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Ob-gyn
boards and wards ob-gyn
| Question | Answer |
|---|---|
| (G)ravida P/PA/TPAL = | # of pregnancies total regardless of outcome including current one |
| G(T)erm PAL = | total # of births of gestations at least 37 weeks old |
| G(P)ara = | total # of viable (>20 wks) births. Twins etc count as 1 birth for the purpose of this notation. ex: G5P3113. This indicates 5 pregnancies, with 3 term births, 1 preterm birth, 1 abortion/miscarraige, 3 living kids |
| GP(A)bortus = | total # of pregnancies that were lost for any reason |
| GT(P)reterm AL = | total # of preterm births (20-<37 weeks or 500-2500 grams) regardless of life |
| GTP(A)bortions L = | total # of abortions/stillbirths/miscarraiges/ectopics |
| GTPA(L)iving = | total # of living children |
| G3 T1, P1, A1, L3 or GP1-1-1-3 = | a pregnant woman who carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; carried one pregnancy to 9 weeks as an ectopic (tubal) pregnancy; and has 3 living children |
| chadwick's sign = | bluish vagina due to vascular congestion <-- due to pregnancy |
| hegar's sign = | softened cervix <-- due to pregnancy |
| pregnancy tests detect... | human chorionic gonadotropin (hCG) |
| hCG is made by a fertilized egg when? | even before implantation |
| commercial pregnancy tests can detect hCG when? | 12-15 days after conception |
| commercial pregnancy tests are frequently falsely _____ and rarely falsely _____ | negative, positive |
| ultrasound can detect a gestational sac at week... | 5 |
| ultrasound can detect the fetus at week... | 6-7 |
| ultrasound can detect cardiac activity at week... | 8 |
| the best way to determine gestational age in the 1st trimester is... | ultrasound |
| 1st visit obstetrical questions for pregnant woman = | number of previous pregnancies, mode of delivery (vag,c-sec,vaccuum), previous length of labor, complications (mom,baby,postpartum), previous baby's gender and weight |
| if a woman is pregnant ask (not ob q's)... | menstral Hx, contraception? (current/future), current meds (teratogens!), smoking/drugs, type of work and animals? (exposure risks). Diabetic or HTN?, family Hx |
| Nagele's rule = | to calculate estimated day of confinement. LMP + 1 yr & 1 week - 3 months. ex: if LMP = 7/1/12 then EDC = (7/1/12)--> 7/8/13 ---> 4/8/13. THIS IS ONLY TRUE FOR 25% (MAX) OF WOMEN (their cycle is regular, 28 days with a days menses) |
Created by:
eweeks