Pre Natal Care Flashcards
0
Q
Fern pattern is seen on ____ days of the menstrual cycle
A
7-18th day
1
Q
This is not a reliable indication of pregnancy until 10 days or more after the time if expected onset of ____
A
Cessation of menstruation
2
Q
Fern pattern is dependent on the increase concentration of ___
A
Sodium chloride
3
Q
Fern pattern indicates the presence of ___
A
Estrogen
4
Q
Beaded pattern is found on _____
A
After 21st day
5
Q
Beaded pattern is usually encountered during ____
A
Pregnancy
6
Q
Beaded pattern indicates presence of ____
A
Progesterone
7
Q
Characteristic during the first pregnancy
A
Changes in breast
8
Q
The vaginal mucosa appears dark blue and congested
A
Chadwick sign
9
Q
What are the skin changes in time of pregnancy
A
Increase in pigmentation
Abdominal striae
10
Q
In what week does the uterus increase in size limited to AP diameter
A
1st few weeks
11
Q
In what week does the uterus appears globular
A
12 weeks
12
Q
In what week does hegar sign appears
A
6-8 weeks
13
Q
This is the softening of the isthmus
A
Hegar sign
14
Q
Soft blowing sign synchronous to the maternal pulse
A
Uterine souffle
15
Q
Whistling sound synchronous with the fetal pulse
A
Funic souffle
16
Q
What is the cervix change as pregnancy advance
A
Increased cervical softening
17
Q
Perception of fetal movement in primigravid
A
18-20 weeks
18
Q
Perception of fetal movement in multigravid
A
16-18 weeks
19
Q
Fetal heart action in standard non-amplified stethoscope
A
17-19 weeks
20
Q
Fetal heart action in doppler equipment
A
10 weeks
21
Q
Fetal heart action in transvaginal
A
5 weeks
22
Q
What are the sounds perceived by the examiner beside the fetal heart tone?
A
Uterine souffle Funic souffle Sounds from fetal movement Maternal pulse Sounds from maternal intestinal peristalsis
23
Q
The ___ subunit of HCG is similar to:
A
Alpha
LH
FSH
TSH
24
HCG prevents the involution of corpus luteum as kt is the principal site of progesterone production during the ____
First 6 weeks
25
HCG is detectable in maternal plasma or urine by ____ after ovulation
8-9 days
26
The doubling time for HCG
1.4-2 days
27
The peak levels of HCG
60-70 days
28
Nadir of HCG
16 weeks
29
This can cause a false positive result in women testing for HCG
Heterophile antibody
30
Gestational sac can be detected by transabdominal sonography in __ weeks
4-5 weeks
31
Heartbeat can be detected by __ weeks
6 weeks
32
___ is predictive of gestational age within 4 days
CRL
33
CRL can be detected in utlrasound by __ weeks
12
34
Prenantal care should be initiated as soon as there is reasonable likelihood of pregnancy. T/F
True
35
What are the goals of prenatal care?
To determine the health satus of the mother and the fetus
To estimate the gestational age of the fetus
To initiate a plan for continuing obestetrical care
36
A woman who is not now or never has been pregnant
Nulligravid
37
A woman who is or has been pregnant, irrespective of the pregnancy outcome
Gravida
38
A woman who has never completed a pregnancy beyond 20 weeks age of gestation
Nullipara
39
A woman who has been delivered only once a fetus or fetuses born alive or dead with an estimated length of gestation of 20 or more
Primipara
40
Complete 2 or more pregnancies to 20 weeks or more
Multipara
41
Number of pregnancies reaching 20 weeks and not by number of fetuses delivered
Parity
42
Normal pregnancy duration: Mean duration from last menstrual period
280 days or 40 weeks
43
Expected date of delivery (NAEGELE's rule)
LMP+7 days then count back 3 months
44
Normal pregnancy duration: Ovulatory age or fertilization age
2 weeks short of the menstrual age
45
3 trimesters:
1st trimester
2nd trimester
3rd trimester
Completion of 14 weeks
28 weeks
29-42 weeks
46
Prior pregnancy complications tend to recur in subsequent pregnancies
Obstetrical history
47
Ovulatory cycles important for accurate dating of pregnancy by history and PE
Menstrual history
48
Ovulation may not have resumed 2 weeks after onset of the last withdrawal bleeding may indicate ___
OCP use
49
The adverse outcomes of cigarette smoking:
☑️ Spontaneous abortion
☑️ Low birthweight due to either preterm delivery or fetal growth restriction
☑️ Infant and fetal death
☑️ Placental abruption
50
Potent teratogen that can cause fetal alcohol syndrome
Ethanol
51
Fetal alcohol syndrome involves:
Growth restriction
Facial abnormalities
CNS dysfunction
52
Illicit drugs can cause the following:
Fetal distress
| Low birthweight
53
More prevalent than any major medical condition detectable through routine prenatal screening
Domestic violence
54
```
Laboratory test of the following:
Maternal serum
Pap smear
GBS culture
Gonococcal culture
Chlamydia culture
```
```
15-20 weeks
24-28 weeks
35-37 weeks
1st visit and third trimester
1st visit and third trimester
```
55
Initial laboratory examination for high risk pregnancy:
HIV
CDE (Rh) of ither blood group isoimmunization
Initial examination of condylomata
56
Subsequent prenatal visits:
Every 4 weeks until 28 weeks
Every 2 weeks until 36 weeks
Weekly thereafter
Every 1-2 weeks interval for complicated pregnancies
57
Prenatal surveillance in fetus:
```
Heart rate
Size
Amount of amniotci fluid
Presenting part or station
Activity
```
58
Prenatal surveillance in maternal:
```
Blood pressure
Weight
Symptoms
Fundic height
Vaginal examination
- Presenting part
- Station
- Pelvimetry
- Consistency, effacement and dilation of the cervix
```
59
Fundic height is measured in ___ weeks
20-34 weeks
60
The height of the dundus correlates with the ___ in weeks
AOG
61
With the DeLee fetal stethoscope, fetal heart sounds can be heard in ___ weeks
16-19 weeks
62
Fetal heart sound is audible in all by ___
22 weeks
63
Fetal heart sound id detectable by doppler in __ weeks, by TVS in ___ weeks
10 weeks
| 5 weeks
64
If ultrasound is performed in between ____ weeks was accurate by __ days for predicting actual date of delivery
8-16 weeks
65
The screening for GDM is at ___
24-28 weeks
66
The detection of these protein in vaginal fluid has been used to forecast preterm delivery in women with contractions
Fibronectin
67
This is the week where in vaginal and rectal GBS culture is made
35-37 weeks
68
Intrapartum prophylaxus is given to:
Positive culture
GSB bacteriuria
Previous infant with invasive disease
69
```
BMI for the following:
Low
Normal
High
Obese
```
29
70
```
Recommended total weight gain for the following: KILOGRAMS
Low
Normal
High
Obese
```
12.5-18
11.5-16
7-11.5
>/= 7
71
Nutrients that can potentially exert toxic effects:
```
Iron
Zinc
Selenium
Vitamin A
Vitamin B6, C, D
```
72
Calories that is required:
8000Kcal
73
There will be an imcreased intake:
100-300Kcal/day
74
Concetrations of most amino acids in maternal plasam fall markedly except for ____ and ___ which rises in concentration
Glutamic acid
| Alanine
75
Iron requirement by mid-pregnancy:
7mg/day
76
Recommended daily ferrous iron supplement is ___
27 mg
77
Increase iron intake by 60-100mg/day
```
Large woman
Twin fetuses
Late iron supplementaion
Irregular intake
Deoressed hgb levels
```
78
___ grams of calcium is retained, most of which is deposited in the fetus late in pregnancy
30 grams
79
Recommended daily intake of zinc:
12 mg
80
Zinc deficiency can cause the following:
```
Poor appetite
Suboptimal growth
Impaired wound healing
Dwarfism and hypogonadism
Acrodermatitis enterohepathica
```
81
Severe deficiency can cause offspring cretinism
Iodine
82
Essential component of glutathione peroxidase which catalyzes hydorgen peroxide to water
Selenium
83
Deficiency of which is manifested by fatal cardiomyopathy in children and women of child bearing age
Selenium
84
Cofactor by insulin by faacilitating attachment to peripheral receptors
Chromium
85
Cofactor for enzymes glycotransferases which are necessary for synthesis of polysaccharides and glycoproteins
Manganese
86
Daily supplementation of ___ will decrease recurrence rate of NTD BY 70%
Folic acid 4mg
87
Daily intake of folic acid by ___ throughout periconceptional period
400mcg
88
Vitamin A associated with birth defects at doses of _____
10,000-50,000 IU daily
89
Potent vitamin A component which is a teratogen in humans
Isotretinoin
90
Deficiency of vitamin A is associated with an increased risk of :
Maternal anemia
| Preterm birth
91
Daily recommendation of vitamin B6
2mg
92
RDA of vitamin C
80-85 mg/day
93
In excercising: 4 components will increase
Oxygen output
Heart rate
Stroke volume
Cardiac output
94
Vaccines contraindicated in pregnancy:
MMR
Yellow fever
Varicella
