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20 Cards in this Set

  • Front
  • Back
What do we assess for in initial visit?
Intake Assessment:
Medical hx
family & surgical hx
genetic risk checklist
infectious disease hx
psychosocial assessment
nutritional assessment
physical exam & labs
***How long is a normal pregnancy?***

WILL BE ON TEST
40 weeks or 9 months

(10 lunar months) = 280 days

lunar month is full moon to full moon
What's considered preterm?

What's post-term?

WILL BE ON TEST
before 37 weeks

40-42 wks
Age of viability?

WILL BE ON TEST
24 weeks
when are the 3 trimesters?
First 1-14 weeks

second 14-28

third 28-40
TOP?
Termination of pregnancy
What's the term for miscarriage?
spontaneous abortion
What is gravida?
how many times pregnant
What is parity?
how many babies delivered after 20 weeks
What is TPAL?
Term
Pre-term
AB (including miscarriages and terminations)
Living children
How do you use Nagele's Rule?

WILL BE ON TEST
1st day of LMP - 3 months + 7 days = EDC (estimated date of confinement)

aka EDD (estimated date of delivery)
What does primipara mean?
first pregnancy
What does multipara mean?
more than 1 pregnancy
What does grand-multipara mean?
more than 5 pregnancies
Initial prenatal visit labs:
CBC
Blood Group & Rh
U/A
Infectious diseases:
HBsAg - Hep B
Rubella Titer
RPR - syphilis
HIV, HSV (herpes)
(HIV is by consent only)
Everybody gets a chlamydia/GD
GBS culture
Pap smear, HPV
Sickle cell
TORCH - if at risk
What is TORCH?
Toxoplasmosis
Other (syphilis)
Rubella
Cytomegalovirus disease
Herpes Simplex
When are prenatal visits scheduled?
q4w till 29 wks

q2w from 30-36 wks

36 weeks - weekly until delivery
What labs are repeated and when?
H&H at 28 weeks

GBS at 36 weeks
GTT (glucose tolerance test) given when? normal results?
given at 28-30 wks

Normal is <140 in pregnancy
If >140 must do a 3 hr GTT

50g Glucola given PO. glucose drawn at 1 hour