Term
| terotogens cause abnormal organ formation between? |
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Definition
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Term
| daily calory intake during pregnancy |
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Definition
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Term
| airline travel time ok until 36 weeks |
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Definition
| sex is ok unless the mom is high risk for abortion, premature labor or placenta previa |
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Term
ideal weight gain for
<19.8 ...normal bmi and bmi >26? |
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Definition
28-40 in <19.8
25-35 in normal
15-25 if >26 bmi |
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Term
| avoid fish and caffein in pregnancy |
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Definition
what should you monitor at each visit?
maternal weight, UA, DM, BP, fundal height, fetal heart soudns |
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Term
time line for fetal development:
1). implanation
2). CNS development
3). reproductive system differentiate
4). distinguish the sex of the baby
5). detect movement
6). earliest chance of survival if born premature |
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Definition
1). implantation- day 7
2). cns develop day 17
3). repro differenctiates week 6
distinguish sex at week 12
movements at week 17
chance of survival at week 24 |
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Term
| low plasma protien A means? |
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Definition
| high rish of trisomie 21 and 18 |
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Term
alpha feoprotien levels are only wvaid if performed at the correct weeks (week 16-180
ghigh lvelves mean increased risk of neural tube defects or multiple pregnancies |
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Definition
| low levels mean trisomie 21 and 18 |
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Term
in trisomy 18 all quadruple screen makers are low except inhibin A (inhibin A is high)
in trisomy 21 maternal alpha feo and estradiol aare low, hcg and inhibin A are high |
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Definition
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Term
gestational DM
RF: family hx, obesity, prior gestation DM, >25 y0 |
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Definition
new onsent glucose in tol. fasting glucose >126 or abnormal glucose tolerance test at week 24-28
treatment: diet/excersise or insulin. do periodic fetal US and nonstress test.
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Term
important maternal physiology changes
1). cardio
2). resp
3). renal
4). endo
5). heme
6) GI |
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Definition
cardio- high CO (increase SV and HR), systolic murmur- normal, heart o2 demand high systolic& diastolic bp low
resp: uterus displaces diaphgram up. decrease RV. TV increase with increase in minute ventilation. Pc02 decrease. dyspnea is a complaint from patients
renal: derease in BUN &cr
endo: mild glucose intol. fasting TG increase
HEm: increase RBC prodcution. hematocrit decrease dilutional
hypercoag state
GI: decrease motility |
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Term
important nutiritonal demands in pregnancy
ca, fluids, folate, iron, protien |
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Definition
calicum is important for lactaition reserve. fluids important for maternal fetal fluid
folate- normal neural tuve development
iron- good for RBC production
protion- need for fetal and placental growth |
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Term
| initial visit & second visit |
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Definition
get CVC, blood ab, Rh typing, pap GC screen UA RPR/VDRP. rubella ab titer, hep B, HIV
16-18 weeks- quadruple screen (4X 4 = 16)
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Term
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Definition
| alpha fetoprotien, hcg, unconjugated estradiol, maternal serum inhibin A |
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