Prenatal Care and Normal Pregnancy

Question 1

What is the normal APGAR score range?

Answer 1

normal = 7 to 10

Question 2

When is APGAR score recorded?

Answer 2

one and five minutes

Question 3

An infant with what apgar score warrants further evaluation and possible resuscitation?

Answer 3

4-6 warrents further eval + possible resuscitation

Question 4

What is the first A in APGAR indicative of?

Answer 4

appearance

Question 5

What does the P in APGAR score stand for?

Answer 5

Pulse

Question 6

what does the G in APGAR score indicate

Answer 6

Grimace

Question 7

what does the R in APGAR stand for

Answer 7

Respiration

Question 8

what is the second A in APGAR stand for

Answer 8

Activity

Question 9

what is fetal attitude

Answer 9

relationship of fetal parts to one another

Question 10

what is fetal lie

Answer 10

relationship of fetal cephalocaudal axis (spinal column) to maternal cephalocaudal axis

Question 11

what is fetal presentation

Answer 11

fetal/presenting part enters the pelvic inlet first
(breech vs cephalic)

Question 12

what is frank breech position

Answer 12

hips flexed, knees extended, bottom presents first

Question 13

what is complete breech position

Answer 13

hips, knees flexed, bottom presents first

Question 14

what is incomplete breech position

Answer 14

one/both hips not completely flexed; feet present

Question 15

what is shoulder breech position

Answer 15

transverse lie; shoulders present first

Question 16

What does Monozygotic twins mean

Answer 16

identical twins
multiple (typically two) fetuses produced by the splitting of a single zygote

Question 17

what are dizygotic twins

Answer 17

fraternal
multiple (typically two) fetuses produced by two zygotes

Question 18

what are polyzygotic twins

Answer 18

multiple fetuses produced by two or more zygotes

Question 19

what is a normal newborn heart rate

Answer 19

120-160 bpm

Question 20

what is late fetal decelerations

Answer 20

FHR drops at the end of the contraction - ureteroplacental insufficiency
always worrisome

Question 21

what is Hegar’s sign

Answer 21

softening of uterine isthmus

Question 22

What is Goodells sign

Answer 22

a probable sign of pregnancy that occurs when the cervix softens during early pregnancy

Question 23

what are striae gravidarum

Answer 23

stretch marks

Question 24

what are nutritional needs during pregnancy

Answer 24

• additional 300kcal/day, weight gain of 24-25lbs
• 600mcg folic acid/day
• 1,000-1,300mg calcium/day supports pregnancy, lactation
• 60g protein daily supports tissue growth
• 27 mg iron/day supports increase RBCs

Question 25

What is Naegele's sign

Answer 25

expectant date of confinement **first day of last menstrual period + 7 days - 3 months + 1 year**

Question 26

What is the triple screen

Answer 26

AFP, HCG and estriol

Question 27

what is a Quad Screen

Answer 27

AFP, HCG, Estriol, Inhibin A

Question 28

when is Chorionic villus sampling completed

Answer 28

between 10-12 weeks (end of first trimester)

Question 29

When is amniocentesis completed

Answer 29

between 15-18 weeks (beginning of the second trimerster) - especially for women over 35 in high-risk group

Question 30

when is the 2hour glucose test completed

Answer 30

between 26-28 weeks

Question 31

when is groupB strep test completed

Answer 31

between 35-37 weeks

Question 32

what is the estimate gestational age by uterine size at 12 weeks?

Answer 32

pubic symphysis

Question 33

what is the estimate gestational age by uterine size at 16 weeks

Answer 33

midway from symphysis to umbilicus

Question 34

what is the estimate gestational age by uterine size at 20 weeks

Answer 34

at umbilicus

Question 35

what is the estimate gestational age by uterine size at 20-36 weeks

Answer 35

height (in cm) above pubic symphysis correlates with weeks of gestation

Question 36

What weeks are considered the first trimester

Answer 36

week 1 - week 12

Question 37

what weeks are the second trimester

Answer 37

Week 13- week 26

Question 38

what weeks are third trimester

Answer 38

WEek 27 to end of pregnancy

Question 39

When is RhoGAM given

Answer 39

between 28-30 weeks gestation

Question 40

mothers at 28-32 weeks gestation who have pre-gestational diabetes must undergo what type of testing and how often

Answer 40

stress testing - twice weekly until delivery