Chapter 14

Question 1

Estimating Date of Birth

Answer 1

After determining the first day of the LMP, subtract 3 calendar months and add 7 days

Question 2

Prenatal Interview

Answer 2

Reason for seeking care, current pregnancy, childbearing and female reproductive history, health history, nutritional history, history of drug/herbal preparation use, family history, social history

Question 3

Follow-Up Visits

Answer 3

Fetal assessment (gestational age, fetal heart tones, health status, fundal height)

Screen for Group B Strep at 35-37 weeks

18-30 weeks, fundus in centimeters should be the same as weeks of pregnancy, +/- 2

Question 4

Adolescent Prenatal Care

Answer 4

Less likely than older women to receive adequate prenatal care

Question 5

Multifetal Pregancy Prenatal Care

Answer 5

Puts the mother and fetuses at increased risk for adverse outcomes

Multifetal pregnancies are more likely to end in prematurity

Spontaneous rupture of membranes before term is more common

Congenital malformations twice as common in monozygotic twins

Question 6

Perinatal Care Choices

Answer 6

Physicians, Certified Nurse-Midwives (CNMs), direct entry midwives or Certified Midwives (CMs), traditional midwives, doulas, birth plans