pregnancy

Question 1

How do you calculate EDD using Naegele’s rule?

Answer 1

1st day LMP + 7days - 3months

(ex: 1st day LMP= 8/7/16, EDD= 5/14/17)

Question 2

When can NT be done

Answer 2

10-13 wks

(11w4d and 13w6d?)

Question 3

how far along do you have to be before you can get FHT

Answer 3

10-12wks

Question 4

when do you screen for GDM

Answer 4

24-28wks

Question 5

When is Rhogam given if Rh- mom

Answer 5

28wks

(and w/in 72hrs after childbirth)

Question 6

when is GBS screening

Answer 6

32-37wks

Question 7

What is a reactive NST indicating fetal well being?

Answer 7

• _>_2 accelerations in 20 min
• Incr. FHR _>_15bpm from baseline (120-160) lasting _<_15sec

Question 8

What is a negative and positive response during a contraction stress test

Answer 8

Negative: No late decelerations inthe presence of 3 contractions in 10min

Positive: Repetitive decels in presence of 3 contractions in 10min (DELIVER)

Question 9

How are the 3 trimesters broken up

Answer 9

1st trimester: 1wk- 12wks

2nd trimester: 13wks- 27wks

3rd trimester: 28wks +

Question 10

MC location of ectopic pregnancy

Answer 10

ampulla of fallopian tube

Question 11

how should B-hCG rise in normal preg? in ectopic?

Answer 11

nml: Doubles q24-48hrs
ectopic: rises <66% expected

Question 12

Absence of gestational sac with B-hCG levels > _____ strongly suggest ectopic or nonviable IUP

Answer 12

>2,000

Question 13

tx for UNruptured ectopic pregnancy

Answer 13

Methotrexate or laparoscopic salpingectomy

Question 14

When is Methotrexate CI for tx of unruptured ectopic preg

Answer 14

ruptured ectopic

h/o TB

HCG >5,000

+ FHT

Question 15

Tx for ruptured/unstable ectopic preg

Answer 15

laparoscopic salpingostomy

Question 16

What fetal position has the least complications

Answer 16

Cephalic presentation in the occiput anterior position.