OB 6,7,8

Question 1

What is the best indicator of pregnancy test?

Answer 1

Use of a home pregnancy test detecting hCG; confirm with ultrasound.

Question 2

What is required for patient education regarding abdominal ultrasound?

Answer 2

Must have full bladder; done at 6–8 weeks and again at 18–20 weeks.

Question 3

How do you calculate Naegele’s Rule?

Answer 3

Subtract 3 months from the first day of the last menstrual period and add 7 days.

Question 4

What tests are included in the quadruple screen?

Answer 4

• AFP
• hCG
• Unconjugated estriol
• Inhibin A

Question 5

What do abnormal findings in the quadruple screen suggest?

Answer 5

• High AFP = neural tube defect
• Low AFP/hCG changes = Down syndrome/trisomy 18

Question 6

What are complications associated with amniocentesis?

Answer 6

• Spontaneous abortion
• Infection
• Needle injury
• Leaking amniotic fluid
• Rh sensitization

Question 7

What is the timeline for obstetric visits?

Answer 7

• Monthly until 28 weeks
• Biweekly until 36 weeks
• Weekly thereafter

Question 8

Is it normal not to notice fetal heart tones until 12 weeks?

Answer 8

Yes, reassure mom; usually heard by Doppler at 10–12 weeks.

Question 9

Are live vaccines contraindicated during pregnancy?

Answer 9

Yes — live vaccines are contraindicated.

Question 10

What is the purpose of a Nuchal translucency test (NTT)?

Answer 10

Screens for chromosomal abnormalities (fluid at fetal neck).

Question 11

What does GTPAL stand for?

Answer 11

• Gravida
• Term
• Preterm
• Abortions
• Living children

Question 12

What findings are appropriate at 20 weeks?

Answer 12

• Fundal height at umbilicus
• Fetal movement felt
• FHR 110–160 bpm

Question 13

What is chorionic villus sampling?

Answer 13

Genetic test between 11–13 weeks via cervix or abdomen; risk of miscarriage.

Question 14

What lab tests are done between 24–28 weeks?

Answer 14

• Glucose challenge test (GTT)
• CBC
• Antibody screen

Question 15

Why should pregnant women avoid hot tubs, baths, and hot showers?

Answer 15

Risk of hyperthermia → neural tube defects.

Question 16

What causes toxoplasmosis?

Answer 16

Undercooked meat or cat feces.

Question 17

What is the difference between the Bradley method and Lamaze?

Answer 17

• Bradley: husband-coached, no meds
• Lamaze: breathing/relaxation focus

Question 18

What teaching is recommended for a mom with heartburn?

Answer 18

• Small meals
• Avoid lying down after eating
• Avoid spicy/fatty food

Question 19

What screening is done at 35–37 weeks?

Answer 19

Group B Streptococcus (GBS).

Question 20

What are good sources of iron?

Answer 20

• Red meat
• Leafy greens
• Fortified cereal

Question 21

How can you help a mom with pica?

Answer 21

Encourage nutritious foods, safe substitutes, address embarrassment.

Question 22

What risks are associated with a BMI >35 during pregnancy?

Answer 22

• Gestational diabetes
• Preeclampsia
• Cesarean
• LGA infant

Question 23

What education is provided for hyperemesis gravidarum?

Answer 23

• Hydration
• Small meals
• Antiemetics if needed
• Watch for dehydration signs

Question 24

What are the signs and symptoms of dehydration?

Answer 24

• Dry mouth
• Poor skin turgor
• Dark urine
• Decreased output

Question 25

What is a threatened abortion?

Answer 25

Vaginal bleeding without cervical dilation in early pregnancy.

Question 26

What are the signs and symptoms of ectopic pregnancy?

Answer 26

* Abdominal pain * Vaginal bleeding * Shoulder pain * Dizziness

Question 27

What should be given to an Rh– mom after spontaneous abortion?

Answer 27

RhoGAM within 72 hours.

Question 28

What are the signs of infection after abortion?

Answer 28

* Fever * Foul discharge * Heavy bleeding * Pelvic pain

Question 29

What is a molar pregnancy?

Answer 29

Abnormal placental growth — no fetus develops.

Question 30

What are the risk factors for placenta previa?

Answer 30

* Prior C-section * Smoking * Uterine scarring * Short intervals between pregnancies

Question 31

What are the signs and symptoms of hypovolemic shock?

Answer 31

* Rapid HR * Low BP * Pallor * Cold/clammy skin * Confusion

Question 32

What is the greatest risk for emergency hysterectomy?

Answer 32

Placenta accreta.

Question 33

What qualifies as gestational hypertension?

Answer 33

BP ≥140/90 after 20 weeks with no proteinuria.

Question 34

What education should be provided for gestational diabetes?

Answer 34

* Diet * Glucose checks * Exercise * Signs of hypo/hyperglycemia * Fetal monitoring

Question 35

Cocaine use increases the risk for what?

Answer 35

Placenta previa and abruption.

Question 36

What are the risk factors for preeclampsia/eclampsia?

Answer 36

* First pregnancy * Obesity * Diabetes * Multiples * Prior history * Age >35

Question 37

When should RhoGAM be given?

Answer 37

At 28 weeks, after CVS, abortion, or trauma.