Antepartum 2

Question 1

Values for 3-hr. GTT

Answer 1

ACOG:
Fasting 95, 1hr 180, 2hr 155, 3hr 140
ADA
Fasting 92, 1hr 180, 2hr 153 no 3 hr

Question 2

Define Consultation

Answer 2

The advice or opinion of a physician or another member of the health care team is sought while the midwife retains primary responsibility of the woman’s care.

Question 3

Define Collaboration

Answer 3

The midwife and physician jointly manage the care of a woman or newborn who has become medically, gyn, or ob complicated. The goal is to share authority while providing quality care within each scope of practice

Question 4

Define Referral

Answer 4

The midwife directs the client to a physician or another health care professional for management of a particular problem or aspect of the client’s care

Question 5

safe immunizations during pregnancy

Answer 5

flu, pertussis (tDAP)

Question 6

unsafe immunizations

Answer 6

varicella, rubella

Question 7

Meds to Tx UTI in pregnancy

Answer 7

• Amoxicillin 500 mg TID 3-7/days
• Ampicillin 250 mg qid 3-7 days
• Cephalosporin 250 mg qid (Keflex)
• Nitrofurantoin 100mg qid not after 36 wks
• Sustained release nitrofurantoin 100 mg bid (macrobid) not after 36 wks

Question 8

Rubella is most dangerous in which trimester

Answer 8

first

Question 9

Varicella is most dangerous in which trimester

Answer 9

third

Question 10

Fifths dz (Parvo) is most dangerous in which trimester

Answer 10

second

Question 11

what causes listeria

Answer 11

uncooked meats, lunch meats, soft cheeses

Question 12

pre/post term

Answer 12

pre - before 37 wks

post after 42

Question 13

pre/post dates

Answer 13

before or after due date.

Question 14

IgM vs. IgG

Answer 14

IgG - grandmother - infection in the past
IgM - Mother - recent infection
drawn to detect if parvo antibody is recent or past

Question 15

MCV large

Answer 15

macrocytic

Low folate

Question 16

MCV small

Answer 16

microcytic
low iron
caution to not give iron if thalassemia

Question 17

Why is pregnancy hypercoaguable state

Answer 17

?

Question 18

What is TORCH

Answer 18

toxoplasmosis
other
rubella
cmv
herpes

Question 19

BPP

Answer 19

NST
Breathing motion
Fetal Movement
Fetal tone
AFI

Question 20

chlamydia

Answer 20

azythromycin 1000mg once

test of cure & at 36 wks

Question 21

gonorrhea

Answer 21

rocephin 250 im once

test of cure & at 36 wks

Question 22

syphilis

Answer 22

penicillin - x3 doses follow titers

Question 23

positive PPD

Answer 23

TB skin test

Question 24

treatment for pos PPD

Answer 24

Chest X-ray consult pulmonary

Question 25

precautions for moms with multiples

Answer 25

Risks PTL

Question 26

components of Bishops score

Answer 26

dilation, effacement, station, consistency, position

Question 27

What do you do for Size < Dates and Size > Dates, and when do you do it?

Answer 27

?