Signs of Pregnancy
Amenorrhea, nausea/vomiting, and breast changes
Presumptive Sign
Approximate fundal height for a patient that is 28 weeks gestation
28 cm
Treatment for anovulation
Clomephine Citrate (Clomid)
Screening tool using fetal heart rate patterns and accelerations as an indicator of fetal well-being. Considered reactive when 2 accelerations in a 20-minute period are seen.
Nonstress test (NST)
Treatment for this condition includes surgical treatment of a cerclage; a type of purse-string suture
Cervical insufficiency
Positive pregnancy test
Probable sign
Pregnancy broken into terms, roughly 3 months in length.
Trimesters
Given at 28 weeks gestation to mom if she is Rh-
RhoGAM
Usually offered between 15 to 20 weeks for genetic testing, but may also be used for other purposes as clinically indicated
Amniocentesis
Condition in which part of the placenta, or the entire placenta, invades, and is inseparable from the uterine wall.
Placenta Accreta
Subjective signs of pregnancy perceived by the woman
Presumptive signs
The condition that results from a woman lying on her back in mid to late pregnancy, Symptoms include dizziness and feeling faint.
Supine Hypotensive Syndrome
Medication used during an ectopic pregnancy
Methotextrate
Assessing maternal blood as a screening tool for certain developmental defects in the fetus, such as NTD's and ventral abdominal wall defects, occurs between 15 to 20 weeks gestation
Alpha-Fetoprotein (AFP)
"classic" presentation is painless vaginal bleeding in the third trimester
Placenta Previa
These signs are attributed to the fetus
Positive signs of pregnancy
A patient comes into her prenatal appointment with a history of deliveries at 18 weeks, 32 weeks, 38 weeks, and 40 weeks. She has three living kids. Calculate GTPAL.
G5 T2 P1 A1 L3
Used to prevent seizures or during preterm labor for neuroprotection
Magnesium Sulfate
The primary method of fetal surveillance for all pregnancies after 28 weeks gestation is conducted by the patient.
Daily Fetal Movement Count (Daile Fetal Kick Counts)
Headache, blurred vision, dizziness, and epigastric pain
Pre-eclampsia
Chadwick's sign, Goodell's sign, and Hegar's sign
Probable Signs
LMP was 1/13/2023, EDD would be ______?
Given to women between 24 and 34 weeks gestation with signs of preterm labor or at risk for delivering preterm in the next 7 days to aid in fetal lung maturation
Antenatal Corticosteroids (Betamethasone)
This test assesses movement, tone, breathing movement, amniotic fluid, and an NST. A score of 6/10 may indicate a need for repeat testing.
Biophysical Profile (BPP)
Instructions given to patients on when to call the provider (or go to the hospital)
1. Bag of water breaks
2. Decreased fetal movement
3. Fever higher than 100.4F
4. Headache, blurred vision, epigastric pain
5. Vaginal bleeding
6. Contractions occurring 5 minutes apart for at least an hour