Prenatal Care

Question 0

usual chief complaint

Answer 0

amenorrhea

Question 1

describe each component of the obstetric score

GxPy (F-P-A-L)

Answer 1

x-#of positive pregancies
y-Pregnancies at least 20 wks
F-Full term
P-preterm
A-Abortion
L-Living children

Question 2

what to check in past medical history

Answer 2

goiter, heart problems, diabetes, asthma, high bp

Question 3

what to check in family history

Answer 3

hereditary/familial disease for both sides

Question 4

what to ask about menatrual history?

Answer 4

menarche, frequency, duratoon, reularity, dysmenorrhea, LNMP

Question 5

T/F in taking a good obstetrical history, it is important to note for spottif

Answer 5

T

Question 6

the ff are true except

A. in history taking, it is not important to ask about contraceptive methods used 3mos before conception
B. It is important to ask about method of past deliveries if there had been any
C. in doing the abdominal exam, fundic height of 20cm=20 wks AOG
D. bladder must be emptied before measuring fundic height

Answer 6

A

Question 7

give the names of the 4 leopold’s maneuvers and give their purposes

Answer 7

I - fundal grip; to determine which part of the fetus occupies the fundua
II - umbilical grip; to determine location of fetal back
III - Palwik’s grip; to determine presenting part and engagement
IV - Pelvic Grip; to determine presenting part and engagement

Question 8

what is the normal fetal heart tone?

Answer 8

120-160bpm

Question 9

fetal heart tone at 5 weeks can be appreciated through

Answer 9

transvaginal ultrasound

Question 10

fetal heart tone at 10 weeks can be appreciated through

Answer 10

doppler

Question 11

fetal heart tone at 19-20 weeks can be appreciated through

Answer 11

Stethoscope

Question 12

4 signs in the head area

Answer 12

severe persistent headache and blurring vision - preeclampsia, persistent nausea and vomiting - hyperemesia gravidarum, chills and fever

Question 13

3 abdominal signs

Answer 13

RUQ Pain - preterm labor/preeclampsia
Dysuria - UTI
Quickening

Question 14

2 perineal signs

Answer 14

vaginal bleeding - placenta previa, abruptio, abortion

watery leakage - rupture of fetal membranes

Question 15

1 sign lower ex

Answer 15

severe pitting edema -preeclampsia

Question 16

frequency of prenatal check ups

Answer 16

<28 weeks: every 4weeks
29-36 weeks: every 2 weeks
37th week: every week

Question 17

DOH recommended prenatal visits

Answer 17

before 4 months
2nd trimester
3rd trimester
every 2 weeks from 8th month to delivery

Question 18

T/F

folic acid supplements should be started should be started at the time of conception

Answer 18

F; should be started 3 mos before

Question 19

T/F Acne creams with vit A should be used during pregnancy

Answer 19

F; vit A is teratogenic

Question 20

recommended Ca RDA

Answer 20

1,200mg

Question 21

recommended ferrous iron supplement

Answer 21

27mg

Question 22

a pregnant woman should increase caloric intake by how much?

Answer 22

100-300kcal compared to non pregnant