Missed Period

Question 1

What kind of work conditions should be avoided while pregnant?

Answer 1

Prolonged standing

Exposure to chemicals

Question 2

What kind of exercises should pregnant women avoid?

Answer 2

Anything that could lead to a fall or an abdominal injury

Question 3

Are hair treatments okay?

Answer 3

No clear evidence exists to suggest they aren’t, but they should be avoided

Question 4

Why should hot tubes be avoided?

Answer 4

Possible association with TN defects and miscarriage

Question 5

What food should they avoid?

Answer 5

Raw foods
Raw milk
Soft cheese
Unwashed produce
Shell fish
Steak-like fish

Question 6

How much iron to pregers need?

Answer 6

30 mgs

Question 7

When should the NT close?

Answer 7

By 4 weeks

Question 8

When will the heart begin to beat?

Answer 8

By 7 to 8 weeks

Question 9

Sources of toxo or listeria

Answer 9

Unwashed produce
Raw milk
Soft cheese- Listeria only

Question 10

Sources of mercury

Answer 10

Shark, swordfish, king mackerel, and tilefish

Question 11

Sources of salmonella

Answer 11

Raw eggs

Question 12

Should women avoid sacharrin?

Answer 12

It can cross the placenta, so probably wise to be catious

Question 13

Is caffeine safe?

Answer 13

In moderation, has some association with abortion and low birth weight
- not properly controlled for other factors though

Question 14

Is aspartame safe?

Answer 14

Most likely

Avoid if you have PKU though

Question 15

10 week evaluation

Answer 15

Weight
BP
FHT

Question 16

If mom titers are insufficient for rubella, what should be done?

Answer 16

Give after pregnancy

Question 17

Complications from hyperemesis gravidum

Answer 17

Dehydration
Electrolyte imbalance
Weight loss

Question 18

Dietary measure for nausea and vomiting

Answer 18

Eat small frequent meals
Sold bland foods that are high in carbs and low in fat
Salty in the morning
Sour and tart liquids are better than water

Question 19

When can sex of baby be determined?

Answer 19

by 18th week

Question 20

Risk for previa

Answer 20

Prior pregnancy
> 35
Smoke
Had twins in past
Previous uterine surgery or c-section

Question 21

What is the rule to follow when deciding if a previa will resolve on it’s own?

Answer 21

The earlier in pregnancy the more likely it will resolve on it’s own.
- 24 to 27 weeks there is a 50/50 chance
Marginal previas are also more likely to resolve

Question 22

When should previas seek help

Answer 22

If bleeding starts to occur

Question 23

If previa is present at time of delivery

Answer 23

C-section

Question 24

23 weeks

- Anticipatory guidance

Answer 24

Contraception
Car seats
Breast feeding

Question 25

When should you screen for gestational diabetes?

Answer 25

24 to 28 weeks

- 1 hr glucose tolerance test

Question 26

BP elevation prior to 20th week of pregnancy and persists beyond 12 weeks postpartum

Answer 26

Chronic hypertension

Question 27

Normotensive prior to 20 weeks gestation

BP > 140/90 without proteinuria

Answer 27

Gestational hypertension

Question 28

Normotensive prior to 20 weeks gestation

BP > 140/90 with proteinuria (0.3 g or greater in 24 hrs)

Answer 28

Preeclampsia

Question 29

Mom has seizures

No known seizure disorder

Answer 29

Eclampsia

Question 30

Risk factors of preeclampsia or eclampsia?

Answer 30

Nulliparous
Lower SES
Teens to low twenties
> 35

Question 31

What would categorize HTN, preeclampsia, or eclampsia as severe?

Answer 31

> 160 or >110 for 6+ hrs

Question 32

Why is severe HTN, preeclampsia, or eclampsia concerning?

Answer 32

Associated with

• Preterm delivery
• Small for gestational age
• Abruption

Question 33

When will the babies eyes open?

Answer 33

27 weeks

- They also begin to practice breathing

Question 34

Screening for gestational diabetes with 3 hr GTT
Fasting
1 hr
2 hr
3 hr

Answer 34

95+ or 105+
180+ or 190+
155+ or 165+
140+ or 145+
- Need two to get dx
- Just remember 1st set and add 10 to the first 3 and five to the last