months + 7 days = EDC

19

f/u care intervals for pregnant women.

every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, ever week after 36 weeks

20

results from contraction from oxytocin release to an infant’s suckling, sight, sound, and smell.

let down (milk ejection)

21

meds for N/V during pregnancy

eat small, bland meals; eat dry cracker or toast at breakfast; vitamin B6

22

Non-stress test

Mother presses button when she feels fetal movement

23

Reassuring or reactive non-stress test:

shows at least two 15 beats/min accelerations in fetal heart rate lasting at least 15 seconds in a 20 min period.

24

most common reason for non-stress test

decreased fetal movement

25

elements of biophysical profile (BPP)

1. fetal tone
2. gross body movements
3. breathing movement
4. amniotic fluid volume

26

Premature separation of the placenta form the uterine wall.

abruptio placentae

27

s/s of abruptio placentae

painful dark red bleeding, hard uterus

28

Abnormal development of placenta

molar pregnancy (trophoblastic disease)

29

s/s of molar pregnancy (trophoblastic disease)

severe N/V at 12-16 weeks gestation, brown discharge

30

trx for incompetent cervix

refer to OB by 12 weeks for cerclage

31

risk factors for PIH

primigravida, age less than 20 or older than 35, obesity

32

cerclage is usually placed at

14-18 weeks

33

caused by implantation of the placenta near or across the cervical os.

placenta previa

34

the rule of thumb is that the # of weeks gestation is the

# cm of fundal height

35

The rule of thumb is that you want the uterus to be at the ____ right after the placenta delivers

umbilicus

36

risk factors for placenta abruptio

HTN, preeclampsia, cocaine use

37

seizures with pre-eclampsia is called

eclampsia

38

liver function tests during pregnancy

all normal except for elevated alkaline phosphatase

39

CBC during pregnancy

leukocytosis is normal; low h&h d/t hemodilution

40

low AFP could increase risk for

down's syndrome

41

high AFP could increase risk for

neural tube defects

42

screen for Tay-sachs in

jewish woemn

43

screen for cystic fibrosis in

caucasian

44

normal finding in doubling time

hCG levels double every 48 hours during the first 12 weeks

45

popular category B drugs

antacids, colace, acetaminophen

46

popular category A drugs

insulin, thyroid hormone

47

atbx safe during pregnancy

PCN, cephalosporins, macrolides (except for clarithromycin), nitrofurantoin

48

HTN meds safe during pregnancy

labetalol, hydralazine, methyldopa

49

category C drugs

sulfa, NSAIDs,

50

category D drugs

ACEI/ARB, quinolones, tetracyclines

51

sulfa drugs during pregnancy increase risk of

hyperbilirubinemia

52

After receiving a live vaccine, the patient should not plan on getting pregnant for

at least the next 4 weeks

53

foods to avoid during pregnancy

soft cheeses, uncooked meats, cold meats, lunch/deli meat, raw milk, raw fish

54

normal weight gain

25-35 lbs

55

positive signs of pregnancy

palpation of fetus, US and visualization of fetus, FHT heard at 10-12 weeks

56

probable signs of pregnancy

Chadwicks, Goodell's, Hegar's sign;
hCG tests;
"quickening"

57

size and date discrepancy is when there is a difference of

2 or more cm.

58

BP during pregnancy

usually decreases during first and second trimester

59

murmur heard during pregnancy

systolic ejection murmur- normal

60

melasma is due to

high estrogen levels

61

fundi at 16 weeks

between the symphisis pubis and the umbilicus

62

fundi at 12 weeks

symphisis pubis

63

fundi at 20 weeks

umbilicus

64

first line trx for gestational diabetes

lifestyle modifications

65

risk factors for gestational diabetes

obesity, macrosomic infant (more than 9 lbs), hx of previous GDM

66

trx for asymptomatic bacteriuria

macrobid or amoxicillin/augmentin

67

spontaneous loss of fetus before it is viable (20 weeks)

spontaneous abortion

68

when the cervix is dilated and placenta/fetus are expelled

complete abortion

69

preeclampsia mostly occurs during

3rd trimester

70

triad of preeclampsia

HTN, proteinuria, edema (face and hands)

71

difference between preeclampsia and preexisting HTN

preeclampsia has to occur after 20 weeks

72

when mother c/o of sore nipples, education includes

to NOT stop breastfeeding

73

normal to hear ___ during breastfeeding; whereas it is abnormal to hear ____ during breastfeeding

swallowing; clicking

74

trx for mastitis

dicloxacillin or cephalexin for 10-14 days