Pregnancy, Maternal Adaptations, Prenatal Care

Question 1

Whats Nagele’s Rule?

Answer 1

Estimated date of Confinement/ Estimated Date of Delivery = Last Menstrual Period - 3 months +7 days

Question 2

What does G-TPAL stand for?

Answer 2

Gravidity
Parity
Term
Preterm
Abortus
Live children

Question 3

This is the bluish discoloration of the vagina and cervix during pregnancy?

Answer 3

Chadwick sign

Question 4

This is the softening and cyanosis of the cervix at or after 4 weeks

Answer 4

Goodell sign

Question 5

These are painless contractions that occur infrequently and with irregular rhythm unaccompanied by cervical changes?

Answer 5

Braxton Hicks Contractions

Question 6

Cardiac output increases by how much during pregnancy?

Answer 6

30-50%

Question 7

During pregnancy when would be the maximum cardiac output be expected?

Answer 7

20-24 weeks

Question 8

This is pathological morning sickness associated with weight loss, ketosis, and loss of electrolytes.

Answer 8

Hyperemesis gravidarum

Question 9

How much more calories are needed by pregnant women during pregnancy?

Answer 9

300 kcal / day

Question 10

How much more calories needed when breastfeeding?

Answer 10

500 kcal/ day

Question 11

Early screening for aneuploidy is done using which test? And when are those tests done?

Answer 11

Nuchal translucency + Serum Markers (hCG, PAPP-A)
Done at 11-14 weeks

Question 12

What are the components of the triple screen? And when is it done?

Answer 12

MSAFP
B-hCG
Estriol
Done at 15-20weeks

Question 13

What are the components of the quad screen? And when is it done?

Answer 13

MSAFP
B-hCG
Estriol
Inhibin
Done at 15-20wks

Question 14

What are the components of biophysical profile? (5)

Answer 14

1. Fetal breathing
2. Amniotic fluid volume
3. Fetal tone
4. Fetal movement
5. Non-stress test

Question 15

What is measured to evaluate fetal lung maturity?

Answer 15

Lecithin to Sphingomyelin Ratio

Question 16

Women who are underweight should ideally gain how many lbs?

Answer 16

28-40lbs

Question 17

What test is used to screen tuberculosis in high risk patients during 1st trimester?

Answer 17

PPD Tuberculin Skin Testing

Question 18

When is the screening test for GBS done during pregnancy?

Answer 18

35-37 wks

Question 19

Percent sensitivity of quadruple screen to detect trisomy 21?

Answer 19

0.8

Question 20

Vaccines that are recommended routinely for all pregnant women? (3)

Answer 20

1. Influenza
2. Tetanus- Diphtheria - Acellular Pertusis (Tdap)
3. COVID

Question 21

When is platelet count expected to be lowest in pregnancy?

Answer 21

Third trimester

Question 22

Less than how many mg of caffeine daily does not show a higher risk for miscarriage or preterm birth?

Answer 22

<200mg/d

Question 23

What skin lesion improves during pregnancy?

Answer 23

Psoriasis

Question 24

What increases the risk of colon cancer in pregnant patients?

Answer 24

Increasing age of pregnant women

Question 25

Percentage of pregnancies that undergo spontaneous abortion?

Answer 25

15-25%

Question 26

Reference of a face presentation?

Answer 26

Mentum

Question 27

hCG values in pregnancy?

Answer 27

Normal : <2 iu/L Negative: <5 iu/L Indeterminate: 5-25 iu/L Positive: >25 iu/L

Question 28

Ultrasound finding of aneuploidy?

Answer 28

Nuchal translucency

Question 29

Prerequisite for implantation of blastocyst?

Answer 29

Production of early pregnancy factor

Question 30

Term for most common dermatosis in pregnancy?

Answer 30

Pruritic, Urticarial Papules and Plaque of pregnancy (PUPP)

Question 31

Immunization during pregnancy?

Answer 31

Influenza (inactivated Tdap)

Question 32

Initial prenatal work up? (10)

Answer 32

1. CBC with PC 2. Blood typing 3. Urine Culture 4. FBS 5. HBsAg 6. Rubella IgG 7. VDRL 8. RPR 9. HIV ELISA 10. Pap Smear

Question 33

Components of routine prenatal examinations? (7)

Answer 33

1. Abdominal palpation 2. Blood pressure measurement 3. Evaluation for edema 4. FHR 5. Fundal height 6. Urine dipstick 7. Weight measurement

Question 34

Timing of doppler to auscultate FHR?

Answer 34

After 10-14 wks

Question 35

Ureters dilating during pregnancy increase the risk of this conditions?

Answer 35

pyelonephritis

Question 36

Respiratory changes during pregnancy?

Answer 36

1. Increased in tidal volume 2. Increased in respiratory drive due to progesterone 3. Total lung capacity is unchanged

Question 37

How many months after the repair of mitral stenosis sjould a woman ideally become pregnant?

Answer 37

At least 12 months

Question 38

The lemon sign and banana sign on ultrasound findings are diagnostic of which disorder?

Answer 38

Spina bifida

Question 39

The following is included in the triple screening test for aneuploidy except which? a. MSAFP b. B-hCG c. Estriol d. Inhibin A

Answer 39

Inhibin A

Question 40

What is the term used to describe the fluttery sensation experience by pregnant women when she first feels the fetal movement?

Answer 40

Quickening

Question 41

What is the most common type of breech presentation ?

Answer 41

Frank

Question 42

Which screening test is highly correlated with the risk of neural tube defects?

Answer 42

Maternal serum Alpha feto protein

Question 43

When is the screening for aneuploidy recommended?

Answer 43

Between 11 and 13 weeks of gestation

Question 44

Recommended daily dietary Calcium allowance for pregnant women?

Answer 44

1,200mg

Question 45

Recommended daily dietary Calcium allowance for lactating women?

Answer 45

1,200 mg

Question 46

Recommended daily dietary Calcium allowance for non-pregnant women above 18yo?

Answer 46

800mg