female

Question 1

GTPAL

Answer 1

gravida - number of pregnancies
para - number of labors
term - >37 weeks
preterm - <37 weeks
abortions
living children

Question 2

physiologic changes in pregnancy ?????

Answer 2

increased estrogen
increased progesterone
increased HCG
increased placental growth hormone
thyroid hormone changes (inc T3/T4 dec TSH)
increased relaxin
basal metabolic rate

Question 3

expected date of delivery

Answer 3

LMP + 7 days - 3 months

Question 4

frequency of prenatal visits

Answer 4

up to 28 weeks - monthly
28-36 weeks - biweekly
36 weeks- delivery - weekly

Question 5

expected weight gain during pregnancy

Answer 5

25-35 lbs for normal BMI

Question 6

most common dermatologic condition of pregnancy

Answer 6

PUPP rash

pruritic urticarial papules

raised edematous of small papules forming plaques

Question 7

pregnancy exam positioning

Answer 7

early - supine or sitting
late - semi sitting with knees bent, side-lying, or sitting

Question 8

normal fundal height

Answer 8

btw 16-36 weeks = gestational age in weeks

at umbilicus at 20 weeks

Question 9

chadwick’s sign

Answer 9

bluish discoloration of cervix

Question 10

hagar’s sign

Answer 10

softening of cervical isthmus

Question 11

pregnancy danger signs

Answer 11

cramping, contractions
rupture of membranes
BP elevation
muscle irritability
absence of fetal movement
blurred vision
persistent vomiting
urinary frequency
spotting or vaginal bleeding
abdominal pain
generalized swelling
severe headache
fever

Question 12

tanner stage 1

Answer 12

preadolescent

Question 13

tanner stage 2

Answer 13

breast budding (~11 yrs)

Question 14

tanner stage 3

Answer 14

continued enlargement (~12 years)

Question 15

tanner stage 4

Answer 15

areola and papilla form secondary mound (~13 years)

Question 16

tanner stage 5

Answer 16

mature female breasts (~15 yrs)

Question 17

significant breast cancer risk factor

Answer 17

advanced age following menopause

Question 18

breast cancer risk assessment tool

Answer 18

NIH breast cancer risk assessment tool

Question 19

3 layers of the uterus

Answer 19

endometrium, myometrium, serosa

Question 20

fetal development

Answer 20

maximum number of oocytes present by 20 weeks gestation

Question 21

5 P’s of sexual history

Answer 21

partners
practices
protection from STIs
past history of STIs
pregnancy prevention

Question 22

cholasma

Answer 22

pregnancy mask

usually goes away

Question 23

striae gravidarum

Answer 23

stretch marks

Question 24

linea nigra

Answer 24

pregnancy line