Prenatal office visits

Question 1

How often do women go to doctor during pregnancy

Answer 1

4 weeks
2 weeks
weekly

Question 2

Amount of visits during pregnancy

Answer 2

every 4 weeks up until the pt gets to 28 weeks

Question 3

Pregnant pt goes to doctor every 2 weeks b/w the time frame

Answer 3

28-36 weeks

Question 4

Pregnant pt sees the doctor every week once they are past

Answer 4

36 weeks

Question 5

First trimester

Answer 5

up to 14 weeks

Question 6

Second trimester

Answer 6

18-28 weeks

Question 7

Third trimester

Answer 7

over 28 wks

Question 8

UA is done at every visit besides the

Answer 8

18-20 and

26-28

Question 9

1st visit

Answer 9

6-8 weeks

Prenatal labs: CBC, blood group, Rh
STD screen: RPR, Hep B, HIV, HSV
Rubella IgG
Varicella

UA and Culture
Dating Ultrasound

Question 10

What to Prescribe at 1st visit

Answer 10

Prenatal vitamins

Zofran and Unisom if needed

Question 11

2nd visit

Answer 11

10-14 wks

Review labs and dating US
Vaginal culture (G/C, Trich, BV, yeast)
UA
NT Ultrasound (11.6-13.6 wks) and Genetic screening

Question 12

3rd visit

Answer 12

18-20 wks

Fetal movements
Anatomy Ultrasound

optional: Amniocentesis, Quad screen

Question 13

4th visit

Answer 13

22-24 wks

UA
1 Hr GTT (glucose tolerance test)

*optional: growth ultrasound

Question 14

5th visit

Answer 14

26-28 wks

Make sure 1 hr GTT is done (if abnormal, proceed to 3 hr GTT)
TDAP (27-36 wks)

optional: CBC if anemic, Rhogam injection at 28)

Question 15

6th visit

Answer 15

30-32 wks

UA

optional: growth US , NST/BPP

Question 16

7th visit

Answer 16

34 wks

UA

Question 17

8th visit

Answer 17

36 weeks (must be at least here!!)

Group B strep
Cervical check
UA

Discuss induction

Question 18

every visit after 36 wks

Answer 18

Cervical Check

UA: glucose, ketones, protein

Question 19

Postpartum visit

“all the B’s”

Answer 19

Bleeding- normal to spot
Bowels- constipated?
Bladder- incontinent?
Breast- feeding/formula
Baby- peds visit
Belly- check incision if C/S
Blues- fill out EPDS form
Birth control

Question 20

When to check for Group B Strep

Answer 20

at 36 wks

Question 21

When to administer RhoGam if indicated

Answer 21

at 28 wks

Question 22

When to test 1 Hr Glucose Tolerance Test

Answer 22

at 24 wks

Question 23

When to do 3 Hr Glucose Tolerance Test if the first one was abnormal

Answer 23

at 26-28 week visit