Prenatal and Postnatal Care

Question 1

What is chadwick sign?

Answer 1

Bluish discoloration of vagina

Question 2

What is Hegar’s sign?

Answer 2

softening of the cervix

Question 3

How is pregnancy diagnosed?

Answer 3

Serum or urine HCG

Doubles in 2 days

Question 4

When can the uterus be measured to tell gestational age?

Answer 4

Once it grows enough to protrude from the pelvis.

Question 5

What is done at the initial Prenatal visit?

Answer 5

Gest Age: # of weeks from the 1st day of Last mentrual Period

Question 6

Why is establishing Estimated Delivery date important?

Answer 6

Prematurity Post term

Timing of screening tests

Question 7

What is Naegele’s rule?

Answer 7

add 1 year and 7 days and subtract 3 months

Question 8

What is G TPAL notification?

Answer 8

Gravida
Parity
-Term
-Preterm
-Abortion
-Living

Question 9

What are the Leopold Maneuvers?

Answer 9

Identify the fetal position
Bottom(head)
Sides(Back)
Top (Arms/Legs)

Question 10

What are the routine labs done during 1st Prenatal Visit?

Answer 10

1st visit: ABO/Rh
CBC, TSH, Hep C, Urine Cult
Rubella, HIV, Hep B, VDRL, GC, Chlamidia
Pap
Glucose Screen
UA

Question 11

What testing is done at 24-28 weeks gestation?

Answer 11

Gest Dibates Screening, Recheck hgb

Question 12

What testing is done at 35-37 weeks gestation?

Answer 12

Group B strep, vaginal culture

Question 13

What testing is done at 1 day post partum?

Answer 13

Hgb

Question 14

What measurements are taken in 2nd trimester US?

Answer 14

Head circumference

Bi Pyramidal Diameter

Question 15

What tests are done in the 3rd Trimester?

Answer 15

Rhogam if Rh negative
Glucola GDM screen even if neg earlier.
Repeat H and H
Repeat Ab screen

Question 16

What are causes of Bleeding in Pregnancy?

Answer 16

Labor onset (early)
Placental Abruption
Placenta Previa

Question 17

What are the Dietary Considerations in Pregnancy?

Answer 17

Well balanced
\+400 cal in 2-3rd Tri
Folic Acid up to 4 mg/day
Soft Cheese, lunch meat
Fish- in mod (mercury) 
No uncooked fish

Question 18

What are other considerations in Pregnancy?

Answer 18

PUPPS
Melasma
Eythema of palms
Linea Nigra
Stretch Marks (Stria)
Vision changes

Question 19

What are the effects of relaxin and progesterone on the pregnant woman?

Answer 19

Softening of the pelvic cartilage
Widens pelvis and inc mobility
Inc Uterine Blood Flow
Vaginal Discharge increases

Question 20

What is the Peurperium?

Answer 20

Time period: First 6 weeks after delivery

Question 21

What is included in discharge instructions postpartum>

Answer 21

Care of perineal lacerations, abdominal incision
Breast care
Pain control
Physical Activity
Review of S and S of inf/bleeding
Contraception

Question 22

What are the common complications of the Peripeurum?

Answer 22

Wound infection - Cellulitis or abcess
Wound separation
Endomyometritis
UTI
Postpartum Hemorrhage
VTE
PPD

Question 23

What are the 5 “B’s” in the Immediate postpartum period?

Answer 23

Brain- depression
Breast- Br Feeding
Bladder
Bleeding- Lochia
Birth Control

Question 24

What is the screening modality for PPD?

Answer 24

Edinburgh postnatal depression screening

Question 25

What is the effect of Estrogen on breastmilk?

Answer 25

Decreases the quantity and amount and milk