Prenatal

Question 1

every 48 hours. bHCG increase by

Answer 1

double

Question 2

pregnancy diagnosis of bHCG can be made on day

Answer 2

5

Question 3

Naegele’s rule

Answer 3

EDD = 1st day menses +1 year - 3 months + 7 days

Question 4

maternal physio changes; HR, CO, SV, PVR?

tidal vol, expiratory reserve

Answer 4

up HR, CO, SV, tidal volume

down BP, PVR, expiratory reserve

Question 5

maternal physio changes blood volume, hematocrit, gastric empty, sphincter tone

Answer 5

blood vol increase
hematocrit decrease = anemia
slower GI = constipation
decreased sphincter tone

Question 6

1st trimester app 6-8 weeks. What blood work is looked at. how often are you visited

Answer 6

Rh, rubella, hep B, = meetings 1 per month

Question 7

What vitamins and nutrition is needed

Answer 7

Folate, Fe.

avoid, Etoh, smoke, mercury, unpasterized milk/cheese

Question 8

Doppler US fetal heart tones by what week?

Answer 8

10 weeks

Question 9

1st trimester genetic scrn are?

Answer 9

Plasma protine, nuchal scan, bHCG - screen chomosomes

Question 10

2nd trimester is still done monthly. what is assessed.

Answer 10

heart tone, fundal height, uring glucose and proteinuria

Question 11

Umbilicus level should be at what gestational age?

Answer 11

20 weeks.

Question 12

quad screen is done when (serum test)

Answer 12

2nd tri

Question 13

quad testing is? AABE

Answer 13

AFP, bHCD, estodiol inhibin A

Question 14

what is the screen for trisomy 21?

Answer 14

UP = inhibin A, bHCD,

Down = estodiol AFP

Question 15

what is the screen for trisomy 18?

Answer 15

All Down APF, BHCG, Estrodiol, Inhibin A

Question 16

neural tube detection with

Answer 16

UP AFP - brain is spilling APF

Question 17

Invasive test include

Answer 17

Amniocentesis

Question 18

3rd tri - every week. what special tests are don

Answer 18

Rh, strep, hr, fundal height

Question 19

pregnancy will gain how much weight?

Answer 19

20-30 pounds

Question 20

is 10 kicks in 2 hours normal

Answer 20

yes

Question 21

Late decels is defined as

Answer 21

50% of contractions in 10 mins- if contractions lead to late decels

Question 22

early decels are due to?

Answer 22

head compression with contrations- low 02

Question 23

late decels are due to

Answer 23

uteroplacental insuf- or fetal hypoxia with contractions

Question 24

variable decels are due to

Answer 24

cord compression

Question 25

Polyhydramnios is defined as

Answer 25

> 25 cm of fluid - increased uterine size at 20 weeks

Question 26

Polyhydramnios is associated with

Answer 26

maternal DM, multi gestations, chromosome issue

Question 27

Polyhydramnios leads to

Answer 27

preterm labor and post partum hemorrhage

Question 28

oligohydramnios is due to

Answer 28

<5 cm fluid

Question 29

oligohydramnios associated with

Answer 29

decreased fetal activity,

Question 30

PROMS is associated

Answer 30

oligohydramnios

Question 31

IUGR if fetus is ____ 5 of gestetional age

Answer 31

10

Question 32

Dx of IUGR

Answer 32

US and fundal height - not getting nutrition (placental insufficiency)

Question 33

IUGR tx

Answer 33

early delivery, fetal monitoring

Question 34

Macrosomia is due to

Answer 34

gestational DM - 28 week check

Question 35

Macrosomia diag

Answer 35

> 2 cm at fundal hight, leopald maneuvers

Question 36

Macrosomia tx

Answer 36

4500g+ = delivery

Question 37

Macrosomia complicaitons

Answer 37

shoulder dystocia, maternal bleed