Prenatal care and fetal monitoring Flashcards Preview

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Flashcards in Prenatal care and fetal monitoring Deck (26):
1

How is a pregnancy confirmed?

first urine b-hcg
then a blood b-hcg (detectable 8 days after conception)
then an US

2

What labs need to be ordered if your pt wants to get prego?

Rubella (immunize and wait 4 weeks)
Varicella (immunize before pregnancy)
Hepatitis B
HIV
Syphilis
Toxoplasmosis (if negative, avoid exposure to garden soil, cat feces, raw meat)
CMV and parvovirus B19-if negative, frequent handwashing and universal precautions for child care or health care workers
Genetic carrier testing based on ethnicity and family history

3

what type of smoking cessation can be used during pregnancy?

SR buproprion

4

Glucose challenge test is performed when?

28 weeks, if >140 do a 3 hr test

5

Maternal serum AFP check is performed when?

14-22 weeks

6

Vaginal culture for group B strep is performed when?

32 weeks, repeat gonorrhea and chlamydia testing

7

where is the fundal height at 20 weeks?

umbilicus

8

where is the fundal height at 12 weeks

pubic symphysis

9

after how many weeks does the fetus descend into the pelvis?

36

10

Leopold's Maneuver

Determines fetal position, done near end of pregnancy

11

safe OTC meds

Tylenol
Benadryl
Robitussin plain or DM
Sudafed not first trimester
Claritin
Mylicon, Gas X
Tums, Mylanta, Pepcid Zantac Prevacid
Benzoly Peroxide, Salicylic Acid

12

safe antibiotics

Amoxicillin
Ampicillin
Augmentin
Bactrim (unsafe 1st trimester and after 38 weeks)
E-mycin
Keflex
Flagyl
Macrobid (not safe to use after 38 weeks
Clindamycin
Z-PACK

13

fetal heart beat seen on Trans vaginal ultrasound when? fetla HR can be obtained when?

6 Weeks
12 weeks, 120-160 bpm

14

what % of pregnancy are losses?

15%
10-12% in the 1st trimester

Only 3% lost after 8 weeks of gestation

15

when is quad screen drawn and what does it include?

16-18 weeks
estriol, hcg, inhibin A, and AFP
increase suggests neural tube defect
decrease suggests Down Syndrome, genetic abnormality, or disparity in dates

16

Level II Ultrasound performed when

18-22 Weeks
If AFP and/or Level II abnormal offer Amniocentesis

17

when is the 2nd trimester completed?

27 weeks

18

triad of pre-eclampsia

HTN
proteinuria
+/- edema
this usually occurs in the 3rd trimester

19

what is a normal term pregnancy?

37 weeks

20

when should the pt go to the hospital?

contractions every 5-10 minutes

21

when is a non-stress test performed? how is it performed?

after 40 weeks on a weekly basis
Procedure:
Mother in left lateral supine position with continuous fetal heart rate tracing done
Normal fetus will respond with a 15bpm acceleration in heart rate lasting for 15 sec above baseline heart rate after a significant movement
2 accelerations in a 20 min period = reactive NST

22

BPP (Biophysical Profile)

Systematic evaluation of the fetus, amniotic fluid volume, & placenta.(reflects fetal status @ time of test)

23

scalp pH

pH of 7.3 is normal
7.20-7.25 guarded: repeat
Below 7.2: expedite delivery

24

MCC of newborn blindness in 3rd world countries?

chlamydia

25

herpes can lead to ( ) in newborns

CNS or ophthalmic damage

26

076 protocol

used for pts with AIDS
AZT orally from 14 weeks until term
IV AZT during labor
Neonatal administration of AZT syrup