INITIAL VISIT
FIRST TRIMESTER
16-20 WEEKS
26-30 WEEKS
36 WEEKS
100
The first and most important aspect of the Initial Prenatal visit.
Patient's past and current history
100
When can you hear the FH with the doppler?
10-11 weeks
100
When is the uterus at the level of the umbilicus?
20 weeks
100
What tests are done at 26-30 weeks?
2 hr GT, Rhogam testing, CBC
100
What test is done at 35-37 weeks? If positive, what's the treatment of choice?
GBS; PCN, if allergic, Cleocin
200
Week by which gestational sac can be seen at US?
5-6 weeks
200
Severe morning sickness that causes a woman to lose more than two pounds per week or more than five percent of pre-pregnancy weight.
Hyperemesis Gravidarum
200
When is the first detection of fetal movement (quickening)?
17 weeks multigravida; 19 weeks primigravida
200
Name foods that should be avoided in pregnancy.
Raw food; Deli food; Alcohol
200
3rd trimester bleeding most commonly results from?
Placenta previa; Abruptio placenta; Vasa previa
300
What is the normal weight gain during pregnancy.
25-35 lbs
300
By __ weeks' gestational age, pregnancy may be detected by uterine enlargement and by softening and a purplish color of the cervix (Chadwick's sign). By about __ weeks of gestation, the uterus becomes palpable a few centimeters above the symphysis pubis.
6; 12 weeks
300
What criterion must be met for diagnosis of gestational hypertension?
Blood pressure greater than 160/90 on 2 readings 6 hours apart after 20 weeks of pregnancy
300
Conditions requiring the avoidance of intercourse during pregnancy.
Vaginal bleeding; Cramping; Leaking of amniotic fluid; Incompetent cervix
300
Three types of decelerations and what is due to what?
early-head compressions; variable-cord compressions; late-utero-placental insufficiency
400
What is the average of prenatal visits and how are they distributed throughout the pregnancy?
10-12 visits; Monthly <28 weeks; Every 2 weeks 28-36 weeks; Weekly 36 weeks-delivery
400
List the initial laboratory tests.
CBC, U/A, U/C, Type & Screen, Rubella titers, Hep B Ag, RPR, Cervical Pathology
400
When are ultrasounds recommended during normal prenatal monitoring?
Confirm pregnancy; 10-14 weeks to screen for birth defects; 20 weeks (BPP)
400
What week should Rhogam be given? And with what situations?
28 week; Rh negative mom delivers Rh positive baby, Amniocentesis, CVS, Any Abortion, Abdominal trauma
400
How can fetal position can be assessed?
Leopold's Maneuvers
500
Name 3 ways to calculate EDC.
LMP + 280 days (40 weeks) + 7 days; LMP + 7 days - 3 months; Ultrasound
500
Regardless of the cycle length, the egg is fertilized in the distal fallopian tube about __ days prior to the start of the next expected menstrual period, and it implants in the uterine endometrium about __ days later.
13; 7 weeks
500
At what week should the triple screen be ordered? What is included? What are the main conditions to rule out with the triple screen?
15-17 weeks; AFP, Estriol, BHCG; Down's Syndrome, Neural tube defects, Anencephaly
500
When are steroids indicated? And for what?
Preterm labor < 32 weeks; Fetal lung maturation
500
How does pregnancy affects thyroid function?
TSH decreases
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