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53 Cards in this Set
- Front
- Back
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what is Nagele's rule
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LMP - 3 months + 7 days
assume 28 day period +/- 2 weeks |
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number of completed weeks of pregnancy since first day of LMP
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gestational age
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1st 8 weeks of conception
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embryo
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after week 8
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fetus
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total # of pregnancies
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gravidity
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pregnant pt
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gravid
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pregnant for the 1st time
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primigravida
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labor that begins before week 37 of gestation
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preterm
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fullterm is after what week
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after week 37
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period following delivery of baby and placent to approximately 6 weeks postpartum; period when female's reproductive organs and maternal physiology return toward prepregnancy state
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peurperium
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total number of pregnancies exceeded 20th week of gestation
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parity
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G#P####
1st number 2nd number 3rd number 4th number |
1st number - number of full term pregnancies
2nd number - number of premature deliviers (before week 37) 3rd number - number of abortions or ectopic pregnancies 4th number - # of living children |
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G₃P₁₁₁₂
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3 total pregnancies
1 full term 1 premature 1 aborted/ectopic 2 living children |
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G₂P₁₁₀₃
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2 pregnancies
1 fullterm 1 premature 0 aborted/ectopic 3 living children |
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what are the prenatal vitamins that are recommended
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folate
iron calcium |
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how much of each is recommended
FOLATE IRON CALCIUM |
FOLATE
0.4 mg /d hx of neural tube defects 4 mg/d IRON 30 mg/d non anemic 60 mg/d anemic CALCIUM 1.2g/d |
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what is given to women to prevent neural tube defects
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folate
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Hyperemesis gravidarum
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severe or intractable nausea and vomiting
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what agent is given to treat Hyperemesis gravidarum
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ondansetron
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what are the non pharmacological treatment of N/V
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eating crackers upon awakening
small dry meals high in carbs avoid spicy foods/noxious odors |
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if a patient fails to respond to dietary modification to treat N/V what agents can be used and what is the biggest SE of these agents
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promethazine
prochlorperazine meclizine dimenhydrinate these agents cause DROWSINESS so if the baby starts to move less drugs may be affecting the child |
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Antacids are used to treat GERD/Heartburn in pregnant pt, what must you watch for in antacids that contain Mg
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Mg containing antacids may slow down labor if given late in pregnancy
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what must be avoided in treatment of constipation
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mineral oil
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how do you manage hemorrhoids
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prevent constipation
Sitz bath topical OTC products (preparation H, tux) |
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what is Melasma
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hyperpigmentation of skin
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what can be given to treat Pruritic urticarial papules and plaques of pregnancy (PUPPP)
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topical steroids
emollients antihistamines |
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define the following
CHRONIC HYPERTENSION PREECLAMPSIA CHRONIC HYPERTENSION WITH SUPERIMPOSED GESTATIONAL HYPERTENSION |
CHRONIC HYPERTENSION - SBP > 140 DBP > 90 BEFORE 20TH WEEK OF GESTATION
PREECLAMPSIA - SBP > 140 DBP > 90 w/ proteinuria after 20th week of gestation CHRONIC HYPERTENSION WITH SUPERIMPOSED PREECLAMPSIA - Proteinuria after 20th week of gestation GESTATIONAL HYPERTENSION - HTN w/o proteinuria occuring after 20th week of gestation |
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what hypertensive agents are CI in pregnancy
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ACE/ARB
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what agents can be given to treat HTN in pregnant patients
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Methyldopa - 1st line
Betablockers (Atenolol, metoprolol) - 2nd line Labetalol Hydralazine |
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Jane is 4 months pregnant and presents to the ER with a SBP > 160 and DBP > 105 what agent can she be given
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Hydralazine
- parenteral drug of choice for acute severe HTN in pregnancy (SBP > 160 or DBP > 105) |
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proteinuria is indicated by what on the dipstick
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+1
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what is the only treatment of preeclampsia
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delivery
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what can be given to prevent seizures if pt develops Eclampsia
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Mg
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what has been shown to be ineffective in preventing preeclampsia
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aspirin
calcium magnesium |
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what pts are at high risk of Gestational DM
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obese (BMI >30)
history of GDM PCOS family history of type 2 DM |
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what is macrosomia
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infant weighing > 4.5kg
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when would you treat a woman with Gestational DM with insulin
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FPG < 105
or 1hr PPG < 155 or 2hr PPG < 130 |
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other than insulin what can be given to treat women with GDM
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glyburide
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what are tocolytics for
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inhibit uterine contraction
prolong delivery for at least 48-72 hrs |
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what are the tocolytic agents
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Mg Sulfate
Terbutaline Indomethacin Nifedipine/Nicardipine |
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what is the black box warning for Terbutaline
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potential for serious maternal heart problems and death
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during breast feeding when should medication be schedules
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after feeding
or before long periods of sleep |
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what is given to treat postpartum depression
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SSRI
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what agents are used to induce labor
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oxytocin
prostaglandin E2 (prepidil, cervidil) Misoprostol |
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what agents cause cervical dilation/ripening
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oxytocin
prostaglandin E2 (cervidil, prepidil) |
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what benefits do Lactation/Breastfeeding have for the mother
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Delayed Ovulation
Earlier Return to pregnancy weight less postpartum bleeding |
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low < 19.8
what is the recommended weight gain? |
28-30
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19.8-26
what is the recommended weight gain? |
25-35
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26.2 - 29
what is the recommended weight gain? |
15-25
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>29
what is the recommended weight gain? |
<=15
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tocolytics are less effective in women with cervical dilation of
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> 3 cm
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what are drug properties that allow them to cross into breast milk
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basic
poorly protein bound high lipid solubility |
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what is the milk produced in late pregnancy and few days after
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colustrum - contains protein, carbs, antibodies
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