Prenatal Care

Question 1

calculate EDD

Answer 1

add 7 days to LMP & subtract 3 mo. and add 1 year

Question 2

early term?

Answer 2

37 weeks to 38 weeks and 6 days

Question 3

full term

Answer 3

39 weeks to 40 weeks and 6 days

Question 4

late term

Answer 4

41 weeks to 41 weeks and 6 days

Question 5

post term

Answer 5

42 weeks to beyond

Question 6

bluish/purple coloration of the vagina/cervix due to increased blood flow

Answer 6

Chadwick’s sign

Question 7

palpable softening at the isthmus

Answer 7

Hegar’s sign

Question 8

always collected at 1st prenatal visit (3)

Answer 8

Pap smear
chlamydia swab
gonorrhea swab

Question 9

when can fetal cardiac motion be visualized?

Answer 9

5.5-6.0 weeks via transvaginal US

Question 10

fetal heart tones detectable? and WNL?

Answer 10

10-12 weeks w/ Doppler

120-160 bpm is WNL

Question 11

fundal height at 12 weeks?

Answer 11

pubic symphysis

Question 12

fundal height at 20 weeks

Answer 12

umbilicus

Question 13

when to screen for gestational diabetes and how

Answer 13

24-28 weeks with OGTT

Question 14

when to do GBS swab

Answer 14

b/w 35-37 weeks

Question 15

when to screen for Rh

and what do you do

Answer 15

initial lab work & repeated in early 3rd trimester

if negative Rh, give globulin b/w 28-30 weeks

Question 16

nuchal translucency screening?

Answer 16

11-13 weeks

Question 17

maternal serum screen aka quad screen

when and what does it measure

Answer 17

15-18 weeks

AFP, uE3, hCG, inhibin A

Question 18

biophysical profile (4 things)

Answer 18

fetal breathing movements
fetal movement
fetal tone
quantification of amniotic fluid vol.

Question 19

normal BMI (18.5-24.9) weight gain

Answer 19

25-35 lbs

Question 20

overweight (25.0-29.9) weight gain

Answer 20

15-25 lbs

Question 21

obese (>30.0) weight gain

Answer 21

11-20 lbs

Question 22

false labor vs true labor

Answer 22

false: irregular intervals & duration, unchanged intensity, no dilation, relief from sedation

true labor has regular intervals, gradual increases in frequency & intensity, no relief from sedation

Question 23

nitrazine test results?

Answer 23

pH 6.5-8.0 = ruptured membranes, blue paper

pH 5.0-6.0 = intact membranes

Question 24

1st stage of labor

Answer 24

between onset of labor & full cervical dilation & effacement

Question 25

2nd stage of labor

Answer 25

complete dilation to delivery of infant

the pushing phase of childbirth

Question 26

3rd stage of labor

Answer 26

delivery of the infant to delivery of the placenta

Question 27

adequate labor is?

Answer 27

3-5 contractions in 10 min

Question 28

macrosomic?

Answer 28

> 4500 g

Question 29

3 P’s of Labor progress

Answer 29

Power
Passenger
Passage

Question 30

most & least common pelvic shape

Answer 30

gynecoid

platypelloid

Question 31

6 cardinal movements of labor

Answer 31

engagement
flexion
descent
internal rotation
extension
external rotation

Question 32

normal heart rate variability?

Answer 32

both short term (beat to beat variation) and long term (wavelike pattern that changes 4-6 cycles/min)

Question 33

early deceleration caused by?

Answer 33

head compression

physiologic

Question 34

variable deceleration is caused by

Answer 34

cord compression

doesn’t mirror contractions

Question 35

late deceleration caused by (4)

Answer 35

fetal hypoxia
placental insufficiency
maternal hypotension
hypoxia

Question 36

1st degree perineal laceration

Answer 36

involves vaginal mucosa or perineal skin but not underlying tissue

Question 37

2nd degree perineal laceration

Answer 37

involves underlying subcutaneous tissue but not the rectal sphincter or mucosa

Question 38

hospitalization postpartum (2)

Answer 38

vaginal birth: 1-2 days

C/S: 2-4 days

Question 39

lactation timeline (2)

Answer 39

colustrum after 1st day

mature milk after 3rd-5th day

Question 40

v, w, x, y, z

Answer 40

v: pregnancies
w: full term births
x: preterm births
y: abortions
z: living children