Pregnancy

Question 1

preconception folic acid

Answer 1

0.4mg

Question 2

pregnancy confirmed folic acid

Answer 2

1 mg

Question 3

Symptoms of pregnancy

Answer 3

• Late or missed menses
• Frequent urination
• Fatigue
• Breast tenderness
• Nausea and/or vomiting (morning sickness)

Question 4

Treatment for nausea in pregnancy

Answer 4

ginger, saltines, ginger ale
AVOID zofran
diclegis (doxylamine (antihistamine) and pyridoxine (b6)) 2 tab hs

Question 5

pregnancy testing

Answer 5

urine- sensitive 9-12 days after conception
serum sensitive 8-11 days best test

Question 6

domestic violence screening pregnancy

Answer 6

screen ALL pregnant women
often worsens during pregnancy

Question 7

domestic violence clues

Answer 7

bruising
improbable injury
depression, anxiety
late prenatal care/missed care
cancellation of appt
overprotective partner

Question 8

hcg doubles every

Answer 8

24-72 hours in normal pregnancy in 1st trimester

Question 9

hiv screening pregnancy

Answer 9

1st, 3rd timester

Question 10

ectopic pregnancy symptoms

Answer 10

lower abdominal pain (unilateral)
bleeding
missed menses
low grade fever
**Hcg doesn’t double

Question 11

ectopic pregnancy risk factors

Answer 11

previous ectopic preg
tubal pathology, sx
current IUD
previous cervicitis
PID

Question 12

pregnancy exercise

Answer 12

30 min moderate exercise on most days
avoid any risk for trauma/falls

Question 13

pregnancy cramping that worsens or is associated with bleeding may indicate

Answer 13

ectopic pregnancy or threatened abortion

Question 14

immunizations given EVERY pregnancy to protect newborn

Answer 14

flu
tdap (27-36 wks)

Question 15

avoid these vaccines in pregnancy

Answer 15

live attenuated
MMR
varicella

Question 16

schedule of visits in pregnancy

Answer 16

until 28 weeks- every 4 weeks
28-36 wks- every 2 wks
36 wks- weekly

Question 17

gestational diabetes screening

Answer 17

24-28 weeks
18% of pts

Question 18

diabetes diagnosed at first visit

Answer 18

overt diabetes

Question 19

screening for GDM

Answer 19

two step- 1 hr non fasting 50 gtt THEN diagnostic
one step- 1 hr 75mg GTT

Question 20

if positive GDM screening then perform

Answer 20

3 hour 100 GTT

Question 21

if two of these met, diagnosed with GDM

Answer 21

fasting glucose: >95
1 hour: >180
2 hour: >155
3 hour: >140

Question 22

trisomy 21

Answer 22

downs syndrome
most common chromosomal abnormality in live births

Question 23

x-chromosome defect

Answer 23

turner syndrome
most common sex chromosome abnormality in girls
short stature square chest

Question 24

quickening normally occurs

Answer 24

17-20 wks- first preg
15-16- subsequent

Question 25

rhogam given

Answer 25

at 28 weeks
within 72 hours delivery

Question 26

kick counts

Answer 26

start at 28 wks
lie on left side 30 min p eating
at least 3-5x/1hour

Question 27

gbs screening

Answer 27

35-37 wks

Question 28

meds to avoid in pregnancy (4)

Answer 28

tylenol
diflucan
nitrofurantoin
ondansetron

Question 29

fern test

Answer 29

check for preterm premature rupture of membranes
checks for amniotic fluid

Question 30

placenta previa s/s

Answer 30

painless vaginal bleeding
usually at end of 2nd trimester

Question 31

placenta previa management

Answer 31

c- section
DO NOT PERFORM VAG EXAM

Question 32

pre eclampsia management pharm

Answer 32

methyldopa
hydralyzine
CCBs

Question 33

postpartum depression

Answer 33

depressive episode within 4 weeks delivery

Question 34

do not use this on pregnant woman

Answer 34

cytobrush

Question 35

safe abx during pregnancy

Answer 35

ampicillin
amoxicillin
keflex (cephalexin)