Prenatal 1 for Day 1

Question 1

At 0-28 weeks gestation, when should the next prenatal visit be?

Answer 1

in 4 weeks

Question 2

At 28-36 weeks gestation, when should the next prenatal visit be?

Answer 2

in 2-3 weeks

Question 3

At 36-42 weeks gestation, when should the next prenatal visit be?

Answer 3

in 1 week

Question 4

At 42+ weeks gestation, when should the next prenatal visit be?

Answer 4

in 2-3 days

Question 5

What is the first trimester?

Answer 5

0 weeks to 13 weeks and 6 days

Question 6

What is the second trimester?

Answer 6

14 weeks to 27 weeks and 6 days

Question 7

What is the third trimester?

Answer 7

28 weeks to birth

Question 8

Define an embryo (weeks)

Answer 8

fertilization to 8 weeks

Question 9

Define a fetus (weeks)

Answer 9

9 weeks to birth

Question 10

When is a fetus viable?

Answer 10

at 24 weeks

Question 11

What is considered preterm?

Answer 11

20 to 36 weeks

Question 12

What is considered term?

Answer 12

37 to 42 weeks

Question 13

What is normal weight gain for a pre-pregnancy BMI of < 18.5?

Answer 13

30-40 pounds

Question 14

What is normal weight gain for a pre-pregnancy BMI of 18.5-24.9 (normal)?

Answer 14

25-35 pounds

Question 15

What is normal weight gain for a pre-pregnancy BMI of > 25 (overweight)?

Answer 15

15-25 pounds

Question 16

What BMI range is considered overweight?

Answer 16

25 - 29.9

Question 17

What BMI range is considered obese?

Answer 17

> 30

Question 18

What BMI range is Class 1 obesity?

Answer 18

30 - 34.9

Question 19

What BMI range is Class 2 obesity?

Answer 19

35 - 39.9

Question 20

What BMI range is Class 3 obesity (AKA Morbid obesity)?

Answer 20

> 40

Question 21

What is gravidity?

Answer 21

number of pregnancies

Question 22

What is parity?

Answer 22

of pregnancies reaching 20 weeks

Question 23

What is the breakdown of parity?

Answer 23

TPAL (term, preterm, abortions/ miscarriages, living children)

Question 24

What is TPAL?

Answer 24

term, preterm, abortions/ miscarriages, living children

Question 25

Define the LMP (last menstrual period)?

Answer 25

first day of the last menstrual period

Question 26

What is Naegele's rule for the EDD (estimated delivery date)?

Answer 26

LMP - 3 months + 7 days | assumes a 28 day cycle, with day 14 fertilization

Question 27

When is quickening (first fetal movement) felt?

Answer 27

18 weeks, for the first pregnancy | 17 weeks, for subsequent pregnancies

Question 28

What is normal fetal weight at 20 weeks?

Answer 28

300 grams

Question 29

What is normal fetal weight at 20-28 weeks?

Answer 29

300 grams + 100 grams per week after 20 | e.g. 500 grams at 22 weeks

Question 30

What is normal fetal weight after 28 weeks?

Answer 30

300 grams + 100 per week from 20-28 + 200 per week after 28 weeks (e.g. 1300 grams at 30 weeks)

Question 31

Define large for gestational age.

Answer 31

> the 90th percentile in weight

Question 32

Define macrosomia.

Answer 32

an estimated fetal weight (EFW) of at least 4500 grams

Question 33

What is the most common cause of macrosomia?

Answer 33

incorrect dating of EDD

Question 34

What obstetric emergency can macrosomia cause?

Answer 34

Shoulder Dystocia (difficult delivery of shoulders after the head is delivered)

Question 35

Define Preeclampsia

Answer 35

Previously normotensive, now HTN after 20 weeks AND proteinuria or end-organ dysfunction

Question 36

What are the MC symptoms of preeclampsia?

Answer 36

headache, visual disturbances, RUQ pain

Question 37

What labs should be ordered for suspected preeclampsia?

Answer 37

CBC, SMA, LFTs, LDH, urine creatinine clearance, uric acid, urine protein

Question 38

What subunits make up the MC adult hemoglobin?

Answer 38

2 alpha, 2 beta (HbA)

Question 39

What subunits make up fetal hemoglobin?

Answer 39

2 alpha, 2 gamma (HbF)

Question 40

Define elderly primigravida.

Answer 40

first pregnancy at > 34 years old.

Question 41

What vaccines are unsafe in pregnancy?

Answer 41

Live vaccines | e.g. oral polio, oral typhoid, MMR, Varicella, BCG. intranasal influenze (FluMist)

Question 42

When should an ultrasound for fetal anatomy be ordered?

Answer 42

18-20 weeks gestation.

Question 43

What labs should be ordered for the initial prenatal visit?

Answer 43

Hct, Hgb, Type & Screen, Blood Type, Hgb electrophoresis Pap, GC/CT Urine culture, UA, Urine drug screen Screen: Rubella, Syphilis, HBV, HIV, TB, Cystic fibrosis

Question 44

When does the uterus leave the pelvis?

Answer 44

after 12 weeks

Question 45

When is the Quad screen performed?

Answer 45

16 weeks

Question 46

What is the Quad screen?

Answer 46

maternal serum alpha-feto protein, unconjugated Estriol, hCG, Inhibin A. It detects risk of Down (trisomy 21), Edwards (trisomy 18) or Neural Tube Defects