Prenatal

Question 1

GTPAL

Answer 1

Gravada
Term (>39wks)
Premature (>20wks,

Question 2

How much folic acid a day

Answer 2

400mg

Question 3

Ectopic pregnancy Sx

Answer 3

Variable, but unilateral, adnexa pain, amenorrhea, spotting.

Question 4

Ectopic risks

Answer 4

Salpingitis (2/2 PID), Surigcal Hx, IUD

Question 5

Ectopic Dx

Answer 5

US

If hCG doesn’t 2x in 48hrs

Question 6

Ectopic tx if hCG

Answer 6

methotexate

Question 7

First hear heat sounds

Answer 7

9-12weeks

Question 8

Quickening (Mov’t) nullip time

Answer 8

18-20wks

Question 9

Quickening (experienced mom) time

Answer 9

14-18wks

Question 10

Braxton Hicks begin

Answer 10

28wks

Question 11

HTN (>20wks, previously normal) + proteinuria

Answer 11

Pre-eclampsia

Question 12

HTN + Proteinura + Sz

Answer 12

Eclampsia

Question 13

Severe pre-eclampsia (BP >160/110 w/ Hemolysis, Elevated Liver enzymes & Low platelets

Answer 13

HELLP Syndrome

Question 14

Pregnancy induced HTN

Answer 14

Isolated increased BP after 20wks w/o other sxs

Question 15

Premature labor

Answer 15

Regular contrations >20wks, with cervical effacement but Give steroids for lung development

Question 16

Premature Rupture of membranes

Answer 16

Rupture of membranes b/4 onset of labor
Most progress without incident
Risk of chorio
Confirm with fern test

Question 17

Failure to progress/prolonged labor

Answer 17

1st child: >2hrs no progression
2+: >1hr, no progression
Dystocia: prolonged or difficult labor

Question 18

Fetal Distress

Answer 18

Persistent decreased Fetal HR during contractions and for 30s after

• Position mom on left, lateral side to increase blood and O2
• If continues for 5mins–> CS

Question 19

• Partial/complete covering of cervical os by placenta
• Painless vag. bleeding
• ID on US
• If before term, carefully watch, if at term CS

Answer 19

Placenta Previa

Question 20

Post Partum Hemorrhage

Answer 20

> 500mL blood loss

-Uterine massage, blood products, lac repair

Question 21

Placenta Abrupta

Answer 21

Premature separation of placenta from uterine wall
Contractions, bleeding, uterine tenderness
High risk of fetal death, therefore immediate CS

Question 22

Nonstress test

Answer 22

Want 2 accelerations in 20minutes, 15 beats above baseline for at least 15 secs

Question 23

Biophysical profile

Answer 23

Gives scores for amniotic fluid, fetal tone, fetal activity, and fetal breathing mov’ts and non stress test. Score 8-10 reassuring.

Question 24

Oxytocin Challenge

Answer 24

Get at least 3 contractions (from oxytocin) in 10 mins and analyze FHR (should be similar to non stress test)

Question 25

First stage of labor

Answer 25

Start: Onset of true contractions
End: Full dilation
Nulips: 6-20hrs, mulitps: 2-14hrs

Question 26

2nd Stage of labor

Answer 26

Start: Full dilation
End: Delivery

Question 27

3rd stage of labor

Answer 27

Start: delivery of baby
End: Delivery of placenta

Question 28

Bx of placental cells.
Used when high risk for genetic abnormality (advanced age, previous child w/ anomaly, familial hx)
Can be done early (10-13wks)

Answer 28

Chorionic Villus Sampling

Question 29

Quad screen includes and looks for

Answer 29

Alpha, fetoprotein, hCG, estriol, inhibi A

Neurotube defects + aneuloidy (21, 18, 13

Question 30

Amniocentisis

Answer 30

Same indications as CVS but performed later (15-18wks)

Question 31

Prenatal visits Frequency

Answer 31

0-32wks q 4wks
32-36wks q 2wks
36+ q 1wk

Question 32

RhoGam

Answer 32

28weeks and w/in 72hrs of delivery

Question 33

Group B Strep Testing Window

Answer 33

35-37 weeks

Question 34

Fetal Heart rate

Answer 34

110-160

Question 35

Pre-eclampsia Tx

Answer 35

Lobatolol

Mg Sulfate for prophylaxis

Question 36

1st Trimester

Answer 36

0-13wks

Question 37

2nd Trimester

Answer 37

14-26wks

Question 38

3rd Trimester

Answer 38

27-40wks