Shared Flashcard Set

Details

OB
Obstetrics and Pregnancy Pearls
35
Nursing
Graduate
04/06/2015

Additional Nursing Flashcards

 


 

Cards

Term
Spotting, dark tarry
Definition
Ectopic pregnancy
Term
First sign of pregnancy
Definition
unexplained breast tenderness
Term
First trimester: Sx (6)
Definition
(up to 12 weeks)
- BREAST TENDERNESS - first sign
- amenorrhea
- nausea
- vomiting
- fatigue
- urinary frequency
Term
Second trimester: Sx (4)
Definition
(13 to 27 weeks)
- Fetal movement
- abdominal discomfort secondary to stretching
- change in skin pigment
- syncopal episodes
Term
Third trimester: Sx (4)
Definition
- Braxton hicks contractions- PAINLESS
- abdominal growth
- return of urinary frequency w/ descent of presenting part
- increased respiratory effort until descent
Term
First trimester: physical (5)
Definition
- Goodell's sign
- Chadwick's sign
- Hegar's sign
- Breast enlargement
- Fetal heart tones by 10 to 12 weeks
Term
When is Rhogam given?
Definition
28 weeks
Term
Trimester week lengths
Definition
first = up to 12 weeks
second = 13 to 27 weeks
third = 28 to 40 weeks
Term
Second trimester: physical (3)
Definition
- Striae
- Fundus at umbilicus at 20 weeks, 1 cm in growth every week after
- Leopold maneuvers after 20 weeks
Term
Third trimester: physical (3)
Definition
- Lightening may occur up to 3-4 weeks prior to labor
- loss of mucus plug/bloody show 1 week before labor
- increase in braxton hicks
Term
Fetal heart tones by?
Definition
10-12 weeks
Term
When is the fundus at the umbilicus
Definition
20 weeks
Term
Goodell's sign
Definition
softening of cervix
Term
Chadwick's sign
Definition
cervical cyanosis
Term
Hegar's sign
Definition
softening of cervicouterine junction
Term
First trimester/new visit: tests (15)
Definition
- U/A
- Urine C&S
- CBC
- Blood group and Rh
- antibody screening
- Rubella
- HbsAg
- Syphilis testing screens
- HIV
- specialty screening
- PAP
- Cervical cultures
- STD screening
- Dating ultrasound
- Chorionic villus sampling (CVS)
Term
Second trimester: tests (2 w/ 2 special)
Definition
- triple or quad screen at 16-20 weeks
- ultrasound for fetal survey at 18-20 weeks
- special: amnio at 15-20 weeks if FH of chromosomal abn. or AMA
- 1 hr GTT at 20 weeks if FH of diabetes or weighs more than 200 lbs
Term
Triple screen
Definition
HCG, estriol, and alpha-fetoprotein
Term
Quad screen
Definition
HCG, estriol, alpha-fetoprotein, and inhibin-A
Term
Third trimester: tests (4)
Definition
- 1 hr GTT at 28 weeks routine
- RhoGAM at 28 weeks if needed
- H/H at 28-36 weeks depending on previous levels
- NST/BPP PRN for fetal well being
Term
Triple/quad screen purpose?
Definition
Markers for Downs (21), Edwards (18), and neural tube defects like spina bifida
Term
When is fetus viable?
Definition
24 weeks
Term
Abortions by?
Definition
20 weeks or else difficult
Term
AFP may be normally elevated in?
Definition
multiple gestations
Term
Scheduling of prenatal visits
Definition
- 0 to 28 weeks: Q 4 weeks
- 28 to 36 weeks: Q 2 weeks
- 36 weeks to delivery: Q week
Term
Calculate EDC w/ Naegele's rule
Definition
**calculate from when last NORMAL menstrual period BEGAN
- subtract 3 months, add 7 days and one year
Term
Return OB visits: Exam and labs
Definition
Exam: BP, weight, FH, FHT, fetal movement, presentation, fetal lie/position

Labs: Routine, plus urine for protein, glucose, and ketones at EVERY visit
Term
18 High Risk situations needing consultation/referral
Definition
1. Recurrent pregnancy losses/previous fetal death in utero
2. FH of genetic anomalies
3. Fh sensitization
4. Hemoglobinopathies
5 Thrombocytopenia
6. Multiple gestation
7. Abnormal triple screen
8. Other abnormal laboratory results
9. HIV
10. Uterine bleeding
11. Abnormal ultrasound findings
12. Previous preterm labor/preterm delivery
13. Polyhydramnios/oligohydramnios
14. Intrauterine Growth retardation (IUGR)
15. Premature rupture of membranes
16. Pre-eclampsia (PIH)
17. Gestational diabetes/insulin dependent diabetes
18. Fetal presentation other than vertex after 32 to 34 weeks
Term
Amniocentesis when?
Definition
15 to 20 weeks if FH of chromosomal ab or AMA
Term
Triple/quad screen?
Definition
16-20 weeks
Term
ultrasound for fetal survey
Definition
18-20 weeks
Term
1 hr GTT high risk
Definition
20 weeks if FH of diabetes or pt weighs more than 200 lbs
Term
1 hr GTT routine
Definition
28 weeks
Term
RhoGam by?
Definition
28 weeks
Term
hemoglobin and hematocrit by?
Definition
28-36 weeks
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