Prenatal care Flashcards
Hemoglobin/Hematocrit is rechecked at ___ weeks AOG for anemia surveillance in pregnancy.
a. 18-22
b. 23-27
c. 28-32
d. 33-37
C
Adverse outcomes linked to smoking include the following, EXCEPT:
a. Abortion
b. Fetal macrosomia
c. Infant death
d. Placental abruption
B
Common concerns of pregnant women that do not have a serious sequelae, EXCEPT:
a. Excessive Vaginal discharge
b. Heartburn
c. Headache during the first trimester
d. Blurring of vision
D
Woman who had a previous abortion is a:
a. Nulligravida
b. Nullipara
c. Multigravida
d. Primipara
B
A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. Based on her LMNP, she’s in her ___ trimester. (This exam was taken Feb 12, 2014)
a. First
b. Second
c. Third
d. Fourth
B
A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. Where can the uterine fundus be palpated?
a. Above the pubic symphysis
b. Midway between the pubic symphysis and umbilicus
c. At the umbilicus
d. Midway between the umbilicus and sternum
B
A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. What is her OB score?
a. G3P1 (1011)
b. G4P2 (1111)
c. G4P1 (1021)
d. G3P1 (1101)
C
A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. When is her expected date of delivery? (This exam was taken Feb 12)
a. May 7, 2014
b. April 24, 2014
c. May 31, 2014
d. April 21, 2014
A
A 28-year old follows-up at the OPD for her prenatal check-up. Her last normal menstrual period was in July 31, 2013. Her family, medical and personal/social histories are unremarkable. Her eldest daughter was delivered term 2 years ago, followed by a miscarriage. Her first pregnancy was an ectopic. Physical exam and laboratory findings of the patient are normal. She is advised to come back for her next prenatal visit on her __ weeks AOG.
a. 24
b. 29
c. 30
d. 32
C
A gravid woman with a singleton pregnancy and a pre-pregnant BMI of 27 should have a total weight gain (KG) of:
a. 12.5-18
b. 11.5-18
c. 7-11.5
d. <7
C
When can the fetal heart sounds first be appreciated in most women using a standard stethoscope?
a. 5 weeks AOG
b. 16-19 weeks AOG
c. 21 weeks AOG
d. 22-24 weeks AOG
B
Which of the following may be used to assess gestational age?
a. Quickening
b. Cervical Consistency
c. Maternal Weight Gain
d. Onset of Nausea and Vomiting
A
How should you advise a pregnant woman in terms of nutrition?
a. She should eat what she wants in amounts she desires and salted to taste.
b. If she has normal BMI, she should gain approximately 40-45 lbs
c. Low salt, low fat, sugar free diet is recommended
d. Vegetarians eat the most nutritious food deemed complete so they don’t need additional supplements
A
Which of the following vaccines is recommended to all pregnant women during the pregnancy?
a. Varicella
b. Rubella
c. Influenza
d. Hepatitis B
C
At 20 weeks AOG, uterine fundus should be palpated at
C
Usually, the earliest age at which the fetal skeleton is visible on x-ray is
a. 2 lunar months
b. 4 lunar months
c. 6 lunar months
d. 8 lunar months
B
The relation of the fetal parts to one another determines the:
a. Presentation of the fetus
b. Lie of the fetus
c. Attitude of the fetus
d. Position of the fetus
C
The relationship of the long axis of the fetus
to the long axis of the mother is call the ___.
a. Lie
b. Presentation
c. Position
d. Attitude
A
Of the following methods, which determine fetal presentations:
a. Cullen’s maneuver
b. Leopold’s maneuver
c. Mauriceau-Smellie-Velt maneuver
d. McDonald’s maneuver
B
Sonography is valuable is pregnancy except in
a. Diagnosing early preganancy
b. Determining pelvic adequacy
c. Identifying fetal anomalies
d. Localizing the placenta
B
At the 12th weeks of gestation the uterus in a normal pregnancy is:
a. Not palpable abdominally
b. Palpable just above the symphysis pubis
c. Palpable midway between the umbilicus and the sternum
d. Palpable at the level of the xiphoid
B
. Iron requirement during pregnancy
A. 200 mg
B. 300 mg
C. 500 mg
D. 1000 mg
D
Electrocardiographic changes in pregnancy which is due to altered heart position?
A. left axis deviation
B. notching of Q-wave
C. ST elevation
D. New-onset of Q waves
A
Which of the following is an abnormal finding in pregnant women?
A. exaggerated splitting of S1
B. loud diastolic murmur
C. loud S3
D. systolic murmur
B
A normal finding during pregnancy is?
A. proteinuria
B. glucosuria
C. hematuria
D. pyuria
B
Other recommended tests (at first visit):
A. ultrasound
B. urine culture
C. alphafetoprotein
D. Chlamydia culture
B