Week 2 Material- Prenatal care

Question 1

when should first prenatal be by? visits should be monthly until when? visits should be bi-weekly during what weeks? visits should be weekly from when on?

Answer 1

10 wks
32 wks
32-36 wks
36 wks on

Question 2

in the initial prenatal visit what 4 things do you need to do?

Answer 2

1. prenatal hx
2. establish EDD
3. PE including baseline BP, height & weight, complete PE, gyn exam, auscultation of fetal heart tones
4. lab testing

Question 3

what is included on the obstetrical panel? (8)

Answer 3

ABO-rh
CBC
ab screen
rubella IgG
syphilis testing
hepatitis B sAg
HIV
varicella IgG

Question 4

besides drawing blood what other things do you need to culture or test for?

Answer 4

urine culture
cervical cytology (if indicated)
chlamydia testing

Question 5

when do you need to test a pregnant woman for a thyroid condition?

Answer 5

symptomatic
personal hx of thyroid dz
family hx of thyroid dz

Question 6

when do you need to test a woman for diabetes?

Answer 6

for at risk women do at first visit (FPG > 126 mg/dL), Hgb A1C >6.5% or random blood glucose >200 mg/dL w/f/u)
for all else test at 24-28 wks

Question 7

what are some infections you need to test a mom for only if she is symptomatic?

Answer 7

GC
tuberculosis
toxoplasmosis
HVC
bacterial vaginosis
trich
HSV

Question 8

when is a first trimester screen done, what does it include and what does it screen for?

Answer 8

done by 13 wks, 6 days gestation
includes U/S and blood work
screens for trisomy 18 and 21

Question 9

what does a second trimester screen include and what can it screen for?

Answer 9

blood work

screens for trisomy 21 and NTDs

Question 10

what should a pregnant mom increase her caloric intake by in the 2nd trimester? in the third? how much protein should she be getting? how many carbs?

Answer 10

second: 340 calorie increase
third: 452 calorie increase
1.1 g/kg/d protein
175 g/d carbs

Question 11

what things should pregnant moms avoid consuming?

Answer 11

raw meat, fish or poultry
avoid unpasteurized dairy products and fruit/vegetable juices
rinse fresh fruits and veggies 
avoid raw sprouts
heat deli meats

Question 12

recommended values of prenatal supplements? which do you need to limit?

Answer 12

iron 30 mg/d
folic acid 800 mcg/d
calcium 1000 mg/d
vitamin D 400 IU/d
NO MORE THAN 10,000 IU of vitamin A/d

Question 13

risks of smoking during pregnancy?

Answer 13

low birth weights
premature rupture of membranes
placental abruption
preterm delivery

Question 14

caffeine upper limit?

Answer 14

200-300 mg/d

Question 15

exercise recommendations?

Answer 15

15-30 minutes every day, should be able to carry on a conversation when working out (not too winded)