Karteikarten
OB/Community Final
Karten in diesem Stapel (19)
- 1Prenatal Assessmentlength of previous gestation, weight of infant(s) at birth, previous labor experience, infant/maternal complications, method of feeding/current plan, types of anesthesia/problems with it, special concerns
- 2GTPALGravida (all pregnancies), Term (>37 wks), Preterm (20-36 wks), Abortions, Living children
- 3EDCNaegele's rule --> Take LMP, subtract 3 months, add 7 days, and change year if needed
- 4Family Violence CycleTension Phase --> Violence Phase --> Honeymoon Phase
- 5Non-Stress TestIdentifies an increase in FHR when the fetus moves when uterine activity is recorded and stimulated with vibration or sound --> reassuring or non-reassuring results (no movement after 40 mins)
- 6Contraction Stress TestRecords the response of FHR to stress induced by uterine contractions through oxytocin/nipple stimulation (3 contractions in 10 mins is reassuring) this is usually used for non-reassuring results is a NST --> want result to be negative
- 7Prenatal ScreeningsNuchal translucency ultrasound, combined test, multiple marker triple/quad screen, serum integrated screen, cell-free DNA
- 8Prenatal DiagnosticChorionic villus sampling, amniocentesis, percutaneous umbilical blood, preimplantation genetic diagnosis
- 9Cell-Free Fetal DNA (S)cannot determine the differences between infant and maternal DNA. 10-12 wks is ideal but as early as 5-7 wks. Targets: trisomy 21,18,13, sex chromosomes, microdeletions, microduplications
- 102nd Trimester Multiple-Marker Screeningtriple screen includes alpha fetal protein, human chorionic gonadotropin, unconjugated estriol If placental hormone inhibin A is added its a quad screen. Targets: trisomy 18, 21, open neural tube defects. 15-22 6/7 weeks w/ optimal time of 16-18 wks.
- 11Chorionic Villus Sampling (D)10-13 wks and used to diagnose fetal chromosomal, metabolic, and DNA abnormalities
- 12Amniocentesis (D)15-20 wks and diagnosis chromosomal, metabolic, and genetic abnormalities --> chromosome abnormalities in 2nd trimester and lung maturity in 3rd trimester
- 13Percutaneous Umbilical Blood Sampling (D)after 18 wks and they take fetal blood from cord through mothers abdomen (high risk and safety issue)
- 14Preimplantation Genetic DiagnosisONLY FOR IVF and looks for 1+ cells from embryo 3-7 days after fertilization
- 15AbortionLess than 20 wks or fetus weights less than 500 grams
Spontaneous vs induced - 16Placenta PreviaImplantation of the placenta --> marginal, partial, total
at risk: older women, multiparas, previous CS, previous uterine surgery, Asian, cigarette smoking or cocaine use - 17Placenta AbruptionSeparation of a normally implanted placenta before the fetus is born --> partial/complete. Causes: cocaine use, maternal HTN, cigarette smoking, multigravida status, short umbilical cord, abdominal trauma, PROM, history of abruption
- 18PreeclampsiaGeneral vasoconstriction and vasospams that effect the kidneys, liver, brain, and placenta. Prevention: low dose aspirin, calcium/mag supplements, and fish oil. Clinical manifestations: HTN, proteinuria, thrombocytopenia, renal insufficiency, impaired liver function, pulmonary edema, cerebral/visual symptoms. HELLP: hemolysis elevated liver enzymes low platelets
Symptoms: pain in right upper quadrant, N&V, severe edema - 19—
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- Beschreibung
- OB/Community Final Karteikarten am OB/Community Final, erstellt von Mikayla Shawver am 15/12/2019.
- Erstellt von
- Mikayla Shawver
- Aufrufe
- 2
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