Pregnancy

Question 1

How much folic acid is recommended for women of childbearing age?

Answer 1

0.4-0.8mg daily or more if at risk

Question 2

Immunizations needed prior to pregnancy

Answer 2

Influenza
Rubella if neg titer
Varicella if at high risk of exposure otherwise wait
TdaP after 20 weeks EVERY pregnancy

Question 3

Negals rule

Answer 3

Subtract 3 months from last menstrual period than add 7 days and one year

Question 4

What should be routinely screened during pregancy according to ACOG and AMA?

Answer 4

domestic violence 7-20% abused during pregnancy

Question 5

Dx studies first prenatal visit

Answer 5

Pregnancy test
CBC or H&H and MCV
urinalysis
Blood type and Rh
Rubella titer
STD testing
TSH

Question 6

Classic sx ectopic pregnancy

Answer 6

Previous case
Tubal pathology, tubal surgery
Current IUD use
Cervicitis
Hx of PID

Question 7

How many extra calories are needed during pregnancy?

Answer 7

240 second trimester and 452 third trimester

Question 8

BMI 18.5-24.9 weight gain during pregnancy

Answer 8

25-35lbs

Question 9

Needed increase in iron for pregnancy

Answer 9

15-30mg elemental iron

Question 10

Exercise during pregnancy

Answer 10

30 minutes moderate activity

Question 11

When should cramping be a concern?

Answer 11

Getting worse or with bleeding

Question 12

Uterine size at 16 weeks

Answer 12

midway between symphysis and umbilicus

Question 13

Uterine size 20 weeks

Answer 13

level of umbilicus

Question 14

Uncomplicated appt schedule with pregnancy

Answer 14

every 4 weeks until 28 weeks then 2 weeks until 36 then weekly

Question 15

2 step approach for gestational diabetes

Answer 15

50g glucose load without regard to meals. Measure one hour later. >130-140 than positive

If positive screen 3 hour 100g OGTT If 2 of the following are true, positive
FAsting >95
1 hour >180
2 hour > 155
3 hour > 140

Question 16

Fundal Height - McDonalds Rule

Answer 16

Uterine fundal height measured in cm from symphysis pubis to top of uterous. Between 18-36 weeks there is a good coorilation between height and gestational age

Question 17

Down Syndrome

Answer 17

trisomy 21. Most common chromosomal abnormality in live births

Question 18

Turner Syndrome

Answer 18

Most common sex chromosome in females. Loss of part or all of X chromosome. Short in stature, square chest

Question 19

Quickening detected

Answer 19

Primapara 17-20 weeks

Subsequent - 15-16 weeks

Question 20

What is given to prevent Rh neg mother from making Rh positive antibodies

Answer 20

Anti(D)-immune globulin

Question 21

What is screened at 35-37 weeks

Answer 21

Group B strept screen of rectal and vaginal areas to prevent sepsis

Question 22

pH of amniotic fluid

Answer 22

7-7.5, higher than vaginal secretions

Question 23

Placenta previa

Answer 23

Assessment finds painless vaginal bleeding, do NOT perform vaginal exam

Question 24

Preeclampsia

Answer 24

New onset HTN plus protienuria after 20 weeks

Question 25

Eclampsea

Answer 25

Development of seizures with gestational HTN or preeclampsia

Question 26

Gestational HTN

Answer 26

HTN without protienuria

Question 27

Management of HTN in pregnancy

Answer 27

diuretics/ACE not recommended

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