Westra: Prenatal Care

Question 1

how do you calculate the EDD (estimated date of delivery)?

Answer 1

Naegele’s rule: first day of LMP-3 months + 7 days + 1 year! It implies that you have a normal 28 DAY cycle and ovulate on day 14. 4-17-2015, 1-14-2016. +/- a week before and after.

Question 2

what prenatal care decreases neural tube defects?

Answer 2

Folic acid and multivitamins

Question 3

first ____ weeks of pregnancy consists of ORGANOGENESIS?

Answer 3

12 wks

Question 4

Gravidity?

Answer 4

how many times (n) the patient has been PREGNANT, including current pregnancy

Question 5

Parity?

Answer 5

results of previous pregnancies. f= # full term births. p= # of preterm births. a=# abortions, elected or spontaneous, ectopics. L= # of living children. ‘Floridaa Power And Light”

Question 6

A PREGNANT PATIENT WHO HAS HAD FIVE PREVIOUS PREGNANCIES THAT RESULTED IN TWO FULL TERM DELIVERIES, ONE PRETERM DELIVERY AND TWO MISCARRIAGES AND THREE LIVING CHILDREN

Answer 6

G6 P 2-1-2-3

so just add f+p=living

Question 7

PREGNANT PATIENT WITH A 2 YEAR OLD DAUGHTER-FULL TERM DELIVERY

Answer 7

G2 P 1-0-0-1

Question 8

FEMALE PATIENT WITH LIVING TWIN SONS Delivered at Term

Answer 8

G1 P2-0-0-2

Question 9

Drug classifications: Category A? example?

Answer 9

studies in humans NO RISK. VITAMINS

Question 10

Drug classifications: Category B? example?

Answer 10

studies in animals NO RISK. Acetominophen, PENICILLINS, Cephalosporins

Question 11

Drug Classifications: Category C? example?

Answer 11

NO adequate studies. includes many medications commonly taken during pregnancy. AMINOGLYCOSIDES, FLUOROQUINOLONES, TRIMETHOPRIM, VANCO.

Question 12

Drug classifications: Category D? example?

Answer 12

evidence of FETAL RISK but BENEFIT may outweigh risk. CARBAMAZAPINE, PHENYTOIN. Streptomycin, tetracylcines

Question 13

Drug classifications: Category X?

Answer 13

FETAL RISKS CLEARLY OUTWEIGH BENEFIT. ACUTANE

Question 14

what are the most common symptoms within the FIRST TRIMESTER?

Answer 14

fatigue, amenorrhea, breast tenderness, nausea (and elevated Progesterone levels cause fatigue)

Question 15

how will the speculum exam look like when a patient is pregnant?

Answer 15

Chadwick’s sign: purple Coloration. Hegar’s signs: softer!

Question 16

initial prenatal labs?

Answer 16

CBC, UA, ABO and Rh, Rubella titer, RPR (syphillis), HBsAg, HIV antibody, consider cervical swab for GC or Chlamydia.

Question 17

immunity?

Answer 17

rubella, varicella, influenza

Question 18

what do you get nonsensitized women at 28 weeks gestation adn within 72 hrs of delivery if infant has it + in its blood?

Answer 18

Rho(D)