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OBGYN > OBN: Prenatal Care > Flashcards

OBN: Prenatal Care Flashcards

1
Q

At ____ weeks, 75g OGTT should be done

A

24-28 weeks

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2
Q

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

A

24-28 weeks

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

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3
Q

At ____ weeks, biometry can be done

A

ANYTIME

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4
Q

Cite the 10 danger signs of pregnancy

A

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

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5
Q

____ refers to the number of pregnancy irrespective of outcome

A

gravidity

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6
Q

In a primigravid, quickening is felt at ____ weeks AOG

A

18-20 weeks AOG.

multigravid, 16-18 weeks AOG

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7
Q

Cite examples of poor obstetric outcome (cite 6)

A
  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
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8
Q

Cite examples of High risk pregnancy

A
  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
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9
Q

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

A

Fetal Alcohol Syndrome

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10
Q

___ weeks AOG when the uterus becomes an abdominal organ

A

12 weeks AOG

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11
Q

___ weeks AOG when the fundus is at the umbilicys

A

20 weeks AOG

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12
Q

Weeks at which the fundal height correlates closely with AOG

A

20-34 weeks AOG

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13
Q

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

A

8 weeks

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14
Q

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

A

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

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15
Q

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

A

L3 or pawlick’s

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16
Q

____ leopold maneuver to check what fetal pole lies the fundus

A

L1 or fundal grip

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17
Q

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

A

60-100mg elemental Fe/day

Otherwise, normal is 27mg/day

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18
Q

___mg folic acid needed if with history of NTD

A

4mg. Start giving preconception until 1st trimester.

Otherwise, 400microgram

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19
Q

Travel is safe up to ___weeks of pregnancy

A

36 weeks

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20
Q

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

A

15-20 weeks

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21
Q

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

A
  1. Fetal loss
  2. Limb reduction
  3. Oromandibular limb hypoplasia
22
Q

What are the indications of fetal blood sampling?

A
  1. Fetal anemia

2. Treatment of platelet alloimmunization

23
Q

Fetal movement is felt by a primigravid at ___ weeks

A

18 to 20 weeks

24
Q

Fetal movement is felt by a multigravid at ___ weeks

A

16 to 18 weeks

25
Q

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

A

8-9 days after ovulation

plateaus at 16 weeks

26
Q

What are the conditions that can result to increased hCG?

A
  1. Multiple pregnancy
  2. Molar pregnancy
  3. Exogenous injection
  4. Impaired renal clearance
  5. hCG secreting tumors from GI, ovary, bladder, lungs
27
Q

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

A

Gestational sac

28
Q

Yolk sac can be appreciated on what week of pregnancy?

A

middle of 5th weeks

29
Q

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

A

yolk sac

30
Q

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

A

embryp

31
Q

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

A

CRL

32
Q

[Fetal heart sounds]

age heard using a doppler UTZ

A

10 weeks

33
Q

[Fetal heart sounds]

age heard using a stethoscope

A

20 weeks

34
Q

[Prenatal Nutrition]

Allowable weight gain for pregnant patients with a BMI of 18.5 to 24.9

A

normal = 1 lb

35
Q

[Prenatal Nutrition]

Allowable weight gain for pregnant patients with a BMI of <18.5

A

Underweight = 1 lb

36
Q

[Prenatal Nutrition]

Allowable weight gain for pregnant patients with a BMI of 25 to 29.9

A

overweight = 0.6 lb

37
Q

[Prenatal Nutrition]

Allowable weight gain for pregnant patients with a BMI of >30

A

Obese = 0.5

38
Q

[Pregnant Nutrition: RDA]

Calories

A

add 100-300kcal/day

39
Q

[Pregnant Nutrition: RDA]

protein

A

add 5-6g per ay

40
Q

[Pregnant Nutrition: RDA]

elemental iron, low risk

A

27mg/day (low risk)

41
Q

[Pregnant Nutrition: RDA]

elemental iron, large women, twin pregnancy, anemia

A

60-100mg/day

42
Q

[Pregnant Nutrition: RDA]

iodine

A

220ug/day

43
Q

[Pregnant Nutrition: RDA]

calcium

A

900mg/day (1 quart of milk_

44
Q

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

A

1000 mg/day

45
Q

[Pregnant Nutrition: RDA]

folate, all women

A

400 mcg/day

46
Q

[Pregnant Nutrition: RDA]

folate, with history of NTD

A

4mg.day

47
Q

[Pregnant Nutrition: RDA]

vitamin C

A

80-85mg/day

48
Q

[Immunization in Pregnancy]

TDap schedule

A

0,1,6-12 months

IM

between 27 to 36 weeks

Booster every 10 years, once per pregnancy

49
Q

[Immunization in Pregnancy]

influenza vaccine

A

once a year; february to june

50
Q

[Immunization in Pregnancy]

hepatitis B

A

0, 1, 6

IM

51
Q

[Immunization in Pregnancy]

what are the vaccines contraindicated in pregnancy?

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

OBGYN (33 decks)

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