pregnancy

Question 1

what is the recommended amount of folic acid supplementation for all women?

Answer 1

0.4 mg OR 400 mcg

Question 2

what is the recommended amount of folic acid supplementation for pregnant women?

Answer 2

1mg daily OR 1000 mcg

Question 3

what is the first line medication for nausea in pregnancy?

Answer 3

Diclegis or Doxylamine succinate 10 mg (antihistamine)

Question 4

Hcg ____ every 24 to 72 hours in 1st trimester.

Answer 4

doubles.
Hcg doubles every 24 to 72 hours in 1st trimester.

Question 5

when should HIV be screened in pregnacy?

Answer 5

first and third trimester

Question 6

what two immunizations need to be given during pregnancy?

Answer 6

Influenza and and tdap

Question 7

when can influenza shot be given in pregnancy?

Answer 7

anytime in pregnacy

Question 8

when is it best to get the Tdap in pregnancy?

Answer 8

at 27 to 36 weeks gestation

Question 9

what are the two live attenuated vaccinations to avoid in pregnacy?

Answer 9

MMR and varicella

Question 10

how often do you see pregnant patients until 28 weeks gestation?

Answer 10

every 4 weeks

Question 11

how often do you see pregnant patients from 28 weeks to 36 weeks gestation?

Answer 11

every 2 weeks

Question 12

how often do you see pregnant patients after 36 weeks gestation?

Answer 12

every week

Question 13

when should screening be done for gestational diabetes?

Answer 13

at 24 to 28 weeks

Question 14

diabetes diagnosed at initial visit is called what?

Answer 14

overt diabetes

Question 15

diabetes diagnosed during pregnancy is called what?

Answer 15

gestation diabetes

Question 16

what are the three screening tests for overt diabetes?

Answer 16

fasting blood sugar greater than 126
random blood glucose greater than 200
a1c is greater than 6.5%

Question 17

what is the screening for gestation diabetes

Answer 17

Fasting 102 hour 75 g oral tolerance test

Question 18

what is considered a positive screen for gestation diabetes:
how many criteria is needed for a diagnosis?

Answer 18

2 criteria is needed to establish diagnosis
fasting glucose that is greater than 95
1 hour glucose tolerance test greater than 180
2 hour glucose tolerance test greater than 155
3 hour glucose tolerance test greater than 140

Question 19

what is McDonald’s rule?

Answer 19

it is for fundal height.
at approximately 18 to 24 weeks pregnant, there is a good correlation between fundal height (cm) and gestational age of fetus (in weeks).
should be about estimated with plus 2 cm more or less

Question 20

what age is a woman considered an elderly primate?

Answer 20

35

Question 21

when should screening for alpha fetoprotein, estriol, inhibin A, or beta-hcg occur?

Answer 21

at 15 to 22 weeks

Question 22

what chromosome does down syndrome effects?

Answer 22

trisomy 21
most common chromosomal abnormality

Question 23

what is Turner syndrome?

Answer 23

most common sex chromosome abnormality in females
short in stature, square chest, etc

Question 24

what is fetal movement called?

Answer 24

quickening

Question 25

when should a primipara feel fetal movement?

Answer 25

at 17 to 20 weeks

Question 26

for subsequent pregnancies, when should they feel fetal movement?

Answer 26

at 15 to 16 weeks

Question 27

when should a mother who is Rh- (negative) receive a RhoGam shot?

Answer 27

at about 28 weeks and within 72 hours of delivery

Question 28

if a woman who is Rh negative has a suspected miscarriage, should she receive RhoGam?

Answer 28

yes. she should receive RhoGam that day.

Question 29

low/dull backache, increased uterine activity, menstrual like cramps, diarrhea, spotting/bleeding are symptoms of what?

Answer 29

preterm labor

Question 30

what are signs/symptoms of labor?

Answer 30

low back pain passage of "bloody show" regular contractions rupture of membranes

Question 31

for a woman with a normal BMI, what is the recommended weight gain?

Answer 31

25 to 35 lbs

Question 32

for a woman with a BMI of 25 to 29, what is the recommended weight gain?

Answer 32

15 to 25 lbs

Question 33

for a woman with a BMI of 30 or more, what is the recommended weight gain?

Answer 33

about 11 to 20 lbs

Question 34

when should fetal kick counts be done?

Answer 34

at 28 weeks gestation

Question 35

what is a normal fetal kick count?

Answer 35

at least 3 to 5 times within 1 hour

Question 36

when should a mother get screened for group b strep?

Answer 36

at 35 to 37 weeks it is a vaginal and rectal swab

Question 37

why can't fluconazole, be given in pregnacy?

Answer 37

can cause miscarriage

Question 38

for women with asthma, can they take inhaled corticosteroids?

Answer 38

yes, it is safe in pregnancy

Question 39

Bactrim, doxycycline, and levofloxacin can or can't be used in pregnancy

Answer 39

Can't be used in pregnancy, they are all teratogenic

Question 40

what is the Fern test?

Answer 40

a test to check for preterm premature rupture of membrane obtain fluids via swab from the posterior vaginal fornix on a slide, allow it to dry for 10 minutes or more, if positive and it is amniotic fluid, it will look like frost on a window. send to ER or call 911

Question 41

painless vaginal bleeding is associated with what?

Answer 41

placenta previa

Question 42

can placenta previa progress to placenta abruptio?

Answer 42

yes

Question 43

when can pre-eclampsia occur?

Answer 43

as early as the 20th weeks of gestation

Question 44

what blood pressure medications can be given to pregnant women?

Answer 44

methyldopa hydralazine nifedipine (CCB)

Question 45

spina bifida, anencephaly, and encephalocele are examples of what?

Answer 45

neural tube defects

Question 46

the uterine fundus should be palpable at 20 weeks where?

Answer 46

at the level of the umbilicus

Question 47

Is the MCV affected by pregnancy?

Answer 47

No it is not

Question 48

what risk does cigarettes or smoking cause on fetal health?

Answer 48

intrauterine growth retardation, prematurity

Question 49

what two ssri drugs should not be given in pregnancy?

Answer 49

paroxetine (paxil) and fluoxetine

Question 50

what is the best amount of weight gain to have during pregnancy?

Answer 50

25 to35 lbs

Question 51

women who are pregnant at age 35 yrs have a "geriatric pregnancy" they are at higher risk for what?

Answer 51

chromosomal abnormalities preeclampsia low birth weight infants miscarriage, premature birth complications during delivery, more likely to have c-section

Question 52

what is goddell's sign?

Answer 52

cervical softening, seen at 4 weeks

Question 53

what is chadwick's sign?

Answer 53

blue discoloration of the cervix and vagina

Question 54

what is hegar's sign?

Answer 54

softening of the uterus isthmus

Question 55

urine/serum pregnancy tests are considered which: a probable sign or positive sign?

Answer 55

probable sign of pregnancy

Question 56

what is naegele's rule?

Answer 56

last menstrual period date subtract 3 months and add 7 days

Question 57

vaginal bleeding that is bright red without hypertonic tender uterus is what condition?

Answer 57

placenta previa

Question 58

vaginal bleeding that is intermittent with hypertonic, hard, and tender uterus is what condition?

Answer 58

placenta abruptio

Question 59

g is for what?

Answer 59

gravida, number of pregnancies

Question 60

t is for what?

Answer 60

term, pregnancies to term

Question 61

p is for what?

Answer 61

number of deliveries after 20 weeks, preterm

Question 62

a is fr what?

Answer 62

abortion, number of abortions

Question 63

L is for what?

Answer 63

living, number of living children

Question 64

what is the coombs test?

Answer 64

tests for Rh antibodies in the infant

Question 65

urinary tract infections increase the risk of what?

Answer 65

preterm labor low birth weight perinatal mortality