Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
19 Cards in this Set
- Front
- Back
|
Why do we have subsequent antenatal visits |
Problem orientated 28, 34, 41 weeks - to look for complications From 28 weeks - foetus is viable therefore we must follow up |
|
|
when should visits take place? |
every eight weeks until 28 weeks next visit at 34 weeks Primi - every 2 weeks from 36 weeks Multi - 36 if breech found at 34 weeks and every 2 weeks after 38 weeks Primi - 40 weeks Multi - 41 weeks |
|
|
Why would people have extra visits? |
Complications Primis are high risk for pre-eclampsia |
|
|
Why are the visits at 28 weeks necessary? |
APH risk early signs of pre-eclampsia occur cervical changes = preterm delivery SF height below 10th centile SF height above 90th centile Anaemia detected for first time in pregnancy Diabetes |
|
|
Why is APH serious? |
Causes perinatal death Warning sign of placenta praevia |
|
|
Why is the visit at 34 weeks important? |
risk factors excludes establish lie of foetus assess those with previous c/s Examine patient breasts for inverted nipples or eczema - treat the eczema
|
|
|
What happens if pregnancy extends beyond 42 weeks? |
intrapartum foetal distress intra-uterine death meconium aspiration |
|
|
How to manage patient who is 41 weeks pregnant |
If IUGR or pre-eclampsia - induce labour sure of LNMP date and uterus size corresponds - induce labour not sure of LNMP and booked late - ultrasound ( AFI > 5 + good foetal movements - check in a week) (AFI<5 - induce labour)
|
|
|
Which medications provide induction of labour? |
Misoprostil and prostaglandins E2 |
|
|
What is discussed at health education? |
DAnger signs and symptoms Dangerous habits Healthy eating Family planning Breast feeding Care of the new born infant The onset of labour and labour itself Avoid HIV infection or getting counselling if HIV positive |
|
|
Symptoms and signs of abruptio placentae |
vaginal bleeding abdominal pain decreased foetal movements
|
|
|
Symptoms and signs of pre-eclampsia |
persistent headache flashes before eyes sudden swelling of hands, feet and face |
|
|
Symptoms and signs of preterm labour |
Rupture of membranes regular uterine contractions
|
|
|
Signs of stage 1 HIV |
Lymphadenopathy |
|
|
Signs of stage 2 HIV |
Herpes zoster Chronic mouth and genital ulcers URTI - otitis media and sinusitis Skin rashes |
|
|
Stage 3 HIV signs |
weight loss oral candidiasis cough, fever, night sweats - pulmonary TB cough, fever and shortness of breath - bacterial pneumonia chronic diarrhoea and unexplained fever for more than a month |
|
|
Stage 4 HIV signs |
weight loss bacterial infections especially pneumonia oesophageal candidiasis malignancies - Karposi sarcoma Extrapulmonary TB |
|
|
How do you treat a pregnant woman who has HIV with a CD$ count of less than 350? |
antiretroviral prophylaxis |
|
|
Indications for ARV prophylaxis |
Stage 3 or 4 HIV Tubercuosis |
