Card Set Information
Weekly appts with pregnant pts
q4w until week 28
biweekly until week 36
weekly after that
How soon can US detect pregnancy? (via fetal heart beat)
u/s measurement of nuchal space
When is CVS done?
b/w 10-13 weeks
abnl high levels of AFP
increased risk for neural tube defects
amniocentesis is generally performed when?
normal stress test
two accelerations of fetal HR in 20 mins of up to 15 bpm from the baseline heart rate for a duration of 15 seconds and the absence of decelerations
m/c cause of ectopic pregnancy
occlusion of the tube secondary to adhesions
biggest risk factors for ectopic
previous ectopic, previous salpinigitis (PID), previous abdominal or tubal surgery, use of an IUD, and assisted reproduction
labs in ectopic
serum hCG nl double q24h, if increase is less than expected, suspect ectopic
women with hCG titer >2000 should show evidence of a developing intrauterine gestation on TVUS
dx of ectopic
tx of ectopic
methotrexate (hcg >5k, mass <3.5 cm, hemodynamicall stable, compliant for f/u)
abortion vs miscarriage
abortion <20 weeks
m/c form of GTD
complete molar pregnancies
m/c presentation of molar pregnancy
abnl vaginal bleeding, uterine size > dates, hyperemesis gravidarium, pre-eclampsia like sx
risk of developing diabetes after having GDM
initially, then 24-28 weeks
<37 weeks gestation
tocolytic, stops contractions
rupture of amniotic membranes before onset of labor at or beond 37 weeks
ROM < 37 weeks
when are steroids administered?
HTN that presents after 20 weeks gestation
when is rhogam administered?
28-29 weeks to all Rh- mothers
m/c cause of 3T bleeding
definitive tx of abruptio placentae
With what placental issue are cervical examinations CI?
placenta previa, bc it can incite severe bleeding
hallmark of placenta previa
painless vaginal bleeding
how long is the first stage of labor?
6-20 hours for nulliparous women, 2-14 hours for multiparous women
second stage of labor is how long?
30m-3h for nulliparous, 5-60 mins for multiparous
fetal head compression
tx of endometritis
clinda plus gent first line
add amp if no response within 24-48 hours
flagyl if sepsis is present
When does the uterus shrink/involute?
2 days after delivery
When does the uterus descend into the pelvic cavity?
after 2 weeks
When does uterus go back to antenatal size?
How long can lochia last?
4-5 weeks post partum