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