Prenatal Care

Question 1

When to vaccinate mom against rubella and varicella

Answer 1

before she gets pregnant

cannot give during pregnancy

Question 2

What is considered “term”

Answer 2

37-42 wk

Question 3

Naegele’s rule for when baby should be born

Answer 3

first day of last menstrual period - 3 mo + 7 days + 1 yr

Question 4

G(n)P(fpal)

Answer 4

G = # of total gestations
f = full term
p = premature
a = abortions (elective or spontaneous, also ectopics)
l = living children

Question 5

Pregnancy drug categories

Answer 5

A: safe in human trials
B: safe in animal trials
C: no adequate studies
D: fetal risk, but benefit might outweigh risk
X: don’t use, risks obviously outweigh benefits

Question 6

Chadwick’s sign

Answer 6

purple coloration of cervix

look in first trimester w/ speculum

Question 7

Hegar’s sign

Answer 7

softening of cervix

look in first trimester w/ speculum

Question 8

When genetic screening is recommended

Answer 8

woman >35 y/o w/ singleton
women >32 y/o w/ twins
or genetic risks
or signifigant meds or street drugs

Question 9

Increased nuchal translucency may occur in this disease

Answer 9

down syndrome

Question 10

Gestational diabetes generally begins in this time period and is therefore tested for

Answer 10

24-28 wk

Question 11

Leukorrhea

Answer 11

secretions from vagina during 2nd trimester

Question 12

Rhogam is given when

Answer 12

28 wk +
within 72 hr after delivery*
*if cord blood is Rh+

Question 13

Tdap given when in pregnancy

Answer 13

at 27-36 wk
confers risk to baby via IgG
no matter what mom’s vaccine status is
also close contacts