OB PEARLS

Question 1

HOW LONG DOES PREGNANCY LAST?

Answer 1

37-42

Question 2

WHAT DEFINES THE FIRST TRIMESTER ?

Answer 2

1-12 WEEKS

Question 3

WHAT DEFINES SECOND TRIMESTER?

Answer 3

13-27

Question 4

WHAT DEFINES THE THIRD TRIMESTER?

Answer 4

28 -40

Question 5

WHAT IS SOFTENING OF THE CERVIX?

Answer 5

GOODELL’S SIGN

Question 6

WHAT IS CERVICAL CYANOSIS?

Answer 6

CHADWICK SIGN

Question 7

WHAT IS SOFTENING OF CERVICOUTERINE JUNCTION?

Answer 7

HEGAR SIGN

Question 8

WHEN CAN YOU VIEW FETAL HEART TONES BY ULTRASOUND?

Answer 8

5-6 WEEKS

Question 9

WHEN CAN YOU HEAR HEAR HEART TONES BY THE DOPPLER?

Answer 9

10-12 WEEKS

Question 10

WHEN CAN A SERUM HCG be measured?

Answer 10

9 days after conception

Peaks at 65 days after conception

Question 11

When is chorionic villus sampling done?

Answer 11

10- 12 weeks

Question 12

In the first trimester we best for Rubella, can we give a rubella to a pregnancy patient?

Answer 12

NO

Question 13

Pap smear at the first pregnancy visit. When can we …

Answer 13

If the patient doesn’t have a pap within the last 3 years

Or have had history of abnormal paps

Question 14

When can a patient have a amniocentesis?

Answer 14

15-20 weeks

Question 15

When do the patient get the first GGT? What is considered a normal value?

Answer 15

24-28 weeks
1- hour test
Normal Less than or equal to 140

If negative requires a 3 hour GTT

Question 16

What is the visit schedule for a patient at 36 weeks ?

Answer 16

Every week

Question 17

What is the prenatal visit schedule for a patient at 26 to 36 weeks

Answer 17

Every two weeks

Question 18

What is the prenatal visit schedule for patient at o-28 weeks

Answer 18

Every 4 weeks

Question 19

Calculating EDC with Naegule rule

Answer 19

• 3 months

+ 7 days

Question 20

When do we measure fundal height?

Answer 20

20 weeks

Question 21

When do we assess fetal movement?

Answer 21

At 20weeks

Question 22

You patient BMI is less than 18.5. How much weight can she gain during pregnancy

Answer 22

NONE

Gain 28-40 lbs

Question 23

your patient has a BMI of 18.5-24.9. How much weight can she gain?

Answer 23

25-35 lbs

Question 24

A patient BMI is greater than or equal to 35. How much should she gain during pregnancy?

Answer 24

11-20 lbs

Question 25

What is the age of viability for pregnancy?

Answer 25

24 weeks

Question 26

A pregnant patient has hypertension. How does the NP determine if its Gestational or preexisting?

Answer 26

If the patient develops HTN after 20 weeks it is considered gestational. Before this time is considered pre-exiting

Question 27

Which BP medication pregnant women can use?

Answer 27

Methydopa Labetalol Nifedipine

Question 28

Which two BP medications class that contraindicated for pregnancy? Why?

Answer 28

ACEI and ARBs | Cause intrauterine growth retardation

Question 29

How much folic acid should Pregnant women take?

Answer 29

1,000 mcg daily

Question 30

How much folic acid should a women take if wanting to be pregnant?

Answer 30

400 mcg

Question 31

A pregnant patient is having nausea. Can she have ZOFRAN?

Answer 31

NO | Birth defect

Question 32

How to treat nausea in a pregnant patient?

Answer 32

unison + b6= Diclegis | Ginger

Question 33

In a normal pregancy, a patient HCG should double how often

Answer 33

24 -72 hours

Question 34

What three vaccine can be given during pregancy

Answer 34

COVID-10 FLU T Dap

Question 35

When will a pregnancy patient receive the Tdap?

Answer 35

27 to 36 weeks

Question 36

PATIENT HAS HAD A NORMAL DEXA SCAN. WHEN WILL SHE GET ANOTHER SCAN?

Answer 36

EVERY 2-5 YEARS

Question 37

THE PATIENT TSCORE IS -2.5 OR LOWER

Answer 37

OSTEOPOROSIS

Question 38

THE TSCORE IS BETWEEN -1.5-.2.4

Answer 38

OSTEOPENIA

Question 39

During the patient’s visit you find of the mom is RH-. What is the Rhogam schedule for her

Answer 39

First dose: at 28 weeks Second dose: has to give in the first 72 hours after birth

Question 40

You pregnancy is positive for Group B beta strep. What’s the treatment Schedule?

Answer 40

Pen G IV 5mill THEN Pen G 2.5-3 mill every 4 hours until delivery

Question 41

You see clue cells of the wet mount. What is it?

Answer 41

Bacterial vaginosis Fish odor + whiff test

Question 42

The patient comes in strawberry Cervix with foamy discharge. What is it?

Answer 42

Trich

Question 43

A patient is experiences abnormal uterine bleeding. What are some causes?

Answer 43

PALM Polyps Adenomyosis Leiomyomal Malignancy and Hyperplasia

Question 44

A patient is experiencing abnormal uterine bleeding. What are non- structural causes?

Answer 44

COIEN ``` Coagulopathy Ovulatory dysfunction Endometrial causes Iatrogenic Causes Not yet classified ```

Question 45

Recommend calcium intake for patient with osteoporosis ?

Answer 45

1200 mg per day

Question 46

A patient with osteoporosis should have how much Vitamin D.

Answer 46

800-1000 IU / day

Question 47

A patient has had cessation of menses period at 50 for 12 months. What is expected on lab work ?

Answer 47

``` Menopause work up Increase LH Increase FSH Decrease testosterone Decrease estradiol Decrease progesterone ```

Question 48

What does HELLP stand for in pregnancy women?

Answer 48

Hemolysis Elevated Liver Enzymes Low platelets

Question 49

Your pregnancy patient has HSV2. When will treatment start for her.

Answer 49

36 weeks If the patient has outbreak at labor, c-section is indicated

Question 50

When to check for AFP?

Answer 50

16-20 weeks

Question 51

where is the fetus located at 12 weeks

Answer 51

Above the symphysis pubis

Question 52

Where is the fetus at 15-16 weeks ?

Answer 52

Between the umbilicus and symphysis pubis

Question 53

A mother comes in the clinic and unsure of the LMP or conception date. The other states she felt the baby move for the first time today.What is the estimated weeks of gestations if the mother is accurate.

Answer 53

16 weeks 16-18 weeks A mother should feel her baby move by 20 weeks

Question 54

A pregnant patient comes into the clinic with a HGC>1500, but the US fails to show pregnancy. What should you expect?

Answer 54

Ectopic Pregnancy | Referral

Question 55

A patient is in her 2nd to 3rd trimester presents with bright red blood that is painless. Uterus soft and non-tender What do you expect?

Answer 55

Placenta Previa

Question 56

What is the treatment for placenta previa?

Answer 56

NO VAGiNAL EXAM Bed rest Magnesium OB referral - Critical patient

Question 57

A patient in their late trimester comes in with vaginal bleeding. Uterus contracted and painful. Abdomen hard and rigid. What do you expect?

Answer 57

Placental abruptio

Question 58

Your patient is RH - on their indirect Coombs test. When is the plan of care for her pertaining to RH?

Answer 58

Rhogam at 28 weeks | Rhogam after labor —up to 72 hours

Question 59

When do you order GTT in pregnant patients?

Answer 59

24- 28 weeks

Question 60

What is the diagnostic criteria for for preeclampsia?

Answer 60

140/90 on two occasions | Proteinuria with 300 or greater in the urine