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missed menses- appts start q 1 mo routine tests -urine QHCG -schedule 1st prenatal appt. tests for high risk pt -blood QHCG -P1, ectoptic warnings |
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tests for high risk patients -US for fetal heart tones & fetal pole |
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initial prenatal appt routine tests -ABO Rh -Rubella -CBC -U/A +Clx -PAP -STI screening -Hep B, HIV -CF screening offered tests for high risk pt -1 HR gluocola screen for hx GD -varicella titer -toxo screening if exposed |
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can do chorionic villi sampling |
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organogenesis is complete routine tests *fetal heart tones by doptone, wt, BP, U/A each visit tests for high risk pt -risk of miscarriage decreases -nuchal translucency for Downs serum markers for trisomy |
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routine tests -AFP triple/quad screen -MEASURE FUNDAL HTS high risk -amniocentesis |
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fetal movement felt "quickening" |
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routine anatomy ultra-sound |
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routine appt start the lamaze class, ask if baby is active each visit high risk -warnings for pre-eclampsia & pre labor |
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routine tests -o'sullivan gluose, repeat CBC -serum RH & Ab (give Rhogam) high risk -3 hr gluocose tolerance test |
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braxton hicks contractions |
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appts start every 2 wks count fetal movements 3-4/half hour |
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routine appt- leopold manuever vaginal clx for GBS- @ 35 wk |
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BABY IS AT TERM start wkly cervical exam fetal mvmt slows, fetus is engaged (vtx) high risk -biophysical profile -non-stress test |
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routine appt high risk -monitor closely for labro & S&S of PIH |
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routine appt high risk -discuss delivery/induction options |
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routine test -non-stress test high risk -induce labor |
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