Prenatal Screening & Labs
The main purpose for the new OB visit.
To identify and screen for risk factors that could impact pregnancy health.
The maternal age that is considered a risk factor for complications.
Age under 16 or over 35 years.
Describe Naegele’s Rule for calculating EDD.
LMP + 7 days – 3 months (+ 1 year if needed).
How many extra calories per day should a pregnant woman consume in the 2nd and 3rd trimesters?
+300 calories/day
This type of flu vaccine is safe in pregnancy.
Inactivated (injection) flu vaccine
This test confirms pregnancy rather than screens for it.
Quantitative hCG.
Name three common high-risk conditions identified at a new OB visit.
Diabetes, hypertension, and cardiac disease.
The estimated due date for a client whose LMP was June 12th.
March 19
The recommended total weight gain for a woman with a normal BMI (18.5–24.9)
25–35 pounds.
COVID-19 vaccine is recommended during pregnancy because it reduces the risk of __, __, and __.
It reduces risk of severe illness, preterm birth, and stillbirth
This is the difference between screening and diagnostic genetic tests.
Screening estimates risk, diagnostic confirms
This finding on urinalysis during pregnancy would need provider follow-up.
Glucose or protein in the urine.
14 and 22
This nutrient prevents neural tube defects.
Folic acid
This infection can be prevented by avoiding cat litter and undercooked meat.
Toxoplasmosis
List the tests that are included in the Quad Screen.
hCG, estriol, inhibin A, and alpha-fetoprotein.
The schedule of prenatal visits for a normal pregnancy.
Every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then weekly until delivery.
The expected weight gain during the first trimester.
About –4 to +4 pounds total.
When taking iron supplements, this should be avoided.
Dairy or calcium-rich foods.
When is the rubella (MMR) vaccine administered if the patient is non-immune?
Postpartum
This first-trimester test identifies hemoglobinopathies.
Hemoglobin electrophoresis and/or SMA or CF screening.
This finding in the first trimester requires immediate evaluation.
Unilateral pain and vaginal spotting — possible ectopic pregnancy.
The client's LMP is October 10th. Calculate their EDD.
July 17
These fish should be avoided due to high mercury levels.
Swordfish, shark, mackerel, or marlin
List two signs of first-trimester complications requiring provider contact.
Vaginal bleeding and pelvic pain (also cramping, fever, or dysuria)