2536609
Description
Flashcards by Annie Nguyen, updated more than 1 year ago
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Created by Annie Nguyen
over 9 years ago
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| Question | Answer |
| What vaccines are avoided in Pregnancy, Immunocompromised, and CD4< 200? | Shingles, MMR, and Varicella |
| What Trimester should a mom be given Tdap and Why? | 3rd Trimester and to protect from pertussis |
| Flo is a 69 yo female, she is requesting a flu vaccine, what do you give? | |
| Hector needs his Hep A and Heb B vaccine, how many return visits (doses) should he schedule to complete the regime. | |
| Harriet is a 70 yo female, she needs a pneumococcal vaccine, what vaccine would you give her (no hx of previous Pneumonia vaccine? | NO HX of Pneumo. Vaccine = Prevnar 13 (first), wait 6-12 months then give Pneumovax 23 (second). |
| Eddie just turned 65 yo, he has the Pneumovax shot at 62; what should he be given next? | Prevnar 13 at >65yo Wait 6-12 mos. give Pneumovax 23. * Prevnar 13 should be give 5 years after Pneumovax 23. |
| Sequences of Breast Maturity What Stage is there a recession of the areola into the general contour of the breast? | |
| During ovulation ( day 14); which hormones peak to release the ovum into the peritoneal cavity? | GnRH-> Pituitary-> Luteinizing and Follicular Stimulating Hormone (LH and FSH) |
| Follicle->Ovum-> Corpus Luteum-> What hormones does the Corpus Luteum secret and what effect the effect on the uterus? | The corpus luteum produces mostly progesterone and small amounts of estrogen. Progesterone- pregnancy hormone thicken/vascularization of the uterine lining. |
| Nagele's Rule | Determine first day of LNMP. Subtract: three months Add: seven days |
| When is HCG detectable in mom's urine? Normal HCG -----?-----, every 1-3 days in the first trimester. | HCG: detectable: 9 days after LH surge or 8-10 after conception. HCG Doubles q1-3 days. |
| What supplement should be started three months before conception (essential in the 1st trimester? | RDA 400mcg folic acid (3 mos. before conception). HX of Neural Tube defect: 4000mcg of folate before conception. |
| UTI in pregnancy: what do you treat with? | Macrodantin 100mg po at hs for 10days |
| At 17-36 weeks, what landmarks are used to measure fundal height? | symphysis pubis to fundus |
| Three Signs during the first Trimester of Pregnancy | Goodell's: softening of cervix Hegar's: soften isthmus of uterus Chadwick: blue cervix |
| Pregnancy Visit Schedule | Every 4 weeks till 28 weeks (7mos)-> every 2 week till 36 weeks(8 mos)-> every week till term (9th mos) FYI: ultra-sound at 18 weeks (4mos), FHT at 20 weeks, and 26 glucose. |
| FDA Pregnancy Categories for Medications | Category A: controlled studies failed to demonstrate risk B: animal studies failed to demo risk C: animal fetal risk demonstrated or no studies on humans or animals available. Category D and X: do not prescribe |
| Jenny, a 29 yo female c/o breast swelling, tenderness, pain, erythema and fever. " the baby is not latching on and has not eaten in 2 days. What is the DX and TX? | Mastitis Cephalexin 500 q 8hrs for 10-14 days. Pt. ED: completely empty breast milk while feeding, ensure good latch for complete milk evacuation. Ensure skin around the nipple stays moist and intact. |
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