Assessments

Question 1

Ss preeclampsia

Answer 1

HA
Visual
Epigastric
Edema
Proteinuria (kidney)
Increased uric acid in serum (kidney)
Decreased platelets
Increased reflexes

Question 2

Glucose levels in different pregnancy phases

Answer 2

HypoG 1st trimester and labor/PP
HyperG 2nd and 3rd trimester

Question 3

Characteristics and timeframe of GHTN

Answer 3

After 20 w
No proteinuria
140/90

Question 4

Characteristics of preeclampsia

Answer 4

After 20 w
With proteinuria
140/90

Question 5

Timeframe of chronic HTN

Answer 5

Before pregnancy/20 w

Question 6

HELLP for severe preeclampsia

Answer 6

Hemolysis
Elevated liver
Low platelet

Question 7

Antepartum testing

Answer 7

Fetal movement
Ultrasound
Doppler blood flow analysis
Amniotic fluid index
Biophysical profile
NST

Question 8

5 types of miscarriages

Answer 8

Threatened (fine for now)
Inevitable (happening)
Incomplete (need to evacuate the rest)
Complete
Missed

Question 9

Ss/dx for ectopic

Answer 9

Bleeding
Pain
Positive pregnancy test
HCG
Transvaginal US

Question 10

Sign of placenta previa

Answer 10

Painless bright red bleeding

Question 11

Accreta/increta/percreta

Answer 11

Accreta beyond normal boundary
Increta into myometeium
Percreta into adjacent organs

Question 12

RF for placenta abruption

Answer 12

Trauma
HTN
Coke and smoke
Twins

Question 13

Ss placenta abruption

Answer 13

Extreme pain
Contractions
Tenderness
Bleeding
No FHTS/fetal distress

Question 14

High risk pre existing conditions

Answer 14

DM
Thyroid
CV
Anemia
Asthma
Lupus
SUD

Question 15

Normal AFI (amniotic fluid index)

Answer 15

5 to 25 cm

Question 16

NST (non stress test) frequency guidelines

Answer 16

2x weekly after 28 weeks
For DM and other high risk patients

Question 17

Good BPP (biophysical profile) score

Answer 17

7 to 10

Question 18

Ss PTL

Answer 18

20 to 37 w
Contractions
Cervical change
Discharge
Bleeding
Backache
Cramps

Also: GI issues, pressure at pelvis

Question 19

3 most common RF PTL

Answer 19

Hx of PTL
Multiple gestation
Cervical/uterine structural problems

Question 20

Predict PTB with…

Answer 20

Positive FFN
Short CL
Prior PTB

Question 21

CL length indicating PTB risk

Answer 21

Less than 15mm

Question 22

How do you measure CL?

Answer 22

Transvaginal ultrasound

Question 23

Assessments for PTL

Answer 23

Cervical exam
ROM exam
Amnisure and fern
UTI and other infection screenings
Fetal monitor
Toco for uterine activity

Question 24

When can you hear baby heart?

Answer 24

W12

Question 25

When can you feel baby move?

Answer 25

W16-20

Question 26

When does fetus gender become apparent?

Answer 26

W12

Question 27

Prenatal genetic testing options

Answer 27

Maternal serum Fetal ultrasound Invasive: amniocentesis, chorionic villus

Question 28

Maternal serum for…

Answer 28

Neural tube defects Down Trisomy

Question 29

Fetal ultrasound for…

Answer 29

Heart Gestational age Growth Anatomy Disorders, cleft Placenta Well being

Question 30

Predictive testing for…

Answer 30

HD

Question 31

Cervix and vagina changes with pregnancy

Answer 31

Goodell (soft) Chadwick (dark) Leukorrhea drainage Operculum (mucus plug)

Question 32

CV changes with pregnancy

Answer 32

Hypertrophy Heart pushed up Increase blood volume Murmur and palpitations Increase pulse (10-15 bpm) Increase clotting Anemia / increased RBC size Increased WBC

Question 33

Respiratory changes with pregnancy

Answer 33

O2 needs increase Ribs relax and widen Elevated diaphragm leads to dyspnea

Question 34

Renal changes with pregnancy

Answer 34

Frequency UTI common Nocturia Increased GFR Increased blood flow

Question 35

Musculoskeletal changes in pregnancy

Answer 35

Lordosis Center of gravity shift Waddling Relax and increase mobility pelvis Abdominal muscle stretch and lose tone

Question 36

Neuro changes in pregnancy

Answer 36

Carpal tunnel Tension HA Lightheaded Hypocalcemia leads to tetany and cramps

Question 37

GI system changes in pregnancy

Answer 37

Heartburn Constipation Gallstones more likely due to delayed emptying Increase thirst and hunger Hyperemesis Hyperemic gums

Question 38

Endocrine changes in pregnancy

Answer 38

Increased BMR Heat intolerance Larger thyroid

Question 39

What is done in routine prenatal office visits?

Answer 39

FHTS VS Urine (protein, glucose) Weight Fetal movement Fundal height Education

Question 40

Prenatal labs and tests

Answer 40

CBC VDRL for syphilis STD screening Pap smear Antibody titers for rubella and Hep B Blood type Glucose UA TB screen TORCH screen AFP for neural tube GBS HIV

Question 41

What is done in the initial provider visit?

Answer 41

Total physical exam Pap smear Labs UA and culture US

Question 42

Prenatal return visit schedule

Answer 42

qMonth 4-28W GDM screen at 24-28w q2week 28-36w qWeek 36w to delivery PP visit at 6 weeks or earlier

Question 43

Preeclampsia effects on fetus

Answer 43

Hypoxia IUGR Abruption

Question 44

The 5 parameters in the BPP (biophysical profile) test

Answer 44

Amniotic fluid volume Fetal breathing movements Fetal reactivity Fetal movement Fetal tone