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| Term meaning maternal condition of having a developing fetus in the body |
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| Term meaning conception through 8th week |
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| Term meaning 9th wk to delivery |
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| Term meaning estimated age of the fetus calculated from 1st day of LNMP |
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| Term meaning 1st pregnancy |
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| Term meaning 2nd or more pregnancy |
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| Term meaning never pregant |
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| Term meaning born before wk 37 |
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| Term meaning expulsion of the embryo or fetus |
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| Term meaning fetus completed 20 wks - <28wks |
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| Term meaning fetus completed 28wks - <37wks |
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| What is considered LBW (Low Birth Weight)? |
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| Term meaning fetus completed 37 wks |
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| Term meaning fetus completed 42 wks |
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Definition
| Post-mature infant (post dates) |
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Definition
| blue discoloration of cervix - sign of pregnancy |
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Term
| What is an increase in vaginal d/c seen during pregnancy called? |
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Definition
| dark skin discoloration that appears on sun-exposed areas of the face, doesn’t always go away |
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Definition
| vertical line in belly darkens |
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| What are some dermatologic signs of pregnancy? |
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Definition
Cholasma
Linea Nigra
Striae
Spider Telangiectasias |
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Definition
| softening of the lower uterine segment (which is normally firm) |
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Definition
| cyanosis & softening of the cervix (Chadwick’s + Hegar’s sign) |
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Definition
| uterine softening in ant. midline along ureterocervical junction |
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| What is Von Fernwald's sign? |
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Definition
| irregular softening of the fundus which develops over the site of implantation |
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Term
| At what gestational week can U/S first detect a heartbeat? What is the rate? |
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Definition
| 5 - 6 wks of gestation (90 - 120bpm) |
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Term
| When can a doppler detect fetal heart tones in a thin pt or a larger pt? |
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Definition
Thin - 10 wks
Larger - 12 - 14 wks |
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| At what week of gestation does the fundus become palpable, where can it be palpated? |
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Definition
| 8 wks at the pubic symphysis |
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Term
| Where is the fundal ht palpable at 16 wks? |
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Definition
| at midpt b/w pubis symphysis and umbilicus |
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Term
| Where is the fundal ht palpable at 20 wks? |
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Definition
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Term
| Where is the fundal ht palpable at 26 - 34 wks? |
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Definition
| fundal ht correlate w/ gestational age |
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| At what gestational week does the fundal ht decrease? |
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Term
| What rule is helpful in calculating the EDC? |
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Definition
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Term
| If a women presents to the clinic with a pos home pregnancy test, and you confirm with a BhCG, if the women's LMP was Jan 13th, what is her EDC? |
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Definition
Nagele's Rule = Subtract 3 months and add 7 days.
EDC- Oct. 20 |
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Term
| What is the purpose of prenatal care? |
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Definition
| ensure an uncomplicated pregnancy & delivery of live healthy infant |
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Term
| What does GPFPAL stand for? |
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Definition
| Gravida, Parity (outcome of all pregnancies), Full Term, Partial Term, Abortions/Miscarriages, Living Children |
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Term
| If a pt is described as a G3P22012, what does this mean? |
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Definition
3 pregnancies (Gravida)
2 births (parity)
2 Full Terms
0 Premature births
1 Abortion/Miscarriage
2 Living Children |
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Term
| If a pt is described as a G6P42223, what does this mean? |
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Definition
6 Pregnancies
4 Births (parity)
2 Full terms
2 Premature births
2 Abortions/Miscarriages
3 Living Children |
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Term
| What are the labs for new pregnancy visits? |
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Definition
Normal Labs - Hgb/Hct, CBC w/diff, CMP, UA
Blood Stuff - Blood Group Type, Rh factor, Blood Glucose, Genetic Studies
Infectious Stuff - VDRL, Rubella Titer, HIV, Chlamydia/Gonorrhea, TB skin test, HBSAg
Other Stuff - CF x 1, PAP Smear, Triple/Quad Screen (BhCG, Estriol, AFP), +/- toxoplasmosis screen |
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Term
| Tx for Syphillis in prego pt |
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Definition
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| Tx for Chlamydia in prego pt |
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Definition
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| Tx for Gonorrhea in prego pt |
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| Tx for Candidiasis for prego pt |
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| Treatment for HSV in prego |
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Definition
Oral or topical (suppressive therapy at 35 weeks gestation)
C-section if active lesions |
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Term
| What can dz that cross the placenta cause in the baby? (3 things) |
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Definition
Chorioretinitis
Microcephaly
Focal Cerebral Calcifications |
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Term
| What are the dz that can cross the placenta? |
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Definition
T - Toxoplasmosis
O - Other (Hep B, HIV, Syphilis,Parvovirus B19, VZV, Listeria, E.Coli and Group B Strep)
R - Rubella
C - Cytomegalovirus
H - Herpes Simplex Virus |
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Term
| What are the three MC causes of meningitis in a newborn? |
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Definition
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Term
| What is combined in the integrated screening? |
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Definition
1st Trimester:
Maternal Age Risk
1st Trimester NT
Maternal Serum Pregnancy-associated plasma protein
2nd Trimester:
AFP
uE3 (unconjugated estradiol)
hCG
DIA (dimeric Inhibin A) |
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Term
| What is the purpose of the Integrated screening? |
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Definition
| Risk for Down syndrome (best test for this), spinal bifida screening, risk for trisomy 18, |
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Term
| What is the screening for gestational diabetes? |
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Definition
Simple glucose challenge test -
Performed 24-28 wks (drink 50 g glucose soln then measures BS 1-hour later) |
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| What is a positive result for gestational diabetes? What is the f/u test? |
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Definition
| Positive if >140 mg/dl; then do a 3 hour GTT |
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Term
| When is a GBS culture screening done in gestation? |
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Definition
| Routine culture 35-37 wks |
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Term
| What are the complications of GBS infection to the mother? to the fetus? |
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Definition
Mother - Inc incidence of preterm labor, amnionitis, endometritis, maternal wound infx
Possible transmission during labor/delivery causing generalized sepsis of the newborn |
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Definition
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| What are some common complaints during pregnancy? |
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Definition
N/V
Edema
Constipation
Urinary Frequency
Varicosities & Hemorrhoids
Leg Cramps
Backache
Round Ligament Pain
HA |
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Term
| What causes constipation during pregnancy? |
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Definition
| progesterone induced relaxation of intestinal sm muscle slowing peristalsis & bowel transit time |
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Term
| What is round ligament pain described as? |
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Definition
| sharp, unilateral/ bilateral groin pain that inc w/ sudden mvmt or change in position |
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Term
| During which trimester is a HA worrisome? Why? |
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Definition
| 2nd and 3rd; can be a sign of preeclampsia |
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| Term meaning intractable vomiting |
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Definition
| Dizygotic meaning separately fertilized ova by sperm |
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Definition
| Monozygotic meaning Division of a single fertilized ovum |
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Term
| What condition is described as one placental w/ vascular anastomoses to each twin established early in embryonic life? |
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Definition
| Twin-to-twin transfusion syndrome |
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Term
| In Twin-to-twin transfusion syndrome, which twin is described as plethoric, edematous, HTN? |
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Definition
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| In Twin-to-twin transfusion syndrome, which twin is described as small, pallid, & dehydrated? |
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Definition
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Term
| Is AFP elevated in twins? |
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Definition
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Term
| What is the goal of a contraction-stress-test? (what does it assess?) What is a perfect score? |
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Definition
Fetal well-being/size
fetal breathing mvmts
fine motor mvmts
amniotic volume
Perfect Score = 10/10 |
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