Misc 1
Sort the following between presumptive, probable, positive
Increased Urination Chadwick's Sign
Amenorrhea Hegar's Sign
+ pregnancy test Nausea & Vomiting
Fetal heartbeat Ultrasound detection fetus
Presumptive: Increased Urination, Amenorrhea, N/V
Probable: Chadwick's Sign, Hegar's Sign, + pregnancy test
Positive: Fetal heartbeat, Ultrasound detection fetus
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An HIV + pregnant woman would NOT be receiving what prenatal test(s)?
Amniocentesis & Chorionic Villi Sampling (CVS)
Stacy is considered a high-risk pregnancy. She is advised she should take _____ test to determine _____.
How is this test done?
Stacy is considered a high-risk pregnancy. She is advised she should take Contraction Stress Test to determine is how fetus will tolerate stress of labor via simulated contractions (indicates type of birth).
How is this test done?
Stimulates contractions - nipple stimulated or oxytocin administration
Folic acid in prenatal care does what?
prevent spina bifida & neural tube defects/neurological defects
Components of an umbilical cord:
The umbilical cord has ___ artery and ___ veins
The umbilical cord has 2 arteries and 1 vein
Detail McDonald's Rule
to assess if baby growing properly (fetal growth) & determine gestational age
fundal height in cm = gestation
measure symphysis pubis to fundus
What does Gravida & Para mean?
GRAVIDA - total # of pregnancies
PARA - # of births after 20wks
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Shelly is pregnant and via blood draw was found to have abnormal levels of AFP. She has a family Hx of chromosomal abnormalities. She was told to not hold her breath during this test?
Amniocentesis
An HIV + mother gives birth she would be advised that:
don't breastfeed = possible transmission
What tests should a patient expect to have performed at each prenatal visit
-Dip urinalysis for protein and glucose
-Fetal Heart Tones and Fundal Height
-Weight
-Blood pressure
Helen is a 34-year-old pregnant lady who is currently 19 weeks pregnant. She reports she gave birth to 3 previous children who were all delivered vaginally. She also reports a previous miscarriage and another pregnancy that was terminated.
Gravida (total pregnancies)- 6
Para (total births) - 3
What does GTPAL Mean?
G- total # of pregnancies
T- Total births/Full Term (37wks+)
P- Preterm births (20-36wks)
A- Abortions/Miscarriages (under 20wks)
L- Living Children (total # of living children)
Identify the test:
Mom senses a no movement in baby. Non-invasive.
Non-Stress Test
Fetal HR to fetal movement
Detail Reactive Results & Non-Reactive Results from Non-Stress Test. Are there risks with this test?
Reactive:
FHR accelerates 15bpm, Occurs 2+ times in 20 min = fetus oxygenated / life is good
Non-Reactive:
FHR doesn't accelerate w/ fetal movements or no fetal movement (MORE TESTS TO BE DONE - BPP)
No risk, non-invasive
Normal Fetal Heart Rate
110-160
True or False: HPV is treated with antibiotics?
False. Creams or laser treatments can be used to treat the warts.
Give or do not give rhogam to the following: (???)
1. Rh(-) & Coombs(-) at 28 weeks pregnant
2. Rh (+) & Coombs (-) at 26 weeks pregnant
? When is it "too late to give Rhogam"?
1. Yes give Rhogam
2. No do not give Rhogam
If a patient is currently 8 weeks pregnant and has another 1 y/o children who was previously born at 39 weeks and a 4 y/o who was previously born at 33 weeks. Determine GP & GTPAL
G-3 (total # pregnancies) P-2 (# of births 20wks+)
G3 T1 P1 A0 L2
G-3 T-1 (full term36+) P-1 (pre term 20-36)
A-0 (abortions/miscarriages) L-2 (living children)
This optional screening test is performed via blood draw. Low results indicate Down Syndrome's. High Results indicate neural tube defects.
Maternal Alpha-Fetoprotein
This test is able to detect genetic chromosomal abnormalities. But unable to detect neural tube defects. Performed at 10-13wks
Risks of with this test?
Chorionic Villi Sampling (CVS)
Done via aspiration of fluid (needle) , assess developing placenta, needs full bladder
Risk of: miscarriage, fetal limb loss, infection, membrane rupture
Correct Needle Size to inject a Newborn & correct musc to inject newborn
25g 5/8in length // Vastus Lateralis
Oligohydramnios may cause :
Intrauterine growth restriction
Naegele's Rule: A patient's LMP was August 28, 2023. What is the EDD?
30 day months: September, April, June, November
June 4th 2024
Jennifer is 18 weeks pregnant. she has a 10 year old son by her first husband and a two year old daughter by her second husband. she had an elective abortion when she was a teenager. calculate gravida and para:
Gravida (total pregnancies): 4
Para (total births 20wks+): 2
G4 P2
A negative CST would indicate?
A positive CST would indicate?
Risks of CST?
(-) normal = no late decelerations / ok for vag birth
(+) abnormal = late decelerations / poss c - sec
Risks = pre term labor
A pregnant mom is doing a BPP to assess her fetus. What does this entail? Is there any risks?
She then receives a low result of 0. What does this mean?
BPP - real time ultrasound to visualize fetus & obs for responses to stimuli
No risks, non-invasive
Low score (0-2) = High Suspicion Asphyxia = Eval for delivery
High Score (8-10) = Normal, No Intervention
How many visits does a (healthy/no complications) pregnant lady go to prenatal care/OB visits?
4-28wks - 1 time / month
28-36wks - Every 2weeks
36wks-Delivery - Every week
What happens to a women's cardiovascular system when becoming pregnant?
-RBC's increase by 20%-40%
-Hemoglobin and hematocrit decrease
-White blood cells increase