Westra's prenatal care; 4.14 Flashcards Preview

HRM > Westra's prenatal care; 4.14 > Flashcards

Flashcards in Westra's prenatal care; 4.14 Deck (27):
1

What is a big goal of prenatal care?

Active decisions prior to becoming pregnant

2

What is the traditional schedule for prenatal visits?

Every 4 wks starting in 6-8th wk
Every 2 wks from 28-36 wks
Weekly from 36wks-delivery

3

What is Naegele's Rule of estimating delivery date?

First day of LMP - 3months + 7 days + 1yr

4

What is Chadwick's sign?

Cervix and vaginal walls are a little blue

Chadwick's = Color

5

What is Hegar's sign?

Cervix feels softer

6

If a G2P1001 is Rh- and both the first child and the developing child are Rh+, what medication should be started? When should the medication be started?

Rhogam is started at 28 weeks

7

What congenital defects can be seen with maternal rubella?

Murmur
Hearing loss
Cataracts

8

Why can't pregnant women be vaccinated against rubella or varicella?

The rubella and varicella vaccines are LIVE vaccines

9

How much weight is typically gained during pregnancy? How many extra calories is that per day?

25-35lbs.

Roughly 150 extra calories per dayW

10

How much Folic Acid should be supplemented for prenatal care?

0.4mg/day

11

When is genetic screening done?

> 35wks with a singleton
> 32wks with twins

12

How can Down's be tested for?

Fetal DNA in maternal circulation...expensive and only 4 companies do it

Increased nuchal translucency

13

What is screened for in the third trimester?

Group B strep (GBS)

(35-37wks)

14

What is done of a pregnant woman is GBS positive?

Intrapartum antibiotic prophylaxis

15

With Gravidity and Parity, what is the number following the 'G'?

Number of pregnancies (including current pregnancy)

16

With gravidity and parity, what are the numbers that follow the 'P'?

Full-term births
Pre-term births
Abortions
Living children

(Florida Power And Light)

17

What are category A drugs?

They have been studied in humans and pose no risk

18

What is an example of a category A drug?

Prenatal vitamin

19

What are category B drugs?

They have been studied in animals...and have not shown any risk

20

What are examples of category B drugs?

Azithromycin
Cephalosporins
Erythromycin
Penicillins
Sulfonamides

21

What are category C drugs?

No adequate studies

22

What are examples of category C drugs?

Aminoglycosides
Fluoroquinolones
Trimethoprim
Vancomycin

23

What are category D drugs?

There is evidence of fetal risk...but benefit may outweigh the risk

24

What are examples of category D drugs?

Streptomycin
Tetracyclines

25

What is the effect of tetracyclines on fetuses?

Teeth discoloration

26

What are category X drugs?

There is evidence that fetal risk outweighs the benefit

27

What is an example of a category X drug?

Acutane