Women's health

Question 1

what is the fundal height at 12-14 weeks pregnant?

Answer 1

just above the pubic bone

Question 2

what is the fundal height at 16 weeks pregnant?

Answer 2

halfway between the symphysis pubis and umbilicus

Question 3

what is the fundal height at 20-22 weeks pregnant?

Answer 3

at the umbilicus

Question 4

what is the fundal height after 24 weeks pregnant?

Answer 4

fundal height often matches how many weeks pregnant

Question 5

What two vaccines are given during pregnancy?

Answer 5

Influenza and Tdap (27-36 weeks)

Question 6

what is normal weight gain during a pregnancy?

Answer 6

25-35 pounds

Question 7

when do you screen for gestational diabetes?

Answer 7

24-28 weeks

Question 8

how is gestational diabetes diagnosed?

Answer 8

fasting glucose >126
A1C > 6.5
random glucose > 200
*same criteria for dx diabetes

Question 9

When to give Rhogam?

Answer 9

if mother is RH (-) and fetus is RH (+)

give Rhogam at 28 weeks and within 72 hours of delivery

Question 10

What is Naegele’s Rule?

Answer 10

subtract 3 months from LMP

add 7 days

Question 11

painful vaginal bleeding and hard uterus during 3rd trimester.
treatment?

Answer 11

placenta abruption
tx: refer to ETC
strict bedrest or C-section if mother is in danger

Question 12

painless vaginal bleeding during 3rd trimester.

treatment?

Answer 12

placenta previa

tx: refer to ETC, avoid intercourse, bed rest, close fetal and maternal monitoring
* if mother’s life is in danger, perform C-section

Question 13

treatment for UTI when pregnant

Answer 13

Keflex 
or Macrobid (but not in 3rd trimester)

Question 14

What does the Coombs test detect?

Answer 14

Rh antibodies

Question 15

pap smear screening vs HPV screening

Answer 15

pap smear: age 21 every 3 years

HPV: age 30 every 5 years

Question 16

Postmenopausal Bleeding

Answer 16

Concerning even if very small amount. Refer to gyno to for biopsy to r/u cancer.

Question 17

mammogram guidelines

Answer 17

every 2 years age 50-75,

Question 18

safe meds for HTN in pregnancy

Answer 18

labetalol, nifedipine, methyldopa

Question 19

Galactorrhea is too much or too little prolactin? and what does it cause?

Answer 19

too much prolactin

production of breastmilk in men/women when not pregnant

Question 20

How long does Mirena IUD last? Copper IUD?

Answer 20

5 years

10 years

Question 21

flaky or scaly skin on nipple, may have crusting or oozing

Answer 21

Paget’s disease, order mammogram and refer to breast surgeon