Normal Pregnancy + Prenatal Care

Question 1

what should women who would like to become pregnant begin taking?

Answer 1

folic acid daily

Question 2

what are the risks of tobacco in pregnancy? (6)

Answer 2

growth restriction
placenta previa
placental abruption
low birth weight
maternal mortality
ectopic pregnancy

Question 3

what are the risks of tobacco in children? (4)

Answer 3

sudden infant death syndrome
asthma
colic
obesity

Question 4

number of pregnancies

Answer 4

gravidity

Question 5

number of births

Answer 5

parity

Question 6

what does TPAL mean?

Answer 6

term
preterm
abortions
living children

Question 7

what is recommended for a woman with prior preeclampsia?

Answer 7

daily aspirin after 12 weeks

Question 8

how to calculate gestational age?

Answer 8

Naegle’s rule: LMP - 3 months + 7 days

Question 9

what is the increased need of calories in pregnancy?

Answer 9

additional 300 Kcal / day

Question 10

what 4 vitamins are recommended in pregnancy?

Answer 10

vitamin D
calcium
iron
folic acid

Question 11

which vitamin, if consumed more than 10,000 IU/day increases the risk of fetal anomalies?

Answer 11

vitamin A

Question 12

what is the recommended consumption of fish?

Answer 12

eat 2-3 servings of low mercury fish per week

Question 13

what is the first line management for N/V? (2)

Answer 13

vitamin B6
doxylamine

Question 14

what is the frequency required for routine visits?

Answer 14

q 4 weeks until 28 weeks
q 2 weeks until 36 weeks
q 1 week until delivery

Question 15

what imaging is the first line?

Answer 15

ultrasound

Question 16

during what weeks is an ultrasound for assessment of fetal anatomy recommended?

Answer 16

18-22 weeks

Question 17

when should diabetes mellitus screening take place?

Answer 17

24-28 weeks

Question 18

when should antibody testing occur? what should be given if Rh negative?

Answer 18

28 weeks

Rhogam

Question 19

what lab testing should be done every trimester?

Answer 19

CBC

Question 20

which are 4 conditions that are high risk during 3rd trimester?

Answer 20

HIV
syphilis
chlamydia
gonorrhea

Question 21

when should group B strep testing occur?

Answer 21

36 weeks

Question 22

done at 10-13 weeks; obtain piece of placental tissue for testing

Answer 22

chorionic villus sampling

Question 23

done at 15-20 weeks; obtain amniotic fluid sample for testing

Answer 23

amniocentesis

Question 24

what is the gestational diabetes screening?

Answer 24

1 hour 50g glucose challenge
+
3 hour 100g glucose challenge (diagnostic)

Question 25

when is Rhogam administered in an Rh negative mother?

Answer 25

28 weeks gestation

Question 26

what is the leading cause of infectious mortality and morbidity among newborns?

Answer 26

group B hemolytic streptococcus

Question 27

breast feeding has maternal benefits like a lower risk of . . . (5)

Answer 27

breast cancer
ovarian cancer
diabetes mellitus
hypertension
heart disease

Question 28

when can flu vaccine be given?

Answer 28

any gestation

Question 29

when can Tdap vaccine be given?

Answer 29

27-36 weeks

Question 30

which vaccine is not given during pregnancy but safe with breastfeeding?

Answer 30

HPV

Question 31

which 2 vaccines are contraindicated in pregnancy?

Answer 31

varicella
MMR

Question 32

breast feeding has infant benefits like a lower risk of . . . (3)

Answer 32

infections
SIDS
metabolic disease

Question 33

in an uncomplicated pregnancy, we can await spontaneous labor until ____ weeks

Answer 33

41

Question 34

if a woman has had a prior cesarean delivery, they should undergo a repeat cesarean delivery at ____ weeks

Answer 34

39