OB: PRECONCEPTION COUNSELING AND PRENATAL CARE

Question 1

What are some major points in preconception counseling?

Answer 1

cessation of bad stuff (ie alcohol, drugs, tobacco)
Optimization of BMI (18.5-24.9)
Supplementation with Fe and Folate
Immunization and STD testing: tetanus, diphtheria, and acellular pertussis (Tdap); measles, mumps, rubella, and varicella (MMRV ); and hepatitis B. Women who are sexually active should also receive urine screening for chlamydia and gonorrhea.

Question 2

What vaccines are contraindicated in pregnancy?

Answer 2

MMRV, its recommended to get this at least 4 weeks PRIOR to conception

Question 3

When do we give the tdap in pregnancy?

Answer 3

26-37 weeks

Question 4

When do we give the flu shot in pregnancy?

Answer 4

first visit!

Question 5

The first visit for a pregnancy is usually around ______ weeks’ gestational age.

Answer 5

10

Question 6

How do we confirm intrauterine pregnancy?

Answer 6

Transvaginalultrasound is used to confirm intrauterine pregnancy and assess gestational age

Question 7

Naegele’s rule

Answer 7

Naegele’s rule, subtract 3 months and add 7 days to the last onset of menstruation to determine the due date (estimated date of delivery, EDD). The due date is a rough estimation of term gestation, 260 days from the last onset of menstruation.

Question 8

When will BHcG be positive for serum and for urine?

Answer 8

β-hCG will be positive in the serum at day 7 (7–10) and in the urine at day 14 (12–15). T

Question 9

At ten weeks to 13 weeks what measurment in TVUS is used to est gest age?

Answer 9

Crown rump length

Question 10

What does the appointment schedule look like for OB care?

Answer 10

Healthy patients with singleton pregnancies (“normal” pregnancies) are seen every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then every 1 week until birth