Question | Answer |
Prenatal Care- Initial Office Visit | 1. Medical History 2. OB Hx 3. Surgical Hx 4. Family Hx 5. Physical Exam 6. Lab Tests |
Maternal Assessment | 1. Meds 2. Alc/Tobacco 3. Physical Abuse 4. Nutrition 5. Env. exposures |
Subsequent Visits | 1. Maternal Ht & Wt 2. Blood pressure 3. Fundal Height 4. Fetal Heart Tones 5. Edema 6. Fetal size and position |
Lab tests | 1. Hemotocrit (anemia) 2. Blood type 3. Rh factor 4. Antibody screen 5. Syphillis test 6. HIV test 7. Hepatitis surface antigen 8. Pap 9. Urinalysis 10. Urine culture 11. Vaginal infections |
Screen for Diabetes when... | 1. Family Hx 2. Previous Stillborn or macrosomic child 3. Glycosuria 4. AMA 5. Previous GDM |
Maternal Diabetes | 1. Preeclampsia 2. Macrosomia, shoulder dystocia, c-section 3. Hypoglycemia and jaundice 4. NTD 5. Sacral Agenesis 6. Heart malformations |
Late pregnancy complications | 1. Premature Labor 2. Prolonged Pregnancy 3. Preeclampsia (Hypertension, Edema, Proteinura) 4. HELLP 5. Eclampsia |
Conditions predisposing to fetal demise | 1. Maternal Hx 2. Maternal disease 3. OB complications |
Maternal Hx | 1. Prior stillbirth 2. Prior abruption |
Maternal Disease | 1. IDDM 2. Hypertension 3. Renal Disease 4. Autoimmune Disease |
OB Complications | 1. PROM 2. Preeclampsia 3. Post dates 4. Decreased FM 5. Decreased AFV |
Methods of Fetal Assessment | 1. NST 2. CST (contraction stress test) |
Biophysical Profile | 1. NST 2. AFV 3. Fetal breathing 4. Limb movement 5. Fetal Tone (curls up/ extends back) |
Symptoms of Labor | 1. Uterine contractions every 2-3 mins 2. Effacement of the cervix 3. Dilation of the cervix 4. Station |