Antepartum

Question 1

Low birthweight

Answer 1

<2,500g (5.5lbs)

Question 2

Very low birthweight

Answer 2

<1,500g (3.31lbs)

Question 3

Extremely low birthweight

Answer 3

<1,000g (2lb 3oz)

Question 4

Preterm

Answer 4

Born before 37 weeks gestation

Question 5

Postterm

Answer 5

Born after 42 weeks gestation

Question 6

Parity

Answer 6

of times woman has given birth to a fetus of at least 20 weeks gestation, counting multiple births as one event

Question 7

Qualitative pregnancy test (urine)

Answer 7

Will be positive or negative.

Used OTC and in health care settings

Question 8

Semiquantitative pregnancy test (urine)

Answer 8

Reported in categories of units based on amount of hormone present, available outside the U.S.

Question 9

Quantitative (serum)

Answer 9

Reported in units, available in healthcare settings; used to diagnose pregnancy and monitor progress

Question 10

Presumptive signs of pregnancy

Answer 10

Subjective s/s woman experiences- nausea, breast changes, amenorrhea, skin changes, fatigue, fetal movement, etc.

Question 11

Probable signs of pregnancy

Answer 11

Maternal physiologic/anatomic changes healthcare provider can observe on exam - enlargement of abdomen, vaginal changes, basal body temperature elevation, endocrine pregnancy test

Question 12

Positive sign of pregnancy

Answer 12

Diagnostic of pregnancy - US or xray of fetus, ID of fetal heart activity, detection of fetal movement by examiner

Question 13

Location of uterine fundus during pregnancy 
12 weeks
16 weeks 
20 weeks 
28 weeks 
36 weeks

Answer 13

12 weeks - @ symphysis pubis
16 weeks - 1/2 way between symphysis pubis and umbilicus
20 weeks - at umbilicus
28 weeks - 1/2 way between umbilicus and xiphisternum
36 weeks - at xiphisternum

Question 14

Risk factors associated w/ higher perinatal risk

Answer 14

• lack of access to resources i.e. prenatal care
• high risk ethnic groups (AA)
• Smoking or other substance use
• Poor diet, no exercise
• Environmental/pollutants, chemical exposure, long work hours, prolonged standing/lifting
• VBAC, overuse of C-section, previous loss/complication
• BMI >35
• Family hx of NTD or other anomalies
• Chronic diseases
• PMH of cancer
• Mental health disorders

Question 15

Genetic screenings offered

Answer 15

• 1st prenatal visit includes comprehensive family history (including PMH, FHx, pregnancy outcomes on 1st, 2nd & 3rd degree relatives)
• 1st trimester screen done 11-13 weeks, and includes nuchal translucency measurements by US and maternal serum measurements of free or total beta-hcg and PAPP-A
• Quad screen offered 15-20 weeks