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FNP Review > OB PEARLS > Flashcards

OB PEARLS Flashcards

1
Q

HOW LONG DOES PREGNANCY LAST?

A

37-42

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2
Q

WHAT DEFINES THE FIRST TRIMESTER ?

A

1-12 WEEKS

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3
Q

WHAT DEFINES SECOND TRIMESTER?

A

13-27

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4
Q

WHAT DEFINES THE THIRD TRIMESTER?

A

28 -40

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5
Q

WHAT IS SOFTENING OF THE CERVIX?

A

GOODELL’S SIGN

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6
Q

WHAT IS CERVICAL CYANOSIS?

A

CHADWICK SIGN

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7
Q

WHAT IS SOFTENING OF CERVICOUTERINE JUNCTION?

A

HEGAR SIGN

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8
Q

WHEN CAN YOU VIEW FETAL HEART TONES BY ULTRASOUND?

A

5-6 WEEKS

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9
Q

WHEN CAN YOU HEAR HEAR HEART TONES BY THE DOPPLER?

A

10-12 WEEKS

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10
Q

WHEN CAN A SERUM HCG be measured?

A

9 days after conception

Peaks at 65 days after conception

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11
Q

When is chorionic villus sampling done?

A

10- 12 weeks

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12
Q

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

A

NO

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13
Q

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

A

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

Or have had history of abnormal paps

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14
Q

When can a patient have a amniocentesis?

A

15-20 weeks

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15
Q

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

A

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

If negative requires a 3 hour GTT

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16
Q

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

A

Every week

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17
Q

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

A

Every two weeks

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18
Q

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

A

Every 4 weeks

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19
Q

Calculating EDC with Naegule rule

A
  • 3 months

+ 7 days

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20
Q

When do we measure fundal height?

A

20 weeks

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21
Q

When do we assess fetal movement?

A

At 20weeks

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22
Q

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

A

NONE

Gain 28-40 lbs

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23
Q

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

A

25-35 lbs

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24
Q

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

A

11-20 lbs

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25
Q

What is the age of viability for pregnancy?

A

24 weeks

26
Q

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

A

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

27
Q

Which BP medication pregnant women can use?

A

Methydopa
Labetalol
Nifedipine

28
Q

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

A

ACEI and ARBs

Cause intrauterine growth retardation

29
Q

How much folic acid should Pregnant women take?

A

1,000 mcg daily

30
Q

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

A

400 mcg

31
Q

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

A

NO

Birth defect

32
Q

How to treat nausea in a pregnant patient?

A

unison + b6= Diclegis

Ginger

33
Q

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

A

24 -72 hours

34
Q

What three vaccine can be given during pregancy

A

COVID-10
FLU
T Dap

35
Q

When will a pregnancy patient receive the Tdap?

A

27 to 36 weeks

36
Q

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

A

EVERY 2-5 YEARS

37
Q

THE PATIENT TSCORE IS -2.5 OR LOWER

A

OSTEOPOROSIS

38
Q

THE TSCORE IS BETWEEN -1.5-.2.4

A

OSTEOPENIA

39
Q

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

A

First dose: at 28 weeks

Second dose: has to give in the first 72 hours after birth

40
Q

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

A

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

41
Q

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

A

Bacterial vaginosis
Fish odor
+ whiff test

42
Q

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

A

Trich

43
Q

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

A

PALM

Polyps
Adenomyosis
Leiomyomal
Malignancy and Hyperplasia

44
Q

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

A

COIEN

Coagulopathy
Ovulatory dysfunction
Endometrial causes
Iatrogenic Causes
Not yet classified
45
Q

Recommend calcium intake for patient with osteoporosis ?

A

1200 mg per day

46
Q

A patient with osteoporosis should have how much Vitamin D.

A

800-1000 IU / day

47
Q

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

A 
Menopause work up
Increase LH 
Increase FSH
Decrease testosterone
Decrease estradiol
Decrease progesterone
48
Q

What does HELLP stand for in pregnancy women?

A

Hemolysis
Elevated Liver Enzymes
Low platelets

49
Q

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

A

36 weeks

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

50
Q

When to check for AFP?

A

16-20 weeks

51
Q

where is the fetus located at 12 weeks

A

Above the symphysis pubis

52
Q

Where is the fetus at 15-16 weeks ?

A

Between the umbilicus and symphysis pubis

53
Q

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.

A

16 weeks

16-18 weeks

A mother should feel her baby move by 20 weeks

54
Q

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

A

Ectopic Pregnancy

Referral

55
Q

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?

A

Placenta Previa

56
Q

What is the treatment for placenta previa?

A

NO VAGiNAL EXAM

Bed rest
Magnesium
OB referral - Critical patient

57
Q

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

A

Placental abruptio

58
Q

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

A

Rhogam at 28 weeks

Rhogam after labor —up to 72 hours

59
Q

When do you order GTT in pregnant patients?

A

24- 28 weeks

60
Q

What is the diagnostic criteria for for preeclampsia?

A

140/90 on two occasions

Proteinuria with 300 or greater in the urine

FNP Review (9 decks)

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