Routine Care & Assessments
How often are prenatal visits from 36–40 weeks?
Weekly
When is GBS screening done?
36–37 weeks
When is gestational hypertension diagnosed?
After 20 weeks
What hormone increases insulin resistance?
Human Placental Lactogen
What are two late-pregnancy vaccines recommended?
Tdap and influenza
What maneuver determines fetal lie and position?
Leopold’s maneuvers
What gestational age should Tdap be given?
27–28 weeks
What differentiates preeclampsia from gestational hypertension?
Proteinuria and neuro/lab changes
What are normal blood sugar goals for diabetic pregnancies (FBS, 1-hr, 2-hr)?
<95 fasting, <140 1hr, <120 2hr
What should a patient do if they notice decreased fetal movement?
Rest, hydrate, count again; call if still decreased
What does fundal height roughly correspond to?
Gestational age in cm
When might HIV testing be repeated?
If high-risk before 36 weeks
What medication is used to prevent seizures in severe preeclampsia?
Magnesium sulfate
Daily Double
What are two fetal complications from uncontrolled diabetes?
What are signs of preeclampsia that should be reported?
Headache, visual changes, epigastric pain
What new exam might be added closer to EDC?
Vaginal exam for dilation/effacement
What are risk factors for preterm labor?
Multiple gestation, PIH, infection
What does HELLP stand for?
Hemolysis, Elevated Liver enzymes, Low Platelets
What is used for fetal surveillance in diabetic pregnancies?
NST, BPP, AFI
What are two signs of labor or ROM that require calling L&D?
Gush of fluid, contractions every 5 minutes
What are normal fetal movement count goals?
10 movements in 2 hours
What is a major risk factor no longer commonly listed?
Rh isoimmunization (prevented by Rhogam)
Name two severe complications of eclampsia.
Placental abruption, renal failure
What class of drugs may be used to prevent preeclampsia in Type 1 diabetics?
Low-dose aspirin
What patient education points should be given for safe infant sleep?
Back-sleeping, no loose bedding, firm surface