Patty's Section

Question 1

Pelvis Shapes

Answer 1

Gynecoid–best for vag delivery
Android– like a dude
Anthropoid– occipital position for vag delivery
Platypelloid– worst for vag delivery

Question 2

Goals of Prenatal Care

Answer 2

1. Ensure a safe birth for mom and bb
2. Teach health habits that may be continued
3. Educate in self care
4. Provide physical care
5. Prepare parent for the responsibilities of parenthood

Question 3

Ectopic Pregnancy

Answer 3

Occurs when the fertilized ovum is implanted outside the uterine cavity

95% occur in the Fallopian tube

Question 4

Prenatal visits

Answer 4

Prenatal care should begin, if not before conception, then soon after as a woman suspects that she is pregnant and involves a complete history and physical exam

Question 5

NI for NV

Answer 5

Eat small meals frequently

Question 6

NI FOR CONSTIPATION

Answer 6

Drink more water and eat foods high in fiber

Exercise will help promote peristalsis

Question 7

NI FOR HEARTBURN

Answer 7

Smaller meals and avoid irritants

Question 8

NI FOR BACKACHE

Answer 8

Periods of rest with activity

Support belt for the belly

Proper body mechanics

Ask for help prego

Question 9

Orthodontic hypotension

Answer 9

• occurs when rising from recumbent position resulting in faintness, lightheadedness
• C.O decreases due to decreased venous return
• teach patient to change positions slowly

Question 10

What will Diabetes in pregnancy do to a baby

Answer 10

• congenital abnormalities
• marcosomia (over 10lbs )*
• intrauterine growth restriction
• birth injury
• delayed lung maturation
• neonatal hypoglycemia or hypoglycemia
• neonatal hyperbilirubinemia and jaundice
• neonatal polycythemia
• perinatal death

Question 11

Normal skin changes during pregnancy

Answer 11

• sweat and sebaceous glands more active in order to dissipate heat
• pigmentation changes occur cause by anterior pituitary hormone called melanotropin
• skin changes reverses shortly after delivery
• chloasma- mask of pregnancy occurs in 50-70% of women
• linea negra black line from fundus to symphysis pubis in some women
• striae gravidarum- stretch marks

Question 12

Breast changes during pregnancy

Answer 12

• fullness
• tingling
• nipples and areola darken and nipples more erect (•)(•)

Question 13

Nutritional requirements during pregnancy

Answer 13

Increase kCal by 300 per day to provide for the growth of the fetus

• stay away from foods high in sodium
• 30mg/day of iron
• 400mcg of folic acid per day
• 1200mg of calcium per day

Question 14

Weight gain during pregnancy

Answer 14

Women of normal weight= 25-35 lbs

Women underweight= 28-40 lbs

Obese women= 11-20 lbs

Overweight women= 11-25 lbs

Question 15

Things to report to healthcare provider during prenatal visit?

Answer 15

• severe vomiting

•s/s of infection: 
-Fever 
-Chills 
•Burning on urination
•Diarrhea 
•Abdominal cramping 
•Vaginal bleeding

Question 16

Lab test urine

Answer 16

Routine clean and catch

Test for glucose, protein, and ketones in the urine

Question 17

Lab test blood

Answer 17

CBC

blood type and Rh factor

Antibody screen

Cervical cultures

Question 18

Schedule of visits during pregnancy

Answer 18

Every 4 weeks until 28 weeks

Every 2 weeks until 29-36 weeks

Every week from 37 weeks until delivery

Question 19

Every visit to the obstetrician will include

Answer 19

VS to check BP in same arm and same position

Blood glucose screening at 24-28 weeks for DM

Fundal height

Weight

Fetal heart rate