Prenatal Care

Question 1

What supplementation is important in preconception care?

Answer 1

Folic acid and vitamins

Question 2

What medications are of concern with epilepsy and pregnancy?

Answer 2

Phenytoin
Valproic acid
Carbamazepine

Question 3

When is the most important timeframe for organogenesis?

Answer 3

First 12 weeks

Question 4

What is considered “pre-term”?

Answer 4

< 37 weeks

Question 5

What is considered “term”?

Answer 5

37-42 weeks

Question 6

What is considered “post-term”?

Answer 6

> 42 weeks

Question 7

What is the timeframe of the first trimester? What is its role?

Answer 7

LMP to 12 weeks

Embryo develops major organs and becomes a fetus

Question 8

What is the timeframe of the second trimester? What is its role?

Answer 8

13 weeks - 27 weeks

Fetus continues to develop and reaches viability

Question 9

What is the timeframe of the third trimester? What is its role?

Answer 9

28 weeks - 40 weeks

Fetus finishes developing and prepares for delivery

Question 10

What is Naegele’s Rule?

Answer 10

EDD

First day of LMP - 3 months + 7 days + 1 year

Question 11

When is quickening experienced?

Answer 11

Primigravid? 18-19 weeks

Multigravid? 16-17 weeks

Question 12

When are fetal heart tones first heard?

Answer 12

Doppler 10-12 weeks

Fetoscope 18-20 weeks

Question 13

How do you date the delivery in the first trimester?

Answer 13

Ultrasound

Question 14

G(n)P(fpal)

What does the G(n) stand for?

Answer 14

Gravida: Number of pregnancies total

Question 15

G(n)P(fpal)

What does the “f” stand for?

Answer 15

Number of full term births

Question 16

G(n)P(fpal)

What does the “p” stand for?

Answer 16

Number of preterm births

Question 17

G(n)P(fpal)

What does the “a” stand for?

Answer 17

Number of abortions, spontaneous or elected, or ectopics

Question 18

G(n)P(fpal)

What does the “l” stand for?

Answer 18

Number of living children

Question 19

What are the drug classifications and what do they mean for pregnancy?

Answer 19

A: Studies in humans no risk
B: Studies in animals no risk
C: No adequate studies
D: Evidence of fetal risk but benefit may outweigh risk
X: Fetal risks clearly outweigh benefit

Question 20

What is an ultrasound marker that can show trisomy 13, 18 or 21?

Answer 20

Nuchal lucency

Question 21

What are risks associated with chorionic villus sampling?

When do you do it?

Answer 21

Miscarriage, inconclusive test results, <1% risk of limb defects
Do at 10-12 weeks gestation

Question 22

Increased alpha fetoprotein?

Answer 22

Neural tube defects

Question 23

Decreased alpha fetoprotein?

Answer 23

Down syndrome

Question 24

What is involved in the quad screen?

Answer 24

Alpha fetoprotein
hCG
Pregnancy-associated plasma protein A
Unconjugated estriol

Question 25

What is the average caloric requirement more for amother?

Answer 25

150 a day for first trimester

300-500 more in second and third trimesters

Question 26

When do you do a gestational diabetes screen?

Answer 26

24-28 weeks gestation

Question 27

What is an abnormal gestational diabetes test?

Answer 27

> 130 after 1 hour

Question 28

When do you test for Rho(D) immune globulin

Answer 28

28 weeks

Within 72 hours of delivery if infant is RhD positive

Question 29

When should Tdap be given in pregnancy?

Answer 29

between 27 and 36 weeks

Question 30

When should women get screened for group B strep?

Answer 30

35-37 weeks

Question 31

What is the maneuver to turn a baby called?

Answer 31

Leopold’s maneuver