Prenatal Assessment & Care

Question 1

If a woman receives an MMR vaccine, how long should she wait to try to conceive?

Answer 1

12 weeks

Question 2

After what age is a woman at an increased risk for birth defects?

Answer 2

age 35

Question 3

When recording basal body temperatures, when should the temperature be taken each day?

Answer 3

Before rising in the am

Question 4

Ovulation usually occurs on what day of menstrual cycle?

Answer 4

Day 14

Question 5

A normal pregnancy is how long?

Answer 5

40 weeks or 280 days

Question 6

What does “G” stand for?

Answer 6

Gravida or how many total pregnancies

Question 7

What does “P” stand for?

Answer 7

Para or how many babies born >20 weeks and 350 gm

Question 8

What does “T” stand for?

Answer 8

Term or how many babies were >37 weeks

Question 9

What does “P” stand for?

Answer 9

Preterm or how many babies were >20 weeks but < 37 weeks

Question 10

What does “A” stand for?

Answer 10

Abortions, how many spontaneous or induced

Question 11

What does “L” stand for?

Answer 11

Living, how many currently living children are there

Question 12

How much does the blood volume increase in the pregnant female? When?

Answer 12

30-50%

At 26-28 weeks

Question 13

How far up does the diaphragm move in the pregnant female?

Answer 13

About 4 cm

Question 14

Lab tests during pregnancy:

Answer 14

1) Genetic screening if >35 or risk of inherited disease
2) Alpha fetoprotein (MSAFP) at 16-18 weeks (offered)
3) H&H at 26-28 weeks
4) Glucose tolerance at 26-28 weeks
5) GBS at 35-37 weeks

Question 15

What groups are at higher risk than Caucasians for gestational diabetes?

Answer 15

African American and Native American

Question 16

Pregnancies are usually not allowed to go past how many weeks?

Answer 16

42 weeks

Question 17

What does a non-stress test evaluate?

Answer 17

FHT in response to fetal movement or stimulation

Question 18

What 5 elements are evaluated in a biophysical profile?

Answer 18

1) Non-stress test
2) US to detect fetal breathing
3) Fetal movement
4) Fetal tone
5) Amniotic fluid volume
Each is 2 points, a score of 2-4 is an indication for an immediate induction of labor

Question 19

The fundal height in centimeters should be equal to…

Answer 19

The number of weeks of gestation

Question 20

What are the leading causes of maternal deaths worldwide?

Answer 20

Eclampsia and preeclampsia

Question 21

When the diastolic pressure reaches 90-100 mmHg what happens?

Answer 21

Placental perfusion drops by 50%

Question 22

Signs and symptoms of preclampsia include:

Answer 22

1) BP >140/90 after 20 weeks (no previous HTN)
2) Proteinuria 300 mg/24 hr urine (no previous)
3) Elevate dLFTs and uric acid
4) Decreased platelets <100,000
5) Persistent HA, epigastric pain, visual changes, nausea, vomiting, RUQ pain, general malaise

Question 23

Signs and symptoms of preterm labor:

Answer 23

1) > 4 uterine contractions per hour
2) backache
3) cramping
4) pelvic pressure
5) change in vaginal discharge