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OB
Unit 2
| Question | Answer |
|---|---|
| How do you know if your pregnant? (3 signs) | presumptive sign, probable sign, positive sign |
| Presumptive signs (5) | subjective data that the woman reports - amenorrhea(most common), nausea, fatigue, swollen tender breasts, frequent urination |
| probable signs (7) | data collected by a trained examiner - chadwicks sign, hegars sign, goodells sign, enlarging uterus, braxton-hicks contractions, ballottement, positive pregnancy test |
| positive signs (3) | dx of pregnancy b/c nothing else can cause these signs - ultrasound visualation of the gestational sac or fetus, fetal heart beat, palpation of fetal movement |
| hematologic changes (3) | increased blood volume and hemodilution, hypercoagulability, venous stasis - lowers blood supply |
| nutritional requirements of pregnancy | 1st trimester - total wt gain 3-4lbs; 1lb gain per wk in 2nd & 3rd trimester; poor wt gain <16lbs = low birth weight; 300 extra calories required each day in 2nd and 3rd trimester; folic acid - 40mcg recommended; pica |
| when is the first feeling of movement by fetus? | 16-20weeks |
| When is the heart rate doppled? (which weeks) | 10-12 weeks |
| How often are prenatal visits? | every month until 32 weeks; biweekly (twice per month) 32-36 weeks; weekly at 36 weeks-birth |
| Routine tests: when are they done? (MSAFP, glucose tolerance, antibody screen & RhoGam, group B beta strep | MSAFP - 15-20wks, glucose tolerance 24-28wks, antibody screen & RhoGam if Rh (-) 28wks, group B beta strep 35-37wks |
| how often are kick counts? | daily assessment - healthy fetus is 10-12x per day |
| how do we establish fetal well being? (8) | kick counts, ultra sound, MSAFP markers, triple marker/quad check, amniocentesis, chorionic villus sampling, NST, CST |
| hydatidform mole and s/sx, tx | molar pregnancy - benign growth of placental tissue - error in chromosomes - non-viable mass of cells that grow rapidly - s/sx - brown to bright red vaginal discharge; also higher than normal HcG levels - then no HR; tx - DNC - scrap out inside of uterus |
| abruptio placentae | premature separation of a normally implanted placenta - detaches prematurely -partial/complete, concealed/apparent |
| complications of hypertensive disorders (5) | can cause maternal and/or fetal injury or death, seizures, develop pulmonary edema, cerebral edema - stroke, decreased blood flow to liver |
| TORCH | toxoplasmosis, other (including hep b, syphilis, varicella, herpes), rubella, cytomegalovirus, herpes simplex virus |
Created by:
breinard
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