Prenatal care

Question 1

What vaccines are absolutely not recommended during pregnancy?

Answer 1

HPV

Question 2

Which 4 vaccines may cause allergic reactions in pregnant woman?

Answer 2

Influenza (LAIV)
MMR
Varicella
Zoster

Question 3

Which 4/ 5 vaccines are recommended during pregnancy?

Answer 3

Covid-19
Hepatitis B (recommend in some circumstances )
Td (should be used if otherwise indicated)
Tdap (recommended)

Question 4

Explain the updates the FDA made in relation to medication in pregnancy

Answer 4

Information presented in Rx drugs labeling is now changing from the physician labeling rule (PLR) format to help HC providers assess the beenfit vs risk for pregnant women.

Instead of just saying Pregnancy - saying Pregnancy: induces labor and delivery

Question 5

What are the ABCDX pregnancyy categories for drugs?

Answer 5

A - no fetal risk in controlled studies
B - no risk to human fetus despite possible animal risk
or
no risks in animal studies but human studies lacking
C - human risk cannot be ruled out. animal studies may or may not show risk
D - evidence of risk to human fetus
X - contraindicated in pregnancy (BIRTH CONTROL)

Question 6

What does the PLLR do? Pregnancy and lactation labeling rule

Answer 6

it removed the pregnancy letter categories and requires the label to be updates when information become outdated

Question 7

How do you access the fetal heart rate?

Answer 7

heart starts beating around 10 to 12 weeks

PMI (best place to listen) on mothers abdomen over fetals back

Question 8

What are leopards maneuvers? what are the 4 things it helps identify?

Answer 8

abdominal exam where the HC providers identifies:
- number of fetuses
- presenting part, fetal lie, fetal attitude
- degree of presenting parts descent into pelvis
- Expected location of the PMI or the Fetal heart rate on the abdomen

Four maneuvers