Y2B2 Pcs- Obstetrics

Front 1

what are common symptoms that often pregnancy related?

Back 1

vaginal bleeding, pelvic pain, vomiting and lower extremity edema.

Front 2

when should the initial routine prenatal visit occur?

Back 2

6-8wks of gestation

Front 3

when should later visits to the OB occur?

Back 3

4 week intervals until 28 wk, at 2 wk intervals from 28-36 wk and weekly thereafter until delivery.

Front 4

what does gravidity mean?

Back 4

number of confirmed pregnancies

Front 5

what is parity?

Back 5

number of deliveries after 20 wk

Front 6

what is abortus?

Back 6

number of pregnancy losses before 20 wk regardless of cause

Front 7

what are some of the causes of abortus?

Back 7

spontaneous, therapeutic or elective abortion; ectopic pregnancy

Front 8

what does the sum of parity and abortus equal?

Back 8

gravidity

Front 9

what are the four numbers that parity is often recorded as?

Back 9

number of term deliveries (after 37 wk)
prematrue deliveries (>20 and <37 wk)
abortions
living children

Front 10

what is naegle's rule?

Back 10

standard way to calculate the due date for a pregnancy; states to count back 3 months from the 1st day of the last normal menstrual period and add 7 days.

Front 11

what is included in a full medical hx?

Back 11

previous and current disorders
druge use
risk factors for complications of pregnancy
obstetric hx w/ the outcome of all previous pregnancies including maternal and fetal complications
family history should include all chronic disorders in family members to identify possible hereditary disorders.

Front 12

what are some examples of fetal complications?

Back 12

gestational diabetes, preeclampsia, congenital malformations, stillbirth

Front 13

what does a history of having large babies in the past give clue?

Back 13

that she has risk of gestational diabetes mellitus and a baby that is large for gestational age

Front 14

what is the focus of subsequent visits to the OB?

Back 14

interim developments, vaginal bleeding or fluid discharge, headache, changes in vision, edema of face or fingers, and changes in frequency or intesity of fetal movement.

Front 15

what is done in the initial obstetric examination? what are you checking for?

Back 15

speculum and bimanual pelvic examination; check for lesions or discharge, note the color and consistency of the cervix, and obtain cervical samples for testing.

Front 16

how is the pelvic capacity estimated clinically?

Back 16

by evaluating various measurements w/ the middle finger during bimanual examination

Front 17

what is most important on subsequent visits to the OB?

Back 17

BP and weight assessment

Front 18

In subsequent visits to the OB, when would you need to do a speculum and bimanual examination?

Back 18

if the pt has vaginal discharge or bleeding, leakage of fluid or pain in present

Front 19

in subsequent visits what does the obstetric examination focus on?

Back 19

uterine size, fundal height, fetal heart rate and activity, and maternal diet, weight gain and overall well-being

Front 20

what is the quad screen?

Back 20

measures high and low level of AFP, abnormal levels of hCG and estriol, and high levels of inhibin-A

Front 21

what is the purpose of the quad screen?

Back 21

to assess probabilities of potential genetic disorders

Front 22

what does an elevated AFP suggest?

Back 22

that the baby has a neural tube defect such as spina bifida or anencephaly

Front 23

what is the most common reason for elevated AFP?

Back 23

inaccurate dating of the pregnancy

Front 24

what are low levels of AFP and abnormal levels of hCG and estriol indicate?

Back 24

developing baby has trisomy 21, trisomy 18 or another type of chromosome abnormality

Front 25

pt has a BMI <18.5, what should the recommended weight gain be?

Back 25

28 to 40 lbs

Front 26

pt has a BMI btwn 18.5-24.9, what is the recommended weight gain?

Back 26

25-35

Front 27

pt has a BMI btwn 25 and 29.9, what is the recommended weight gain?

Back 27

15 to 25 lbs

Front 28

pt has a BMI >30, what is the recommended weight gain?

Back 28

11 to 20 lbs

Front 29

what is TORCH?

Back 29

acronym for infections that present significant morbidity to a growing fetus and may even cause miscarriage

Front 30

what does TORCH stand for?

Back 30

toxoplasmosis, other (syphilis), rubella, cytomegalovirus, HSV

Front 31

what is the leopold's maneuver?

Back 31

common and systematic way to determine the position of a fetus inside the woman's uterus

Front 32

what is chadwick's sign?

Back 32

dark bluish or purplish-red color of the vaginal or cervical mucosa as a result of increased blood supply to the area.

Front 33

what is the hegar sign?

Back 33

softening of the lower uterine segment just above the cervix seen as a probably sign of pregnancy

Front 34

when is rhogam given and to who?

Back 34

given to Rh-negative women during week 28 of pregnancy, also given after chorionic villus sampling, sampling, amniocentesis, miscarriage, ectopic pregnancy, abortion, uterine bleeding or any trauma during pregnancy.

Front 35

If the baby is Rh-positive, what do you give them? why?

Back 35

you give them rhogram again w/n 72 hours after delivery --> to ensure that subsequent pregnancies are as safe as the first.

Front 36

what is the most widely used drug in pregnancy?

Back 36

acetaminophen

Front 37

what is the most commonly stool softener?

Back 37

docusate

Front 38

when is the group B strep screen done? how is it done?

Back 38

it is done between 355 and 36 weeks. It is done thru a vaginal and rectal culture

Front 39

what are prenatal labs that are not done routinely?

Back 39

toxo, parvo virus B19, urine drug screen, sickle cell screen, HSV culture

Front 40

what are the recommended vaccinations?

Back 40

tetanus, diphtheria, influenza

Front 41

what type of vaccine is contraindicated in pregnancy women?

Back 41

intranasal

Front 42

what are the immunizations for high risk groups?

Back 42

hepatitis B, hepatitis A, pneumococcus, yellow fever, poliovirus IPV

Front 43

what immunization do you give to women with a prior splenectomy?

Back 43

H. influenza

Front 44

which immunization is not recommended in prenancy?

Back 44

TB

Front 45

what three immunizations are NEVER given in pregnancy, only post partum?

Back 45

MMR, vricella, Tdap

Front 46

which trimester are vaccinations preferred in?

Back 46

second

Front 47

what skin indication can be found in pregnant woman?

Back 47

melasma, linea nigra, striae

Front 48

when can you detect fetal heart tones?

Back 48

after 8 weeks

Front 49

what does the fundal height correspond to?

Back 49

gestational weeks

Front 50

how far along is the mother when the fundal height is at umbilicus?

Back 50

20 weeks