Promoting Healthy Pregnancies

Question 1

What could alcohol do to a developing fetus

Answer 1

can cause physical/mental abnormalities, can also cause fetal alcohol syndrome

Question 2

how many weeks is early term

Answer 2

37 0/7 - 38 6/7 weeks

Question 3

how many weeks is full term

Answer 3

39 0/7 - 40 6/7 weeks

Question 4

how many weeks is late term

Answer 4

41 0/7 - 41 6/7 weeks

Question 5

how many weeks is post term

Answer 5

42+ weeks

Question 6

how many weeks is preterm

Answer 6

20 1/7 - 26 6/7

Question 7

What is included in the initial prenatal assessment

Answer 7

biographical data( name, marrital status, DOB), Current pregnancy (EDB expected/unexpected), Past medical history, Oral hygiene, Vaccination hx, OB hx, Family hx, Social hx

Question 8

Who can give child bearing care

Answer 8

certified nurse midwife, family practice physician, obstetrician

Question 9

what do you need to make sure when a patient picks a medical professional for pregnancy

Answer 9

need to ensure the provider and patient have the same views on management of pregnancy, and assessing cultural factors in relation to maternity care

Question 10

would you give FDA category C meds to a pregnant patient

Answer 10

if the benefits outweigh the risks

Question 11

why would you need to increase consumption of iron

Answer 11

to maintain O2 carrying capacity of blood and provide adequate number of RBCs

Question 12

how much iron should a pregnant patient consume a day

Answer 12

27mg/day

Question 13

where can you find iron in foods

Answer 13

spinach, organ meets

Question 14

how teaching should be included for iron (for taking it and prevent side effects)

Answer 14

take with orange juice to increase absorption, dont take with tea, milk, or coffee

Question 15

what does parity mean

Answer 15

number of pregnancies carried to viability

Question 16

what does nullipara mean

Answer 16

no pregnancies carried to viability

Question 17

what does primipara mean

Answer 17

1st pregnancy carried to viability

Question 18

what does mullipara mean

Answer 18

2 or more pregnancies carried to viability

Question 19

what could cannabis do to a developing fetus

Answer 19

could be born with hyper irritability, tremors, and/or photosensitivity

Question 20

what is pre-conceptive care and when would it start

Answer 20

before pregnancy to identify adverse complications that may present future complications, begins at first trimester if not started before

Question 21

what is a reproductive life plan tool

Answer 21

reflects number and timing of pregnancies intended

Question 22

why do you need to increase protein when pregnant

Answer 22

increase in growth of maternal tissue

Question 23

how much should you increase protein when pregnant (mg and servings)

Answer 23

60mg/day approx 5-6 servings

Question 24

what foods contain protein

Answer 24

milk, eggs, meat, fish

Question 25

would you give FDA category A meds

Answer 25

yes - no association with fetal risk

Question 26

what does cocaine do to developing fetus

Answer 26

at risk for significant congenital abnormalities, also at risk for still birth, abruptio placentae, preterm labor, small baby

Question 27

a non pregnant women should eat how many calories a day

Answer 27

1200-2400cal/day

Question 28

when pregnant how many calories should be added to diet

Answer 28

300 cal/ day (1500- 2700cal/day)

Question 29

how much weight should a pregnant person gain per term (and total)

Answer 29

25-35lbs (1b per month for 1st trimester then 1lb/ week)

Question 30

would you give FDA category B meds

Answer 30

yes- no studies on pregnant women

Question 31

when should you start taking folic acid (vit B9)

Answer 31

should take a month before conception to decrease neural tube defects

Question 32

how much folic acid should a pregnant person take

Answer 32

4000mcg/day

Question 33

what foods include folic acid (B9)

Answer 33

eggs, dark green leafy,

Question 34

what should you take folic acid (B9) with

Answer 34

orange juice to increase absorption

Question 35

what does G stand for in GTPAL

Answer 35

gravid - how many times pregnant (nulligravid - none Primigravid - 1st time Mulligravid - 2 or more times )

Question 36

what does T stand for in GTPAL

Answer 36

term pregnancies

Question 37

what does P stand for in GTPAL

Answer 37

preterm pregnancies

Question 38

what does A stand for in GTPAL

Answer 38

abortions (miscarriage or assisted)

Question 39

what does L stand for in GTPAL

Answer 39

living children

Question 40

what could tobacco do to a developing fetus

Answer 40

SAB, decrease birth weight, IUGR (intrauterine growth restriction), preterm labor, placenta previa, premature ROM, SIDs

Question 41

how often does a patient need to be seen when pregnant

Answer 41

every 4 weeks till 28 weeks every 2 weeks will 36 weeks then every week till birth if they are a high risk pregnancy then they will need to be seen more often

Question 42

would you give FDA category D meds

Answer 42

no - adverse and fetal risk

Question 43

what is included in prenatal 1st exam

Answer 43

complete physical exam, pelvic exam, VS, wt, BMI

Question 44

would you give FDA category X meds

Answer 44

no never - evidence of fetal risk and congenital abnormalities

Question 45

what is leopold maneuvers

Answer 45

4 part assessment of palpation to determine fetal lie and presenting position

Question 46

what are some prescription meds you should avoid if pregnant

Answer 46

accutane, some antimicrobals

Question 47

what foods should be avoided when pregnant

Answer 47

deli meats (unless heated up) raw unpasterirzed foods/drinks,

Question 48

how much caffeine can a pregnant patient have

Answer 48

200mg/day (12oz cup)

Question 49

where is FHR best heard at on baby and where is that on mom

Answer 49

over fetal upper back, usually maternal lower abdomen

Question 50

FHR is assessed with a doppler at ____ weeks, should have ___ accels in ___ min

Answer 50

10 weeks 3 accels in 20min

Question 51

if fetal heart rate is heard in mother upper abdomen what might that mean

Answer 51

baby in breach position

Question 52

what is a gynecoid pelvic type

Answer 52

most common in 40% of women circular shape

Question 53

what is android pelvic shape

Answer 53

male - heart shaped

Question 54

what is anthrpoid pelvic shape

Answer 54

most common in non Caucasian oval shape ()

Question 55

what is a playtypelloid pelvic shape

Answer 55

rarest type 3% oval shale <>

Question 56

what should be done at each prenatal exam

Answer 56

BP, Wt, fundal height, urine, FHT, fetal movement

Question 57

what does fundal height correlate to

Answer 57

weeks gestation

Question 58

what herbs should be avoided when pregnant

Answer 58

feverfew, senna, licorice root, juniper berries