Normal Pregnancy

Normal Pregnancy - Normal Pregnancy CAPT Mike Hughey, MC,...

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Slide 1 Normal Pregnancy CAPT Mike Hughey, MC, USNR
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Slide 2 Symptoms of Pregnancy Nausea (1st TM) Breast and nipple tenderness (1st TM) Urinary frequency (1st & 3rd TM) Patient thinks she’s pregnant
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Slide 3 Pregnancy Tests are Very Reliable Turn positive at about the first missed period (4 weeks after the LMP or 14 days after conception. Detect ~30 units of HCG Double the sensitivity by doubling the amount of urine.
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Slide 4 Serum can be Used May use serum if urine is unavailable Tape red-top tube to the wall After 10 minutes, draw off enough serum to match, drop for drop, the urine required for the test. Sludging of proteins, albumin can be a problem Different forms of HCG in urine and serum Will work well enough for most purposes.
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Slide 5 Routine Visits Q4 weeks until 28 weeks Q2 weeks, 28-36 weeks Q week, 36-delivery
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Slide 6 Routine Visits At each visit:
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Slide 7 Urine Test for Protein and Glucose Protein may indicate pre- eclampsia Glucose may indicate gestational diabetes
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Slide 8 Estimating Gestational Age LMP plus 280 days Add 7 days, subtract 3 months MacDonald's Rule (cm = weeks)
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Normal Pregnancy - Normal Pregnancy CAPT Mike Hughey, MC,...

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