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37 Cards in this Set
- Front
- Back
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What are the elements of pre-pregnancy counseling? |
1. Lifestyle 2. TORCH 3. Environment 4. Medical problems 5. Genetics 6. Vaccines |
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What are the TORCH infections? |
1. Toxoplasmosis 2. 'Other' 3. Rubella 4. CMV 5. Herpes |
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What genetic diseases are screen for in pre-conception counseling? |
1. Sickle cell 2. Down's syndrome 3. Tay-sachs 4. Cystic fibrosis 5. Polydactyly |
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What type of vaccines is generally safe for for pregnant women? |
1. Killed |
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What is the use of 'gravida' when describing pregnancy? |
1. Patient is pregnant, has been pregnant 2. Communicates pregnancy outcome 3. Gravidity- number of times pregnant |
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What prior obstetric complications tend to recur? |
1. Preterm labor/delivery 2. Hypertensive disease |
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What classifies a menstrual cycle as irregular? |
1. >28-30 days |
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What are the major goals of the initial evaluation of the gravid woman? |
1. Assess maternal/fetal health 2. Determine gestational age and establish an EDC 3. Start plan for pregnant woman
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When is hCG secretion highest in pregnancy? |
1. 5-10 weeks |
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What is the mean duration of pregnancy? |
1. 280 days 2. 40 weeks |
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What is Naegele's rule? |
1. Add one year to LMP 2. Subtract 3 months 3. Add 7 days |
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How long does it take hCG to double? |
1. 40 hours |
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What is the use of hCG+ultrasound? |
1. Determine probability that pregnancy will go to term 2. Determine risk for ectopic pregnancy |
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What is nulligravida? |
1. Not now pregnant 2. Never been pregnant |
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What does parous mean? |
1. Patient has delivered 2. Parity-- number of deliveries--- multiple births does not increase parity |
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What does nulliparous mean? |
1. Patient has not had a pregnancy completed beyond abortion 2. May or may not be pregnant 3. May leave had spontaneous abortion or TAB |
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What is parturient? |
1. Woman in labor |
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What is puerpera? |
1. Woman just gave birth |
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How is the OB history expressed? |
1. 1st digit-- number of term babies 2. 2nd digit-- number of preterm babies 3. 3rd digit-- number of abortions 4. 4th digit-- number of children currently alive |
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When can you auscultate fetal heart sounds using doppler? |
1. 5-6 weeks |
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What percentage of fetal heart sounds can be heard from weeks 20-22? |
1. 20-- 80% 2. 21-- 95% 3. 22-- 100% |
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What does the uterine fundal height correlate to? |
1. 20-31 weeks in cm=gestational age in weeks |
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How can a full bladder affect the fundal height of the uterus? |
1. Increase height by 3 cm at 17-20 weeks |
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When is an ultrasound necessary? |
1. LMP does not correlate with uterine size 2. Patient unsure of LMP |
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What is an ultrasound most accurate to predict EDC? |
1. 6-12 weeks--- usually within 3-5 days |
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How often should a pregnant patient see her doctor? |
1. q4 weeks until 28 weeks 2. q2 weeks until 36 weeks 3. Weekly until delivery |
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When should you screen for Down syndrome? How? |
1. 15-20 weeks 2. MSAFP+BhCG, unconjugated estriol=Triple test |
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What can alcohol cause in a fetus? |
1. Fetal alcohol syndrome 2. Cardiac defects 3. Mental retardation 4. Microcephaly 5. Facial anomalies |
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What can phenytoin cause in a fetus? |
1. Broad nasal bridge 2. Cleft lip and palate 3. Microcephaly 4. Average IQ of 71 |
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What can valproate cause in a fetus? |
1. Neural tube defects 2. Craniofacial abnormalities |
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What can warfarin cause in a fetus? |
1. Depressed nasal bridge 2. Stippled epiphyses 3. Seizures 4. Developmental delay |
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What is pregnancy category A? |
1. Human studies show no evidence of risk in pregnancy in any trimester |
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What is pregnancy category B? |
1. Animal-reproduction studies have not demonstrated fetal risk 2. No controlled human studies 3. No evidence of risk in later trimesters |
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What is pregnancy category C? |
1. Animal reproduction studies have demonstrated an adverse fetal effect 2. No human studies 3. Only to be given if potential benefits justify the potential risk to the fetus |
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What is pregnancy category D? |
1. Positive evidence of human fetal risk exists 2. Use may be acceptable despite the fetal risk if drug is needed in a life-threatening situation or for a serious disease |
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What is pregnancy category X? |
1. Do not use |
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What is the use of the various antiemetics in pregnancy? |
1. Metoclopramide--- class B 2. Meclizine--- class B 3. Promethazine--- class C |
