OBN: Prenatal Care

Question 1

At ____ weeks, 75g OGTT should be done

Answer 1

24-28 weeks

Question 2

At _____ weeks, BPP can be done among patients with severe complications

Answer 2

24-28 weeks

Otherwise, it can be done at 32-34 weeks AOG

Question 3

At ____ weeks, biometry can be done

Answer 3

ANYTIME

Question 4

Cite the 10 danger signs of pregnancy

Answer 4

General: fever, non-dependent edema
Head: Headache, BOV, vomiting
Abdomen: Epigastric/RUQ pain, decreased fetal movement, dysuria
Vagina: Bloody discharge, watery discharge

Question 5

____ refers to the number of pregnancy irrespective of outcome

Answer 5

gravidity

Question 6

In a primigravid, quickening is felt at ____ weeks AOG

Answer 6

18-20 weeks AOG.

multigravid, 16-18 weeks AOG

Question 7

Cite examples of poor obstetric outcome (cite 6)

Answer 7

1. Two consecutive abortions
2. 3 or more repeated abortions
3. History of preterm delivery
4. History of FDU
5. History of preterm/term neonatal death
6. Previous baby with congenital anomaly

Question 8

Cite examples of High risk pregnancy

Answer 8

1. Extreme age (<=17 or >= 35 years old)
2. Medical complications
3. Poor obstetric history
4. Placenta previa
5. Gynecologic tumors
6. Coexisting trophoblastic disease
7. With problems with fetal aging, structure, size
8. Poly- or oligohydramnios

Question 9

___ syndrome: secondary to intake of this can lead to growth retardation, facial abnormalities, CNS dysfunction

Answer 9

Fetal Alcohol Syndrome

Question 10

___ weeks AOG when the uterus becomes an abdominal organ

Answer 10

12 weeks AOG

Question 11

___ weeks AOG when the fundus is at the umbilicys

Answer 11

20 weeks AOG

Question 12

Weeks at which the fundal height correlates closely with AOG

Answer 12

20-34 weeks AOG

Question 13

as early as ___ weeks, the fetal heart tones can be heard by doppler UTZ

Answer 13

8 weeks

Question 14

Using a stethoscope, the FHT can be heard as early as ___ weeks

Answer 14

16 weeks. 80% at 20 weeks. 100% at 22 weeks.

Question 15

___ leopold maneuver which checks the fetal lie above the pelvic inlet

Answer 15

L3 or pawlick’s

Question 16

____ leopold maneuver to check what fetal pole lies the fundus

Answer 16

L1 or fundal grip

Question 17

____ mg elemental iron needed for large, twin, started late, irregular, decreased hgb

Answer 17

60-100mg elemental Fe/day

Otherwise, normal is 27mg/day

Question 18

___mg folic acid needed if with history of NTD

Answer 18

4mg. Start giving preconception until 1st trimester.

Otherwise, 400microgram

Question 19

Travel is safe up to ___weeks of pregnancy

Answer 19

36 weeks

Question 20

Amniocentesis for karyotyping, FISH, and relieve hydramnios is done at what week

Answer 20

15-20 weeks

Question 21

Common complication of chorionic villous sampling which is done at 10-13 weeks

Answer 21

1. Fetal loss
2. Limb reduction
3. Oromandibular limb hypoplasia

Question 22

What are the indications of fetal blood sampling?

Answer 22

1. Fetal anemia

2. Treatment of platelet alloimmunization

Question 23

Fetal movement is felt by a primigravid at ___ weeks

Answer 23

18 to 20 weeks

Question 24

Fetal movement is felt by a multigravid at ___ weeks

Answer 24

16 to 18 weeks

Question 25

How many days after ovulation can you detect hCG in the urine?

Answer 25

8-9 days after ovulation plateaus at 16 weeks

Question 26

What are the conditions that can result to increased hCG?

Answer 26

1. Multiple pregnancy 2. Molar pregnancy 4. Exogenous injection 5. Impaired renal clearance 6. hCG secreting tumors from GI, ovary, bladder, lungs

Question 27

What is the first sonographic evidence of pregnany seen on UTZ at 4-5 weeks

Answer 27

Gestational sac

Question 28

Yolk sac can be appreciated on what week of pregnancy?

Answer 28

middle of 5th weeks

Question 29

____ refers to an echogenic ring with an anechoic center which confirms intrauterine location of pregnancy

Answer 29

yolk sac

Question 30

____ linear structure adjacent to the yolk sac seen on age >6 weeks

Answer 30

embryp

Question 31

What parameter is predictive of gestational age within 5 days; it can be taken up to 12 weeks

Answer 31

CRL

Question 32

[Fetal heart sounds] age heard using a doppler UTZ

Answer 32

10 weeks

Question 33

[Fetal heart sounds] age heard using a stethoscope

Answer 33

20 weeks

Question 34

[Prenatal Nutrition] Allowable weight gain for pregnant patients with a BMI of 18.5 to 24.9

Answer 34

normal = 1 lb

Question 35

[Prenatal Nutrition] Allowable weight gain for pregnant patients with a BMI of <18.5

Answer 35

Underweight = 1 lb

Question 36

[Prenatal Nutrition] Allowable weight gain for pregnant patients with a BMI of 25 to 29.9

Answer 36

overweight = 0.6 lb

Question 37

[Prenatal Nutrition] Allowable weight gain for pregnant patients with a BMI of >30

Answer 37

Obese = 0.5

Question 38

[Pregnant Nutrition: RDA] Calories

Answer 38

add 100-300kcal/day

Question 39

[Pregnant Nutrition: RDA] protein

Answer 39

add 5-6g per ay

Question 40

[Pregnant Nutrition: RDA] elemental iron, low risk

Answer 40

27mg/day (low risk)

Question 41

[Pregnant Nutrition: RDA] elemental iron, large women, twin pregnancy, anemia

Answer 41

60-100mg/day

Question 42

[Pregnant Nutrition: RDA] iodine

Answer 42

220ug/day

Question 43

[Pregnant Nutrition: RDA] calcium

Answer 43

900mg/day (1 quart of milk_

Question 44

What is the calcium requirement for women age 19-50 years old

Answer 44

1000 mg/day

Question 45

[Pregnant Nutrition: RDA] folate, all women

Answer 45

400 mcg/day

Question 46

[Pregnant Nutrition: RDA] folate, with history of NTD

Answer 46

4mg.day

Question 47

[Pregnant Nutrition: RDA] vitamin C

Answer 47

80-85mg/day

Question 48

[Immunization in Pregnancy] TDap schedule

Answer 48

0,1,6-12 months IM between 27 to 36 weeks Booster every 10 years, once per pregnancy

Question 49

[Immunization in Pregnancy] influenza vaccine

Answer 49

once a year; february to june

Question 50

[Immunization in Pregnancy] hepatitis B

Answer 50

0, 1, 6 IM

Question 51

[Immunization in Pregnancy] what are the vaccines contraindicated in pregnancy?

Answer 51

1. Measles 2. Mumps 3. Rubella 4. Varicella 5. HPV