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34 Cards in this Set
- Front
- Back
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What does the EDC or EDB tell us?
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Estimated date of birth
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Define Gestation
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number of weeks since the first day of last menstrual period
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Define Abortion
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birth that occurs before end of 20 weeks gestation
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"Term" is how many weeks?
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38-40 weeks
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"Preterm" is how many weeks?
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20-37 weeks
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"Posterm" is how many week?
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after 42 weeks
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Gravida is:
Para is: |
ANY pregnancy
birth after 20 wks gestation (multiples count as one) |
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Define Stillborn
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born dead after 20 wks
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Primigravida is:
Multigravida is: |
first time
second or any subsequent pregnancy |
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What does TPAL stand for?
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T-term births, twins or more count as one
P-birth from 20-37wks A-spontaneous or elective abortion L-living children-multiples count here |
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What is Nagele's Rule?
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How to determine due date.
-Take the first day of LMP -Subtract 3 months -Add 7 days |
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What are 4 other indicators of EDB?
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-Fundal height
-Quickening -Fetal heartbeat -Ultrasound (most accurate) |
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When can pt feel quickening?
When is fetal heartbeat audible? |
18-20 wks
Doppler 10-12 wks |
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When does the Initial Physical happen and what is important to obtain?
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8-12 wks gestation
-important to get baseline vitals to rule out preeclampsia |
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How is fundal height measurement obtained?
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Measure in centimeters from top of the syphysis pubis to top of uterine fundus
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At how many wks will fundal height correlate with wks of gestation?
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22-34 wks
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When should the fundus be at the umbilicus?
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20-22 wks
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What is ballotment?
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fetus floating in amniotic fluid
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When can fetal movement be felt by examiner?
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18 wks
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Normal range for fetal heart tones?
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110-160 BPM
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If examiner notices hyperactive reflexes or clonus what might this suggest?
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Preeclampsia
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What is a serology test?
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Tests for syphllis
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Can you immunize a pregnant pt. for Rubella?
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No live attenuated virus injections! Stay away from those with chicken pox!
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Other lab screening during initial preggo visit:
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-Hep
-HIV -Pap smear -STD screen -UA |
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How often will a woman see a doctor once she is pregnant?
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Q4wks until 28wks
Q2wks until 36wks Then Q wk until delivery Visits include teaching et assessment of maternal/fetal well-being |
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What is involved in the subsequent prenatal visits?
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-V/S
-Wt -Edema -FHT's & fetal movement -Urine screen for pro, glu, ketones |
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What is AFP and when is it tested?
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Alpha-fetoprotein
Tested (optionally) at 15-20wks High=Neural tube defects Low=Downs syndrome Results can be false |
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What does indirect coombs test for?
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Rh "-" moms at 28wks
If "-", will need to get Rhogan |
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What are some danger signs during pregnancy?
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-Vag bleeding
-n/v that lasts over 24h -temp >100.4 -dizziness (sudden & extreme, associated w/ pelvic or uterine pain) - could mean major loss of blood -preterm labor symptoms (contractions that dont go away after resting for about an hour) -leaking of fluid from vagina (could be losing amniotic fluid) **Preeclampsia s/sx edema, rapid wt gain, HA, visual disturbances, vomiting, epigastric pain, scant urine output) -decreased fetal movement -s/sx of UTI (dysuria, severe backache, fever |
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What can a pregnant woman do to alleviate nasal stuffiness & epistaxis?
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cool mist
avoid nasal decongestants and sprays |
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What's ptyalism and what can u do for it?
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Bad taste in the mouth
Mouthwash, gum, candy |
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What's pyrosis and what can u do for it?
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Heart burn
small frequent meals, avoid spicy or greasy meals, sit or stand after meal |
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What's an example of a medication with a pregnancy category A?
category X? |
A-Tylenol
X-Accutane (for acne) |
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Contraindications for sex:
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-PROM (premature rupture of membrane)
-preterm labor |
