Duke PA Prenatal Care
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| show | 18 weeks
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| Two major goals of prenatal care in the last half of pregnancy are diagnosis of __ | show 🗑
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| show | Measurement of blood pressure, measurement of uterine fundus to assess fetal growth, auscultation of fetal heart tones/assessment of fetal activity, (determination of fetal presentation in the third trimester)
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| show | Acetaminophen, Benadryl, Claritin/Zyrtec, Sudafed (with caution/elevation of BP), Metamucil
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| show | NSAIDS, fluoroquinolones
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| show | Any of the penicillins
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| If the patient is allergic to penicillin what is another antibiotic that can be used during pregnancy | show 🗑
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| show | Amenorrhea, N/V, breast tenderness, fatigue, urinary frequency, quickening, increased basal body temp, chloasma, linea nigra, stretch marks, spider telangiectases
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| When do most women experience quickening | show 🗑
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| show | Chadwick’s sign
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| Name the sign: Softening of the uterine isthmus | show 🗑
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| Name the sign: Softening of the cervix | show 🗑
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| show | Fetal heart tones, palpation of fetus, ultrasound of fetus
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| When can fetal heart sounds be heard with Doppler | show 🗑
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| When can the fetus be palpated | show 🗑
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| When can you discover cardiac activity on ultrasound of the fetus | show 🗑
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| show | 7-8 weeks
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| When can you see general movement on ultrasound of the fetus | show 🗑
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| Serum pregnancy test can detect pregnancy as early as __ after conception | show 🗑
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| When should a serum pregnancy test be done | show 🗑
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| hCG is produced by the placenta about __ after fertilization | show 🗑
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| hCG is detectable __ after conception | show 🗑
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| hCG doubles every __ | show 🗑
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| when does hCG peak | show 🗑
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| show | 21-24 days
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| show | Multiples, or molar pregnancy
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| what does a very slow rising level of hCG indicate | show 🗑
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| show | 280 days, 40 weeks, 10 lunar months, 9 calendar months
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| What is Nagele’s rule | show 🗑
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| What is the most accurate noninvasive method of finding gestational age | show 🗑
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| show | 3
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| When is a transabdominal ultrasound done | show 🗑
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| What is the window of time during which a transabdominal ultrasound can be used to evaluate fetal growth/anatomy | show 🗑
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| __% of pregnancies are dangerous to the health of the mother and or fetus | show 🗑
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| show | DS markers; 2 vessel cord, neural tube defect, anencephaly, hydrocephaly, cleft lip/palate, diaphragmatic hernia
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| When should prenatal care ideally start | show 🗑
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| show | 20
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| The fundus of the uterus is at the pubic symphysis at __ | show 🗑
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| The fundus of the uterus is palpable in the abdomen at __ | show 🗑
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| The fundus of the uterus is at the midpoint between symphysis and umbilicus at __ | show 🗑
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| The fundus of the uterus is at the umbilicus at __ | show 🗑
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| When do you start measuring from the symphysis to fundus in centimeters | show 🗑
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| show | 36 weeks
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| show | CBC, type and screen, RPR (syphilis), Rubella, Hep B, HIV, glucose tolerance test, maternal serum screen
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| When is the maternal serum screen offered | show 🗑
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| What is the purpose of the maternal serum screen | show 🗑
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| When is the 1 hour glucose challenge test done | show 🗑
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| When should you check mom for group B strep | show 🗑
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| show | Tell her to drink some juice or water, lay on her left side and feel for movement for one hour. If there is still no movement tell her to come in for evaluation
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| show | 110-160
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| show | <110
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| What is fetal tachycardia | show 🗑
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| show | Non-stress test, fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume
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| show | 8-10
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| show | 4 or less
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| Fetal US: 5-13 weeks, measure: | show 🗑
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| Fetal US: after 13 weeks, measure: | show 🗑
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| Quad screen: diff btw Trisomy 21 & 18 | show 🗑
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| GDM RFs | show 🗑
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| Antenatal visits start: | show 🗑
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| Most widely used test of fetal lung maturity | show 🗑
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| erythroblastosis fetalis = | show 🗑
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| Screening for Down syndrome can be performed when: | show 🗑
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| show | 50% of growth abnormality, prevent 70% of eclampsia, 80% of breech presentations
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