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33 Cards in this Set

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Q. What is Naegele’s rule?
1st day of LMP - 3months + 7 days
Q. Quickening happens when?
16-20 wks
Q. Ultrasound is most accurate to date pregnancy between when?
16-19wks
Q. During prenatal work up what must the patient do?
Sign informed consent
Q. What do you include in discussion in the first 6 weeks?
Include discussion of contraception, food intro schedule
-may include discussion of immunizations
Q. What does "G" or Gravid stand for?
How times she has been prego
Q. What does "P" or Para stand for?
How many live births she has had
Q. What is 3 good nutrition for preconception?
Folic Acid, Iron Citrate, 80-100gm of protein
Q. What type of exercise should the mother avoid?
jumping exercise, or head stands
Q. If the prego mother is not atheltically active should she begin a new exercise?
NO
Q. What prenatal labs do you run later after initial visit?
-Diabetes screen 24-28 wks
-Hemoglobin or hematocrit repeated each trimester
-Repeat antibody screen 28 wks--Rh neg. mom
-Repeat if abnl vag/cx culture, esp beta-strep
Q. What are 2 normal variations of inspection of the mother?
1. Diastesis recti
2. Umbilical hernia
Q. If size/dates discrepancy what procedure should you consider doing?
Ultrasound
Q. How do you measure fundal height?
from top of pubic symphysis (0) to top of fundus
Q. If not inc 1 cm in 2 wk, consider possible what?
IUGR or other abnormality
Q. Fetal lie is defined as?
Relationship of long axis of fetus to long axis of mother
Q. Fetal presentation definition?
Part of fetus that descends into pelvic inlet
Q. Presenting part definition?
The part lying nearest the cx. Felt on vag. exam
Q. Attitude definition?
Relation of fetal parts to each other
Q. Denominator defintion?
arbitrary point (which body part of the baby is on the bottom) on presenting prt to describe position
Q. What is the normal heart rate of the baby?
Normal rate 120-160 bpm
Q. 1. Where is the babies heart heard loudest?
2. Cephallic presentation heard loudest?
3. Breech presentation heard loudest?
1. Mat. abdomen to which fetal back closest
2. Below umbilicus
3. Above Umbilicus
Q. When is ultrascreen used?
For early detection of trisomies
Q. Amniocentesis is used to determine what 4 things?
1. AFP levels (NTD’s)
2. L/S ratio & phosphatidylglycerol levels (lung maturity)
3. bilirubin level ( Rh isoimmunization)
4. fetal cell processing to detect chromosomal abnormalities
Q. What can be used to remove fluid in polyhydramnios?
Amniocentesis
Q. What is Chorionic villus sampling (CVS) used for?
used to obtain cells for genetic studies cultures
Q. If late decelerations is contraction stress test what could be wrong with the fetus?
Fetus compromised or placental insufficiency
Q. Post-dates-Non Stress Test starting at 41.5 wks + twice weekly until delivery or abnl. What test should be run?
Ultrasound or AFI
Q. Abnl Failure To hear or possible compromise what test would you run?
NST
Q. Unsure position or monitoring to see if breech has verted.
Size/dates discrepancy or abnl. fundal growth. What test do you run?
Ultrasound
Q. Biophysical Profile scoring rubric?
+2=pos. finding; +1=partial; 0=abnl or absent
Q. Fetal breathing movements (assessed by US)
-1 episode in 30 min. lasting 60 sec.
What is the rating?
2+
Q. Gross body movements:
-3 discreet body/limb movements in 30 min. What is the rating?
(+2)