Week 1 Poll Qs Flashcards
Which of the following statements is correct regarding folic acid?
a) Folic acid is recommended once pregnancy is confirmed.
b) Folic acid is not required within North America as many foods have additional fortification which is enough during pregnancy.
c) Folic acid supplementation during preconception and pregnancy helps prevent neural tube defects.
d) Folic acid supplementation dosing is standard regardless of risk factors.
c) Folic acid supplementation during preconception and pregnancy helps prevent neural tube defects.
Ex: 3 months before you conceive or ppl of child-bearing age
Which is the earliest biochemical marker of pregnancy?
a) Estrogen
b) Progesterone
c) Human chorionic gonadotropin (hCG)
d) Placental lactogen
c) Human chorionic gonadotropin (hCG)
Pregnancy tests based on recognition of hCG – urine and serum
Most clients give birth within how many days of their estimated due date?
a) 3 days before 3 days after
b) 7 days before to 7 days after
c) 14 days before to 14 days after
d) 21 days before to 21 days after
b) 7 days before to 7 days after
Simon is pregnant for the third time. Their first pregnancy resulted in a spontaneous abortion at 9 weeks. They delivered their second pregnancy at 39 weeks. Which is correct?
a) G2T1P0A1L2
b) G3T1P1A0L1
c) G3T1P0A0L1
d) G3T1P0A1L1
d) G3T1P0A1L1
What is the recommended weight gain during pregnancy (singleton) for someone with a BMI of 21?
a) 15-20 pounds
b) 25-35 pounds
c) 30-45 pounds
d) 15 pounds per trimester
b) 25-35 pounds
Morgan reports nausea and vomiting. Nausea and vomiting is a _ sign of pregnancy.
a) presumptive
b) probable
c) positive
a) presumptive
This is Morgan’s 2nd pregnancy. Her 1st pregnancy ended in a spontaneous abortion at 8 weeks. Which statement is correct?
a) G2T0P1A0L0
b) G1T0P1A1L0
c) G2T0P1A0L0
d) G2T0P0A1L0
d) G2T0P0A1L0
True or false: Morgan is a primigravida.
G2T0P0A1L0
False since she’s been pregnant before
True or false: Morgan is a primipara
G2T0P0A1L0
False
Primipara means a pregnancy went past 20 weeks, but her previous one didn’t. Thus, she is a nullipara.
Morgan denies having bad rubella or the rubella vaccine. Which of the following would be an appropriate action based on this information?
a) Administer the rubella vaccine
b) Take a blood sample to assess the rubella titer
c) Tell the client that rubella has little effects on the fetal so the risk is minimal
d) Have the client call her mother to inquire is she had measles as a child
b) Take a blood sample to assess the rubella titer
~ Vaccinate her after pregnancy
Which of the following would indicate a need for further follow-up related to the potential development of erythroblastosis fetalis?
a) Blood type O
b) RH negative
c) Blood type A
d) RH positive
b) RH negative
At 26 weeks gestation, how many cm should the fundal height be?
a) 20cm at the umbilicus
b) 22cm +/- 4cm
c) 26cm +/- 2cm
d) 26 cm +/- 4cm
c) 26cm +/- 2cm
At 26 weeks gestation, the expected FHR is:
a) not detected by doppler
b) 60-100 BPM
c) 80-120 BPM
d) 110-160 BPM
d) 110-160 BPM
Why is folate or folic acid of particular concern in the preconception period?
It decreases congenital heart disease, limb defects and cleft lip (pallet)
What is the recommended dose of folic acid in clients that are low risk? What about those at high risk and highest risk?
Low risk = 0.4mg/daily
High risk of having a child w/ neural tube defects (ex: they have diabetes, fam hx, epilepsy) = 1mg in pregnancy then 0.4mg after 1st trimester
Highest risk = previous pregnancy w/ neural defect = 4mg
What are some factors that can influence the accuracy of the results? (5)
1) Brain tumours can increase hCG levels which may give a false positive reading, even for men.
2) If you’re very hydrated (diluting levels)
3) Taking a pregnancy test too early may give you a false negative since the hCG levels are not as high as they should be (should be 7-10 days after)
4) Timing of day
5) Meds (anticonvulsants, tranquilizers)
Why is it important to make an accurate assessment of the estimated due date? (3)
If it’s accurate, we can track the development of the fetus and determine if it is on track.
It gives the family time to prepare just in case there is something wrong.
Genetic screening is time-sensitive, thus, it’s important to know the accurate assessment of the EDB.
What are some limitations with Nägele’s rule?
Accuracy is impacted if ppl don’t know when their last period was, ppl w/ longer cycles or ppl w/ irregular periods.
How accurate are fetal ultrasounds for dating?
Dating ultrasounds are accurate in early pregnancy (it may be a few days off).
Note the drop in fundal height from week 36 to 40. Why do you think the fundal height dropped at week 40?
At 40 weeks, it dropped b/c the baby is descending in preparation for labour.
