Prenatal Care

Question 1

PN Care Schedule

Answer 1

Q4 weeks until 28 weeks
Q2 weeks 38-36 weeks
Q week 36 weeks - birth

Question 2

1st Trimester Dates

Answer 2

Up to and including 13 6/7

Question 3

2nd Trimester Dates

Answer 3

14 0/7 through 26 6/7

Question 4

3rd Trimester

Answer 4

27 0/7 +

Question 5

Urine hCG test

Answer 5

Qualitative, + 14 days after conception, Discriminatory level is 25-50mlU/mL

Question 6

Serum testing

Answer 6

Detects levels 1 week after conception

25 is positive

Question 7

Discriminatory Zone

Answer 7

Level of beta hCG at which we would expect to see on an US a viable intrauterine pregnancy. 1500-2000

Question 8

Beta hCG doubling

Answer 8

Double q48-72 hours

Question 9

GP(TPAL)

Answer 9

G- Gravidity (number of pregnancies)

P - Parity ????

Question 10

Nagele’s Rule

Answer 10

First day of LMP
Add 7 days
Subtract 3 months
Assign next calendar year PRN

Question 11

Appearance of Gestational Sac

Answer 11

4.5-5 weeks

Question 12

Appearance of Yolk sac

Answer 12

5 weeks

Question 13

Cardiac activity

Answer 13

5.5-6 weeks

Question 14

Measurable crown rump length

Answer 14

6 weeks. Most reliable way to calculate EDD

Question 15

When is yolk sac visible?

Answer 15

When the gestational sac is 20 mm

Question 16

When is the fetal pole visible?

Answer 16

When the gestational sac is 20 mm

Question 17

Fundal height by week (12, 16, 18, 20)

Answer 17

12 wks - At Symphysis pubis
16 wks - Halfway between SP and U
18 weeks - Two finger-breaths below U
20 weeks - At U

Question 18

GP(TPAL)

Answer 18

Gravidity (pregnancies), Parity (delivered after 20 w), Term, Pre-term, Abortions, Living

Question 19

You change to EDD if there’s a difference between LMP and sono….

Answer 19

> 7d (1st tri)), >10d (2nd tri)

Question 20

Nagele’s Rule

Answer 20

First day of LMP +7 days, -3 months, adjust the year PRN

Question 21

Components of initial PE

Answer 21

Vitals, ht/wt, Urine dip (glucose, protein, C&S), head to toe, pelvic (GC/CT, bimanual, pelvimetry)

Question 22

Weight gain goals

Answer 22

Underweight (12.5-18) 28-40, Normal (18.5-24.9) 25-34, Overweight (25-29.9) 15-25, Obese 11-20

Question 23

Standard pre-natal labs

Answer 23

CBC, Blood type and Rh, Hbg electrophoresis, HBsAG, Rubella, RPR, Lead, HIV, TB