Prenatal Care

Question 0

Frequency of visit

Answer 0

Q 4 weeks from 28-32 weeks, q2 weeks from 32-36 weeks, q week until delivery

Question 1

Physical estimate of uterine size

Answer 1

8 wk - tennis ball, 10 wk- softball, 14 wk- cantaloupe, 20 wk - corresponds to age

Question 2

Labs during initial visit

Answer 2

B-hCG, Rh antibody, HGB, cervical cytology, rubella immunity test, UA, Syphilis testing, Chlamydia testing, Thyroid function, HIV, test for heritable dz (red cell indices for thalassemia, HGB electrophoresis for HGB SCE, CF screening, fragile X

Question 3

Prenatal education

Answer 3

Wear seatbelts, increase calories to 300-500 per day, weight gain of 25-35 pounds nl, infection precaution (torch), common sxs mom may have

Question 4

Prenatal follow up

Answer 4

Measure uterine fundus size, BP, weight, auscultate fetal heart tones (9-12wks), assess fetal activity (2nd and 3rd tri), fetal presentation (3rd tri), urine (protein and glucose)

Question 5

Gestational DM screening

Answer 5

26-28 weeks

Question 6

Guns culture

Answer 6

36-38 weeks