Prenatal Care

Question 1

APGAR

Answer 1

Appearance
Pulse
Grimace
Activity
Respirations

Question 2

Interpret A (Apgar)

Answer 2

0: blue/pale
1: body pink, extremities blue
2: completely pink

Question 3

Interpret P (aPgar)

Answer 3

0: absent
1: below 100
2: above 100

Question 4

Interpret G (apGar)

Answer 4

0: flaccid
1: some flexion of extremities
2: active motion or cry

Question 5

Interpret A (apgAr)

Answer 5

0: absent
1: arms and legs flexed
2: active movement

Question 6

Interpret R (apgaR)

Answer 6

0: absent
1: slow
2: vigorous cry

Question 7

MC S/S of pregnancy

Answer 7

Amenorrhea

Question 8

HCG of pregnancy

Answer 8

Value doubles every 48 hours

Question 9

Calculate estimated due date (EDD)

Answer 9

Crown rump length (CRL) in first trimester

Question 10

First sign of pregnancy on US

Answer 10

Gestational sac

Question 11

Confirmation of intrauterine pregnancy (IUP)

Answer 11

Yolk sac

Question 12

When to administer Rhogam

Answer 12

28 weeks and within 72 hours of delivery if Rh-

Question 13

Prenatal genetic testing

Answer 13

Cell free DNA: 10+ weeks
First trimester screening: 10-13 weeks
AFP: 15-20 weeks
Quad screen: 15-22 weeks

Question 14

AFP screening

Answer 14

Neural tube defects

Question 15

If amniocentesis is needed, when does it happen?

Answer 15

15-20 weeks

Question 16

If needed, when is chorionic villus sampling (CVS) performed?

Answer 16

10-13 weeks

Question 17

How often are OB visits?

Answer 17

Every 4 weeks until 28 weeks
Every 2 weeks until 34 weeks
Every week until delivery

Question 18

When is group B strep culture done?

Answer 18

36 weeks

Question 19

If group B strep positive?

Answer 19

Intrapartum IV abx during labor

Question 20

Fundus location

Answer 20

12 weeks: pubic symphysis
20 weeks: umbilicus

Question 21

Gestational diabetes screening

Answer 21

24-28 weeks
1 hour, then 3 hour if failed

Question 22

CBC screening

Answer 22

Initial visit and 28 weeks

Question 23

Prenatal care everyone receives

Answer 23

Prenatal vitamin
Iron supplement