Prenatal

Question 1

Negele’s rule to calculate due date

Answer 1

First day of last menstrual, add 7 days, subtract 3 months

Question 2

Total weight gain during pregnancy

Answer 2

25-31 lbs

Question 3

1st trimester weight gain rule

Answer 3

1 lb per month (3lbs total)

Question 4

2nd & 3rd trimester weight gain rule

Answer 4

1lb per week

Question 5

Formula for ideal weight gain starting at week 12

Answer 5

Ideal weight gain = week - 9

Question 6

When is fundus palpable

Answer 6

At 12 weeks

Question 7

When does fundus typically reach umbilicus

Answer 7

20-22 weeks

Question 8

4 positive pregnancy signs

Answer 8

1. Fetal skeleton on x ray
2. Fetal presence on US
3. Auscultation of FHR
4. Examiner palpates fetal movement
   or outline

Question 9

What is Chadwick’s Sign

Answer 9

Cyanotic color change of the cervix

Question 10

What is Goodell’s sign

Answer 10

Cervical softening

Question 11

What is Hegar’s sign

Answer 11

Uterine softening

Question 12

Pattern of prenatal office visits

Answer 12

Come in once a month till week 28
Come in once every 2 weeks till week 36
Come in once every week till delivery or week 42 (schedule for c section at week 42)

Question 13

Normal pregnant hemoglobin can drop to

Answer 13

1st trimester: 11
2nd trimester: 10.5
3rd trimester: 10

Question 14

Morning sickness Tx

Answer 14

-Happens in first trimester
Keep crackers at bedside and eat them before you get out of bed
Avoid having an empty stomach

Question 15

Urinary incontinence Tx

Answer 15

-occurs in 1st and 3rd trimester
Void q2h

Question 16

Dyspnea Tx

Answer 16

-2nd and 3rd trimesters
Tripod position

Question 17

Backpain Tx

Answer 17

2nd and 3rd trimester
Pelvic tilt exercises