Pregnancy Basics
Calculate the EDD for LMP of 10/6/2025
July 13, 2026
This test is used to screen for GDM
1 hour glucose tolerance test (GTT)
This is done by the pregnant client every day to monitor fetal wellbeing
fetal movement (kick) counts
This medication is given to women with preeclampsia to prevent seizures
Magnesium Sulfate
This test is used to diagnose GDM
3 hour glucose tolerance test (GTT)
The fundal height is at the umbilicus at this gestational age
~20 weeks
When and how do we typically test for GBS in pregnancy?
vaginal/rectal swab ~36 weeks
Why do we test for GBS in pregnancy? What is done if mom is GBS positive?
Definition of reactive non-stress test
2 accelerations in 20 minutes
Symptoms (subjective findings) of organ injury in a woman with preeclampsia
headache, visions changes, RUQ (epigastric) pain
What is the key to optimal outcome for pregnancies affected by diabetes?
euglycemia
Recommended weight gain in pregnancy is
25-35 pounds
Be sure to give this if your patient is Rh negative and having invasive testing like amniocentesis or CVS
RhoGAM
What are other times RhoGAM is given?
This test for fetal well-being has 5 categories and includes an NST and ultrasound screenings
biophysical profile (BPP)
Definition of preeclampsia
BP over 140/90 with proteinuria or other evidence of organ injury
What happens to insulin demands just after delivery of fetus?
drastic drop
Quickening occurs at this gestational age
16-20 weeks
These three levels are evaluated with urinalysis at each prenatal visit
protein, glucose, nitrites
The definition of a positive contraction stress test
3 contractions in 10 minutes with recurrent late decels
Signs of magnesium toxicity
low respiratory rate, decreased reflexes, decreased LOC
(assess your patient every hour; stop magnesium sulfate and give calcium gluconate if signs of magnesium toxicity)
Name 3 risks to infants of diabetic mothers
Macrosomia
Hypoglycemia
Birth injuries
Preterm birth
Fetal death
Congenital malformations
Fundal height equals gestational age during this time frame of the pregnancy
18-30 weeks
(Remember, this is accurate +/- 2 weeks)
Purposes of amniocentesis
1. Diagnosis of genetic/chromosomal abnormalities. 2. Fetal lung maturity
Variable decelerations are caused by
Cord compression
What are signs of HELLP syndrome?
Hemoloysis
Elevated Liver enzymes (LDH, AST, ALT)
thrombocytopenia (Low Platelets) <100,000
Name 2 maternal risks associated with diabetes in pregnancy
Hypertension, preeclampsia
Cesarean/operative birth
Polyhydramnios
Infections
Ketoacidosis
Hypoglycemia