Westra: Prenatal Care

Question 1

How do you calculate the EDD?

Answer 1

1. Naegele’s Rule
2. First trimester US
3. Fetal heart tones
4. Quickening

Question 2

What is Naegele’s Rule?

Answer 2

First day of LMP - 3 months + 7 days + one year

ovulate at day 14

Question 3

LMP was 9/9/14

Answer 3

6/16/15

Question 4

LMP was 10/10/14

Answer 4

7/17/15

Question 5

when can you hear fetal heart tones?

Answer 5

doppler 10-12 weeks

fetoscope 18-20 weeks (special stethescope to hear fetal heart tones)

Question 6

when can women feel quickening?

Answer 6

Fetal movement

primigravida 18-19
multigravida 16-17 (mom who has been pregnant can tell earlier)

Question 7

Gravidity

Answer 7

how many times the pt has been pregnant including CURRENT pregnancy

Question 8

Parity

Answer 8

Results of previous pregnancies

Florida power and light

Question 9

Never been pregnant but are now

Answer 9

G1P0000

Question 10

Pregnant for the first time and just delivered

Answer 10

G1P1001

Question 11

prenatal vitamin

Answer 11

category A

Question 12

Azithromycin
cephalosporins
erythromycin
penicillins
sulfonamides

Answer 12

category B

antiBiotics

Question 13

Aminoglycosides
fluoroquinolones
trimethoprim
vancomycin

Answer 13

category C

Question 14

drugs that can affect bones and teeth and are only used if benefit may outweight risk

Answer 14

streptomycin

tetracyclines

Question 15

common drug used for acne that is teratogenic

Answer 15

acutane

Question 16

chadwicks sign

Answer 16

vaginal mucosa of cervix changes to purple Coloration

Question 17

hegars

Answer 17

softening of the cervix

Question 18

Initial prenatal labs

Answer 18

CBC
UA
ABO and Rh factor and Ab screen
Rubella Titer
RPR-syphilis
HBsAg
HIV Ab
Don't do a PAP**

Question 19

how much do most women gain

Answer 19

25-35 pounds

Question 20

examples of noninvasive prenatal screening–helpful so you can know beforehand if there’s an abnromality

Answer 20

1. test fragments of fetal DNA in maternal circulation
2. test for DS

• not recommended for genetic screening
• costly

Question 21

DNA analysis for single gene disorders and metabolic disoders that is performed transvaginal or transabdominal

Answer 21

Chorionic villous sampling

Question 22

when do you do chorionic villous sampling?

Answer 22

10-12 weeks

<1% of limb defects

Question 23

when do you do amniocentesis

Answer 23

14-16 weeks

Question 24

indicative of open neural tube defects and infection

Answer 24

AFP in amniotic fluid

Question 25

can be indicative of chromosome abnormalities or biochemical disorders

Answer 25

amniotic fetal cells

Question 26

increased nuchal lucency and flat nasal area

Answer 26

seen on ultrasound of baby with DS

Question 27

When do you do a gestational diabetes screening?

Answer 27

24-28 weeks
one hour test after 50 g glucose load
confirmed w/ 3 hour glucose tolerance test

Question 28

What is US good for in prenatal care?

Answer 28

dating
suspected multiple gestations
vaginal bleeding

Question 29

How often should you see a woman during pregnancy?

Answer 29

every 4 weeks: 6-8 weeks
every 2 weeks: 28-36 weeks
weekly from 36 week until delivery

Question 30

When should you give rhogam to an Rh - mom?

Answer 30

for nonsensitized owmen at 28 weeks and w/in 72 hrs of delivery if infant has RhD positive blood

Question 31

When should you give a Tdap in pregnancy?

Answer 31

27 and 36 weeks to protect mother and baby from pertussis

**also give to ppl who will spent itme w/ baby 2 wks before expected delivery