Please enable JavaScript.
Coggle requires JavaScript to display documents.
Preconception and Antepartum Care (assessment of fetal well being (NST…
Preconception and Antepartum Care
initial prenatal visit
risk assessment
chronic medical conditions
initial assessment of GA/EDD
onset of LMP
Naegele rule
U/S
transvaginal
3-4 wks of gestation
beta hCG of 1000- 2000
subsequent antenatal visits
BP and UA
determine baseline in order to detect gestational HTN
Weight
Physical findings
fundal height measurements
20 wks at level of umbilicus
btw 16-18 wks GA until 36wks, fundal height in cm approx equal to GA
fetal heart rate
normal: 110-160 bpm
uterine palpation
determine fetal presention
U/S
ectopic pregnancy
nuchal translucency
placental and cervical abnormalities
Screening tests
1st trimester
PAPP-A
beta hCG
U/S for nuchal transparency
2nd trimester
triple screen: MSAFP, estriol, hCG
quad screen: MSAFP, hCG, estriol,
inhibin
3rd trimester
24-28 wks
glucose challenge
glucose tolerance test
35-37 wks
group B strep
assessment of fetal well being
NST
measures FHR, patterns, and accelerations for ≥ 20 mins
reactive = reassuring
contraction stress test/ oxytocin challenge test
measures FHR response to stress of uterine contraction
high false positive incidence
BPP
consists of
fetal breathing movements
fetal movements
fetal tone
amniotic fluid volume
pocket of ≥ 2cm
NST
U/S of umbilical artery blood flow velocity
assessment of fetal maturity
L/S ratio
phosphatidylglycerol
not present until 35 wks GA
marker of complete lung maturity