Prenatal

Question 1

Chadwick sign?

Answer 1

blue cervix

*probable sign of pregnancy

Question 2

Goodell’s sign?

Answer 2

softening of cervix

*probable sign of pregnancy

Question 3

Hegar’s sign?

Answer 3

lower uterus feels soft

*probable sign of pregnancy

Question 4

Naegele’s rule?

Answer 4

LMP + 7 days minus 3 months

Question 5

Routine prenatal follow up?

Answer 5

q4weeks until 28 weeks
q2weeks 29-36 weeks
qweek 36 weeks onward

Question 6

Fundal height at 12 weeks?
20 weeks?
36 weeks?

Answer 6

12 weeks: symphysis pubis
20 weeks: umbilicus
36 weeks: below xiphoid process

Question 7

What is the risk of using sulfa during pregnancy?

Answer 7

Category C in third trimester
Can cause hemolytic anemia in fetus
hyperbilirubinemia –> neonatal jaundice or kernicterus

Question 8

What is the risk of using NSAIDs during pregnancy?

Answer 8

blocks prostaglandins, could cause premature labour
Category D in third trimester *avoid after week 20
Category B in 1st and 2nd trimester

Question 9

What is the risk of using nitrofurantoin during pregnancy?

Answer 9

contraindicated during labour and delivery (or near term)

increased risk of hemolytic anemia in fetus/newborn

Question 10

When should Rhogam be given in pregnancy?

Answer 10

• RhoGAM 300 mcg IM first dose at 28 weeks

* Second dose within 72 hours of delivery

Question 11

when to screen for gestational DM?

Answer 11

• If hx of GDM: diabetes screen at 4-12 weeks postpartum, lifelong screening q3 years
• SCREENING
○ First visit if hx of GDM and risk factors
○ If not at risk: screen at 24-48 weeks

Question 12

Glycemic targets for gestational DM?

Answer 12

○ Glycemic targets: 
	 Preprandial <95
	1 hour pc meal <140
	2 hour pc meal <120
        A1C goal <6.0

Question 13

What is the pre-eclampsia triad?

Answer 13

Pre-eclampsia triad: hypertension, proteinuria, edema after 20 weeks GA, up to 4 weeks PP

Question 14

Diagnostic criteria for pre-eclampsia

Answer 14

2 separate readings 4-6 hours apart
○ SBP >140 DBP >90
○ Proteinuria >0.3 g protein in 24 hours
○ Weight gain 2-5 lbs per week

Gestational HTN: no proteinuria or weight gain

Question 15

What is the treatment option for mastitis?

Answer 15

• If low risk MRSA: dicloxacillin 500 mg po QID or keflex 500 mg po QID for 10-14 days
Avoid use of SULFA during newborn
• If high risk MRSA: Septra 1-2 tabs po BID ***AS LONG AS HEALTHY 1 month or older with no jaundice) OR clindamycin 300 mg po QID x 10-14 days

CONTINUE TO BREASTFEED