OBSTETRICS

Question 1

How do we describe a patients obstetric hx?

Answer 1

G (number of pregnancies); 
P (number of deliveries), 
A (abortions), and living children
T(term births) 
P(preterm births – prior to 37 weeks) 
A (abortions) 
L(living children)

Question 2

A woman who has 2 living children born as preterm twins in her first pregnancy would be designated as what?

Answer 2

0-1-0-2

Question 3

A woman who has been pregnant 4 times, one miscarriage, and 3 children would be what?

Answer 3

G4, P3, A1

Question 4

How do we estimate a due date?

Answer 4

Start day of LMP, go back 3 months, and add 7 days

Question 5

What do we screen for at 24-28 weeks?

Answer 5

alpha fetal protein for neural tube defects and downs

Question 6

What do we test for at 28 weeks?

Answer 6

Rh positive – give RhoGAM if necessary

Question 7

What do we test for a 36 weeks?

Answer 7

GBS

Question 8

What do we test for at 32 weeks?

Answer 8

TDAP for mom, for AB to be passed across the placenta to baby form mom

Question 9

What is the normal rate for a fetal heart?

Answer 9

120-160

Question 10

If during the first 20 weeks bleeding and cramping has occurred but the os is closed and no products of conception have passed – what is it?

Answer 10

Threatened abortion

Question 11

If during the first 20 weeks bleeding and cramping have occurred and the os is dilated and no products of conception have passed – what is it?

Answer 11

Inevitable abortion

Question 12

If during the first 20 weeks bleeding and cramping has occurred and the os is dilated and products of conception have passed – what is it?

Answer 12

Complete abortion

Question 13

how many consecutive spontaneous abortions must occur to consider genetic counseling or an autoimmune cause?

Answer 13

3 or more

Question 14

What medications can be used for an abortion?

Answer 14

Methotrexate and misoprostol (hcg should be lower than 500)

Question 15

What is the normal amount of weight to gain during a pregnancy?

Answer 15

25-35lbs