Comprehensive final exam BBB

Question 1

What characteristics of fertile mucus should she look for

Answer 1

Slippery

Question 2

Which hormone is responsible for making cervical mucus slippery and optimal for sperm capture and transport

Answer 2

Estrogen

Question 3

Which hormone causes the endometrium to grow thicker and regenerate during each cycle

Answer 3

Estrogen

Question 4

What are the best fertile days for a patient with regular 26-27 day menstrual cycle

Answer 4

Days 9-16

27 DAYS - 14 = 13
26 DAYS - 14 = 12

DAY 12 - 3 =9
DAY 13 + 3 =16

Not absolutely set in stone…..but look for the closes answer..

Question 5

What does omega-3 helps with

Answer 5

Has been shown to help fetal eye and brain development

Question 6

What are the 6 or 7 fish types that FDA and EPA recommend that pregnant people avoid/highest mercury levels

Question 7

Listeriosis

food culprit

Question 8

Toxoplasmosis

Question 9

Key questions to rule in/out Implantation bleeding

Answer 9

Amount of bleeding
Timing in cycle
Pain

Question 10

Key questions to rule in/out Ectopic

Answer 10

Pain
location
timing

Question 11

Key questions to rule in/out cervical irritation

Answer 11

Amount of bleeding .
Timing after intercourse or exam

Question 12

Key questions to rule in/out spontaneous abortion

Answer 12

Amount of bleeding
Cramping

Question 13

What fetal structures will the sonographer measure in 9 weeks pregnancy

Answer 13

Crown-rump length

Question 14

Which genetic tests are diagnostic

Answer 14

Amniocentesis /Chorionic villus sampling

Question 15

When can chorionic villus sampling (CVS) be done

Answer 15

Between 10-13 weeeks

Question 16

What information are included in the cell-free DNA (cfDNA) screen

Answer 16

Only aneuploidies like trisomy 21

Question 17

What does the first trimester genetic screening consists of?

when can the first trimester be done

Answer 17

nuchal translucency ultrasound + serum analytes

11-13 weeks

Question 18

If patient chooses first trimester genetic screening…what can you tell her about screening for NTDs

Answer 18

She would need to have a second trimester screen with MSAFP, ultrasound or both

Question 19

When is the fetal anatomy survey ultrasound done

Answer 19

around 20 weeks pregnancy

Question 20

What does the integrated or sequential screen include

Answer 20

Nuchal translucency ultrasound and maternal serum analytes in the first trimester + a quad screen in the second trimester

Question 21

Where do you find patient’s fundus at 20 weeks

Answer 21

Around the umbilicus

Question 22

When do we do Tdap for a pregnant woman

Answer 22

Pregnant women should get a Tdap with every pregnancy, preferably between 27 and 36 weeks.

Question 23

What questions can you ask to determine normal back pain

Recommend for relief

Answer 23

Contractions/cramping
Dysuria, frequency
Increased vaginal discharge, odor, irritation

Optimize posture
Use good body mechanics

Question 24

when should GBS be collected

Answer 24

36 0/7-37 6/7 weeks gestation

Question 25

Which hormone is responsible for constipation

Answer 25

Progesterone