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47 Cards in this Set
- Front
- Back
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KNOW COMMON PERINATAL NOMENCLATURE
LEARN SIGNS & SX OF PREGNANCY LEARN LANDMARK EVENTS OF PREGNANY UNDERSTAND IMPORTANCE & CONDUCT OF 1ST OB EXAM UNDERSTAND COURSE OF NORMAL PREGNANCY KNOW COMMON COMPAINTS OF PREGNANCY & KNOW WHEN PATIENT SHOULD SEEK HELP |
LEARNING OBJECTIVES
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PREGNANCY DX BASED ON LMP & POS. HCG
What are the subjective signs of pregnancy? |
AMENORRHEA
NAUSEA & VOMITING BREAST TENDERNESS & ENLARGEMENT QUICKENING 14- 20 WKS GESTATION URINARY TRACT SYMPTOMS (frequent urinations) |
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Vascular congestion of the cervix (blue or purple cervix).
What is this "sign"? |
CHADWICKS SIGN
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Softening of uterine isthmus making compressible, 6-8 wks
What is this "sign"? |
HEGARS
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What pregnancy sign may be causing pain at the pubic symphysis?
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PELVIC JOINT & LIGAMENT RELAXATION
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How do you measure a belly?
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from the top of the symphysis to the top of the uterus (in cm)
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What time of gestations correlates with the top of the uterus being at the level of the naval?
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20-22 weeks
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When is urine HCG positive?
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2 weeks after concetption
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When are fetal heart tones heard?
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as early as 10 weeks
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When is fetal movement detected?
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18-20 weeks
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When will sono detect a a pregnancy?
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5 weeks
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When are Braxton Hicks contractions felt?
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28+ weeks
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When is SERUM Hcg positive?
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8 days after conception
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what is the goal of prenatal care?
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to recognize high risk pregnancy
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Ideally, a potential pregnant mther should be started on what nutritional supplements?
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vitamins and folic acid
neural tube defects are affected by folic acid deficiency |
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What is normal gestation in weeks?
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40 weeks
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Any Rh neg pt gets what med?
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Rhogam
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All babies grow at the same rate until when?
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second half of pregnancy
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Why check the length of the cervix?
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if soft and short, the conn tissue of the cervix is wrong
Preg will go to 14-16 weeks and then cervix may become incompetent |
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What is the diagonal conjugate?
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dist b/w symphysis and the sacrum
normally 10 cm. |
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Lab studies routine first visit for pregnant woman
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HEMOGLOBIN & HEMATOCRIT, BLOOD TYPE & RH, SYPHILLIS, HEP B, HIV
pap smear |
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What do you test pregnant woman for at 15-20 weeks
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SCREEN FOR NUERAL TUBE DEFECTS TRISOMY 18, 21 WITH QUAD TEST AT 15 – 20 WKS
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When pt over 35 what do you "offer"?
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GENETIC TESTING OFFERED TO PTS OVER AGE 35 ; CVS OR AMNIO
important to put this "offer" in the chart CVS - chorionic villus sampling |
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What do you look for with dipstick UA
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DIPSTICK UA FOR GLUCOSE, PROTEIN, NITRITE
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When do you check for GBS?
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GROUP B STREP AT 35- 37 WKS
treat with penicillin |
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Should you do a PPD?
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TB SKIN TEST (PPD) FOR HIGH RISK PTS.
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how often should the pregnant pt be seen for checkups?
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SEE PT EVERY 4 WKS UNTIL 32 WKS THEN Q 2WKS TILL 36 WKS THEN WEEKLY
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What are all the doctor visits for?
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CHK WT. GAIN, FH GROWTH, BP, FHR, UA FOR PROTEIN & GLUCOSE
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What is normal wt gain?
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NORMAL WT GAIN 25-35 LBS
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How many extra calories does a prenant and lactating woman need?
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preg: 300
lact: 500 |
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How much more protein does a pregnant and lactating woman need, resp.?
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preg: 30
lact: 20 |
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What if pregnant mother's BP increases a little?
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SUBTLE CHANGE IN MAT. B.P. MAY GIVE CLUE TO EARLY FETAL COMPROMISE
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How much does FH increase during pregnancy?
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FH INCREASE ~1 CM PER WK PAST 20 WKS
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What do you listen for when checking the fetal heart rate?
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FHR- LISTEN FOR ACCELS, DECELS, & IRREGULAR RATES, NL 120-160
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Dependent edema in late pregnacy is normal. What if there is upper body edema?
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UPPER BODY EDEMA COMBINED WITH ELEV. B.P., EARLY SIGN OF PRE-ECLAMPSIA, NOTE FACIAL EDEMA
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When should fetal size be checked?
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FETAL SIZE AND POSITION SHOULD BE CKD AT 26-28 WKS
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What if the fetus is sitting funny in the uterus?
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PERSISTANT ABNORMAL LIE MAY INDICATE PROBLEM WITH PLACENTA, PELVIS, UTERUS OR FETAL SIZE
ULTRASOUND TO EVALUATE |
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Name some things that should bring the pregnant mother to a doctor immediatelly
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PREPARATION FOR LABOR
PT SHOULD BE EVALUATED IF REG CONTRACTIONS Q 5-10 MIN SEEK HELP IF RUPT. MEMBRANES ; VAGINAL BLEEDING DECREASED FETAL MOVEMENT SIGNS OF PRE-ECLAMPSIA CHILLS & FEVER SEVERE ABD. OR BACK PAIN ANY OTHER MEDICAL PROBLEMS |
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What is –EXCESSIVE SALIVATION?
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PTYALISM
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What is pica? (common in the south)
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clay eaters
clay and starch common |
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Common complications of pregnancy
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PTYALISM –EXCESSIVE SALIVATION
PICA – CLAY OR STARCH COMMON URINARY FREQUENCY VAGINAL INFECTIONS VARICOSE VEINS BACK & PELVIC PAIN LEG CRAMPS : DECREASE CAL. PHOS, INCREASE CA CARBONATE OR CITRATE |
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How do you treat breast soreness
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BREAST SORENESS TX WITH 24 HR BRA OR ICE PACKS
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What if pt complains of hand discomfort?
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HAND DISCOMFORT MOSTLY SECONDARY TO CARPAL TUNNEL SYND.
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HEARTBURN, CONSTIPATION, SYNCOPY, HEMORRHOIDS, & ABDOM PAIN ARE ALL COMMON?
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yes
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Is it okay to have a glass of wine with pregnancy?
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STOP ALL ALCOHOL, DOSE NEEDED FOR FETAL ALCOHOL SYNDROME IS NOT KNOWN
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Why should a pregnant woman go to the dentist?
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DENTAL, PERIDONTAL INFECTIONS MAY CONTRIB. TO PRETERM LABOR
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Should a pregnant woman exercise?
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EXERCISE , MAINTAIN PRE PREG. LEVELS
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