OB-Prenatal Care

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Author:
choward04
ID:
219914
Filename:
OB-Prenatal Care
Updated:
2013-05-16 11:25:13
Tags:
OB
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OB
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  1. What weeks are termed 1st, 2nd, 3rd trimesters?
    • 1st Tri--> LMP-(12-14)
    • 2nd Tri--> 15-28
    • 3rd Tri--> 29-42
  2. What are the 7 presumptive symptoms of pregnancy?
    • 1. Amenorrhea
    • 2. Breast changes
    • 3. Fatigue
    • 4. Perception of fetal mvmt
    • 5. Frequent urge to void
    • 6. N/V/
    • 7. Skin changes
  3. What are 6 probable signs of pregnancy?
    • 1. Abd enlargement (>12)
    • 2. Hegar sign--> softening of uterus
    • 3. McDonald's sign--> flexed uterine body cervix
    • 4. Goodell's sign--> cervical softening
    • 5. Chadwick's sign--> blue-violet cervix
    • 6. Lab tests
  4. What are 3 positive signs of pregnancy?
    • 1. + fetal heart motion
    • 2. Examiner perceives fetal movement
    • 3. U/S recognition
  5. What are 8 OB labs at initial visit?
    • 1. CBC
    • 2. U/A
    • 3. Rubella
    • 4. RPR, Heb B, HIV
    • 5. ABO
    • 6. PPD
    • 7. Td?
    • 8. Sickledex
  6. What factors would indicate an earlier glucola testing?
    • 1. Family/personal history of GDM
    • 2. Obesity/erratic wt gain; BMI>28
    • 3. Glucosuria
    • 4. Previous stillbirth, anomaly, macrosomnia
  7. What make diagnosis of GDM for non-fasting check?
    • -2 abnormal values makes Dx of GDM
    • ->200 at any one time
  8. When is the ABO taken?
    NOB & 28 weeks (if neg ABO)
  9. When is Rhogam indicated?
    • -Post AB, ectopic, bleeding, amniocentesis
    • -28-32wks
    • -Within 72 of delivery
  10. When is the GBS ideally cultured?
    36weeks
  11. What are 4 consequences of untreated GBS?
    • 1. Pre-term labor
    • 2. PROM
    • 3. Chorio
    • 4. Puerperal/neonatal sepsis
  12. What is Naegle's Rule?
    -LNMP - 3mo +7 days
  13. When is the best U/S performed?
    1st one--> most accurate
  14. When does quickening usually occur?
    Around 20 weeks
  15. When can a doppler first pick up the FHTs?
    as early as 10 weeks
  16. When should pelvimetry be performed?
    NOB for primigravida & 38 weeks
  17. What diameter do you want the diagonal conjugate to be?
    >11.5cm
  18. What diameter do you want the interspinous diameter to be?
    >12cm
  19. What do you want the Tranverse Oulet diameter and pubic arch angle?
    • Transverse outlet--> >10cm
    • Pubic arch--> >90 degrees
  20. Which pelvis is least likely to deliver vaginally?
    Android pelvis
  21. How often after initial visit should subsequent visit be done?
    every 4 weeks until 36weeks ( sometimes 20wk may get cut out)
  22. Where is the uterus felt at 12, 16, 20 weeks?
    • 12 weeks--> pubic symphysis
    • 16 weeks--> Half of abdomen
    • 20 weeks--> umbilicus
  23. When is the Quad screen, glucola, CBC, and GBS culture?
    • 16-18wks--> Quad screen
    • 28 wks--> 1hr glucola
    • 24-28wks--> CBC
    • 36 wks--> GBS culture
  24. When are kick counts initiated?
    28 wks until delivery
  25. What are the main components of subsequent visits? (8)
    • 1. Vitals
    • 2. Fetal heart monitoring
    • 3. Fundal height
    • 4. Labs
    • 5. Assess fetal movement
    • 6. Assess general well-being
    • 7. Assess educational needs
    • 8. Assess level of preparation

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