OB PEARLS Flashcards
HOW LONG DOES PREGNANCY LAST?
37-42
WHAT DEFINES THE FIRST TRIMESTER ?
1-12 WEEKS
WHAT DEFINES SECOND TRIMESTER?
13-27
WHAT DEFINES THE THIRD TRIMESTER?
28 -40
WHAT IS SOFTENING OF THE CERVIX?
GOODELL’S SIGN
WHAT IS CERVICAL CYANOSIS?
CHADWICK SIGN
WHAT IS SOFTENING OF CERVICOUTERINE JUNCTION?
HEGAR SIGN
WHEN CAN YOU VIEW FETAL HEART TONES BY ULTRASOUND?
5-6 WEEKS
WHEN CAN YOU HEAR HEAR HEART TONES BY THE DOPPLER?
10-12 WEEKS
WHEN CAN A SERUM HCG be measured?
9 days after conception
Peaks at 65 days after conception
When is chorionic villus sampling done?
10- 12 weeks
In the first trimester we best for Rubella, can we give a rubella to a pregnancy patient?
NO
Pap smear at the first pregnancy visit. When can we …
If the patient doesn’t have a pap within the last 3 years
Or have had history of abnormal paps
When can a patient have a amniocentesis?
15-20 weeks
When do the patient get the first GGT? What is considered a normal value?
24-28 weeks
1- hour test
Normal Less than or equal to 140
If negative requires a 3 hour GTT
What is the visit schedule for a patient at 36 weeks ?
Every week
What is the prenatal visit schedule for a patient at 26 to 36 weeks
Every two weeks
What is the prenatal visit schedule for patient at o-28 weeks
Every 4 weeks
Calculating EDC with Naegule rule
- 3 months
+ 7 days
When do we measure fundal height?
20 weeks
When do we assess fetal movement?
At 20weeks
You patient BMI is less than 18.5. How much weight can she gain during pregnancy
NONE
Gain 28-40 lbs
your patient has a BMI of 18.5-24.9. How much weight can she gain?
25-35 lbs
A patient BMI is greater than or equal to 35. How much should she gain during pregnancy?
11-20 lbs
What is the age of viability for pregnancy?
24 weeks
A pregnant patient has hypertension. How does the NP determine if its Gestational or preexisting?
If the patient develops HTN after 20 weeks it is considered gestational.
Before this time is considered pre-exiting
Which BP medication pregnant women can use?
Methydopa
Labetalol
Nifedipine
Which two BP medications class that contraindicated for pregnancy? Why?
ACEI and ARBs
Cause intrauterine growth retardation
How much folic acid should Pregnant women take?
1,000 mcg daily
How much folic acid should a women take if wanting to be pregnant?
400 mcg
A pregnant patient is having nausea. Can she have ZOFRAN?
NO
Birth defect
How to treat nausea in a pregnant patient?
unison + b6= Diclegis
Ginger
In a normal pregancy, a patient HCG should double how often
24 -72 hours
What three vaccine can be given during pregancy
COVID-10
FLU
T Dap
When will a pregnancy patient receive the Tdap?
27 to 36 weeks
PATIENT HAS HAD A NORMAL DEXA SCAN. WHEN WILL SHE GET ANOTHER SCAN?
EVERY 2-5 YEARS
THE PATIENT TSCORE IS -2.5 OR LOWER
OSTEOPOROSIS
THE TSCORE IS BETWEEN -1.5-.2.4
OSTEOPENIA
During the patient’s visit you find of the mom is RH-. What is the Rhogam schedule for her
First dose: at 28 weeks
Second dose: has to give in the first 72 hours after birth
You pregnancy is positive for Group B beta strep. What’s the treatment Schedule?
Pen G IV 5mill
THEN
Pen G 2.5-3 mill every 4 hours until delivery
You see clue cells of the wet mount. What is it?
Bacterial vaginosis
Fish odor
+ whiff test
The patient comes in strawberry Cervix with foamy discharge. What is it?
Trich
A patient is experiences abnormal uterine bleeding. What are some causes?
PALM
Polyps
Adenomyosis
Leiomyomal
Malignancy and Hyperplasia
A patient is experiencing abnormal uterine bleeding. What are non- structural causes?
COIEN
Coagulopathy Ovulatory dysfunction Endometrial causes Iatrogenic Causes Not yet classified
Recommend calcium intake for patient with osteoporosis ?
1200 mg per day
A patient with osteoporosis should have how much Vitamin D.
800-1000 IU / day
A patient has had cessation of menses period at 50 for 12 months. What is expected on lab work ?
Menopause work up Increase LH Increase FSH Decrease testosterone Decrease estradiol Decrease progesterone
What does HELLP stand for in pregnancy women?
Hemolysis
Elevated Liver Enzymes
Low platelets
Your pregnancy patient has HSV2. When will treatment start for her.
36 weeks
If the patient has outbreak at labor, c-section is indicated
When to check for AFP?
16-20 weeks
where is the fetus located at 12 weeks
Above the symphysis pubis
Where is the fetus at 15-16 weeks ?
Between the umbilicus and symphysis pubis
A mother comes in the clinic and unsure of the LMP or conception date. The other states she felt the baby move for the first time today.What is the estimated weeks of gestations if the mother is accurate.
16 weeks
16-18 weeks
A mother should feel her baby move by 20 weeks
A pregnant patient comes into the clinic with a HGC>1500, but the US fails to show pregnancy. What should you expect?
Ectopic Pregnancy
Referral
A patient is in her 2nd to 3rd trimester presents with bright red blood that is painless. Uterus soft and non-tender
What do you expect?
Placenta Previa
What is the treatment for placenta previa?
NO VAGiNAL EXAM
Bed rest
Magnesium
OB referral - Critical patient
A patient in their late trimester comes in with vaginal bleeding. Uterus contracted and painful. Abdomen hard and rigid.
What do you expect?
Placental abruptio
Your patient is RH - on their indirect Coombs test. When is the plan of care for her pertaining to RH?
Rhogam at 28 weeks
Rhogam after labor —up to 72 hours
When do you order GTT in pregnant patients?
24- 28 weeks
What is the diagnostic criteria for for preeclampsia?
140/90 on two occasions
Proteinuria with 300 or greater in the urine
