Mapa mental
PBL case 1 (I think I'm pregnant)
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PBL case 1 (I think I'm pregnant)
mid to late pregnancy
- prenatal tests
- invasive
- amniocentecis
- chorionic villi sampling
- non invasive
- blood test
- ultrasound
- cfDNA
- invasive
- fetus
- quickening
- 18-20 weeks
- fetal heartbeat
- 120-160 bpm
- can be measured 6th week
- quickening
- hemoglobin level
- normal for pregnant
- 11.5-15 gm/dl
- normal for pregnant
- prenatal tests
after delivery
- importance of brestfeeding
- for the infant reduces
- otitis media infection
- gastroentritis
- diarrhea
- asthma
- severe lower respiratory tract infections
- for the mother reduces
- breast cancer
- ovarian cancer
- for the infant reduces
- routine investigations
- Breathing and heart rate monitor
- Fluid input and output
- Blood tests
- Echocardiogram
- Ultrasound scan
- Eye exam
- vaccinations
- physical examinaation
- head shape
- ears and eyes
- red reflex
- hearing test
- mouth (palate)
- heart beats
- lungs
- breathing pattern
- genetiles
- undescended testes
- skin (birth marks)
- spine
- hips (dislocation)
- apgar score
- importance of brestfeeding
medications
- affect pregnancy
- ibuprofen
- disrupt period
- medications that prevent pregnancy
- monophasic 21 day pills
- medications that prevent pregnancy
- safe medications
- Acetaminophen (Panadol)
- cold and flue medications (nasal sprays
- affect pregnancy
beginning of pregnancy
- cases similar to pregnancy
- thyroid irregularity
- polycystic ovary syndrome
- birth control medications
- amenorrhea
- 1ry
- genetic problem, hypothalamic problem
- 2ndry
- natural
- breastfeeding or pregnancy
- medications
- birth controls, antidepressants, BP medications
- natural
- 1ry
- signs of pregnancy
- tender breasts
- softening of the uterus
- dark bluish vagina
- urinary frequency
- constapation
- symptoms of pregnancy
- nausea and vomiting
- absence of menstruation
- ankle swelling
- fatigue
- food cravings
- calculating EDD
- step 1: determining first day of LMP
- step 2:Counting back 3 months from that day
- step 3: add 1 year and 7 days to that date
- Questions and tests
- history taking
- lmp
- past medical history
- genetic screening
- physical examination
- vital signs
- BP: normal fall during the 2nd trimster and then returns back to normal in 3rd tri
- Pulse: 60- 90 beast
- breaths: 16-24/min
- abdominal examination (enlarged uterus)
- pelvic examination (cervical examination)
- BMI
- for normal weight (11-16 Kg)
- vital signs
- testing hormones (blood, urine)
- secretion due to pregnancy
- HCG & HCS
- oxytosin & relaxin
- Prolactin
- progesterone and estrogen
- altered levels due to pregnancy
- thyroid
- erthropoiten
- secretion due to pregnancy
- history taking
- cases similar to pregnancy
Ectopic pregnancy
- common site (ampullary mid portion of the fallopian tube
dangerous habits
- smoking
- increases baby's heart rate
- lowers the amount of oxygen for both
- increases chances of miscarriage and still birth
- risk for the baby developing RT problems
- risk of birth defects
- Alcohol
- fetal alcohol syndrome
- heart defects
- poor growth
- poor muscle tone
- behavioral problems
- smoking