Return Demo: Prenatal Care

Question 1

Positive pregnancies regardless whether patient had a planted ovum, abortion, etc.

Answer 1

Gravidity

Question 2

Pregnancies that have reached 20 weeks and beyond

Answer 2

Parity

Question 3

Format (in letters) of Obstetric Score

Answer 3

GxPx (F-P-A-L)

Question 4

Period of time between conception and birth during which the fetus grows and develops inside the mother’s womb (preferably in weeks)

Answer 4

Age of Gestation (AOG)

Question 5

Naegele’s Rule

Answer 5

Add 7 days to the FIRST day of last (normal) menstrual period, then subtract 3 months

Question 6

How may alcohol affect the baby’s health inside the womb?

Answer 6

Fetal Alcohol Syndrome

Question 7

How may illicit drugs affect the baby’s health inside the womb?

Answer 7

Microsmia

Question 8

What are the aspects of menstruation one must ask the patient during history taking?

Answer 8

Menarchy, frequency, duration, regularity, amount of flow (how many napkins on average per day/cycle), presence of dysmenorrhea, intensity and duration of dysmenorrhea, last normal menstrual period (LNMP)

Question 9

What are the general aspects of history taking in pregnant women?

Answer 9

Chief complaint, past medical history, family history, vices (inform patients in advance that you will be asking them sensitive questions), personal and social history, menstrual history, obstetrical history, present and previous pregnancies

Question 10

Aspects of present pregnancy

Answer 10

LMP, EDC, AOG, quickening, prenatal visits, contraceptive methods used

Question 11

Aspects of previous pregnancies

Answer 11

Number, dates, AOG, mode of delivery, place, sex, birth weight, singleton/multiple, outcome/complications (APGAR)

Question 12

Which vital signs do you check for?

Answer 12

HR, BP, RR, Height (meters), Weight (kg), Temperature, Pulse Rate

Question 13

Where do you take the fundic height?

Answer 13

Distance between the top of the symphysis pubis to the top of the fundus

Question 14

When do you conduct the measurement of fundic height?

Answer 14

Past 20 weeks

Question 15

When the fundic height reaches the umbilicus, how many weeks AOG?

Answer 15

20 weeks

Question 16

During which weeks does the fundic height correlate closely with the AOG?

Answer 16

Between 20-34 weeks

Question 17

By how much does the bladder affect the fundic height measurement when it is not emptied?

Answer 17

+3 cm

Question 18

What position relaxes the mother’s abdominal muscles during examination?

Answer 18

Dorsal Recumbent. Characterized by supine position w/ knees bent and head resting on pillow

Question 19

Why must hands be warmed and rubbed before abdominal examinations?

Answer 19

Cold hands stimulate contractions

Question 20

Other name for 1st maneuver (Leopold’s)

Answer 20

Fundic Grip

Question 21

Which part of the fetus upon palpation would move with the trunk?

Answer 21

buttocks

Question 22

Which part of the fetus upon palpation would move independently of the trunk?

Answer 22

head

Question 23

Characteristic of head in Fundic Grip

Answer 23

hard, round, firm

Question 24

Characteristic of the buttocks in Fundic Grip

Answer 24

w/ small bony prominences, soft

Question 25

Other name for 2nd maneuver (Leopold's)

Answer 25

Umbilical Grip

Question 26

What does the 2nd maneuver determine?

Answer 26

location of back and extremities

Question 27

Importance of 2nd maneuver

Answer 27

for determining fetal heart sound

Question 28

Characteristics of the fetal back

Answer 28

firm and smooth

Question 29

Characteristics of the fetal extremities

Answer 29

w/ small irregularities and protrusions

Question 30

Other name for 3rd maneuver (Leopold's)

Answer 30

Pawlik's Grip

Question 31

What does the Pawlick's Grip…grip?

Answer 31

presenting part

Question 32

What does Pawlik's Grip measure?

Answer 32

Engagement of the presenting part (how much farther along the pelvis is the baby)

Question 33

How do you report findings in Pawlik's Grip?

Answer 33

"Engaged" (presenting part is immovable) or "Floating" (presenting part may still be pushed back and forth)

Question 34

Another name for the 4th maneuver (Leopold's)

Answer 34

Pelvic Grip

Question 35

What is the purpose of the 4th maneuver?

Answer 35

To confirm engagement obtained from the assessment of the 3rd maneuver

Question 36

Reporting findings of the 4th maneuver: when cephalic prominence is on the same side as bony structures

Answer 36

vertex

Question 37

Reporting findings of the 4th maneuver: when cephalic prominence is on the same side as the back

Answer 37

face

Question 38

normal fetal heart tone accdg to Williams

Answer 38

110/160bpm

Question 39

When is the earliest time fetal heart tone may be appreciated via transvaginal ultrasound?

Answer 39

5th week

Question 40

When is the earliest time fetal heart tone may be appreciated via doppler?

Answer 40

10th week

Question 41

When is the earliest time fetal heart tone may be appreciated via stethoscope?

Answer 41

19-20 weeks

Question 42

Which part of the stethoscope is used to assess fetal heart tone?

Answer 42

bell

Question 43

What is the analogy of the fetal heart sound heard at 19-20 weeks?

Answer 43

clock ticking under a pillow

Question 44

The determining point for breech presentation

Answer 44

sacrum

Question 45

The determining point for vertex presentation

Answer 45

occiput

Question 46

The determining point for face presentation

Answer 46

chin (mentum)

Question 47

The determining point for shoulder presentation

Answer 47

scapula (acromion)

Question 48

Refers to the position of the long axis/spinal column of the mother

Answer 48

Fetal lie

Question 49

Types of fetal lie

Answer 49

longitudinal, transverse, oblique

Question 50

Part of the fetus lying right above the pelvic brim

Answer 50

Presentation

Question 51

Kinds of fetal presentation

Answer 51

vertex, breech, shoulder

Question 52

Basic prenatal laboratory tests

Answer 52

CBC (hemoglobin and hematocrit), Blood Type, Syphilis screening, HBS Ag testing, urine culture/urinalysis, pap smear, oral glucose test

Question 53

how many grams of glucose for the oral glucose test?

Answer 53

75g

Question 54

Which blood type needs attention due to high chance of severe bleeding during delivery?

Answer 54

ABO

Question 55

Danger signs of pregnancy (head)

Answer 55

persistent severe headache, blurring of vision, hyperenemia gravidarum, chills and fever

Question 56

Danger signs of pregnancy (abdomen)

Answer 56

severe persistent pain in the RUQ, dysuria, sudden decrease in intensity and frequency of quickening

Question 57

Danger signs of pregnancy (vagina/perineum)

Answer 57

vaginal bleeding, watery leakage

Question 58

Danger signs of pregnancy (lower ex)

Answer 58

severe pitting edema

Question 59

Condition indicated by the ff danger signs: blurring of vision, severe persistent headache, pain in the RUQ, severe pitting edema

Answer 59

preeclampsia

Question 60

Follow-up prenatal visit frequency by the 29th-36th week (early 8th to 9th months)

Answer 60

every 2 weeks

Question 61

Follow-up prenatal visit frequency if less than 28 weeks

Answer 61

once every 4 weeks

Question 62

Follow-up prenatal visit frequency by the 37th week (more than 9 months)

Answer 62

every week

Question 63

Follow-up prenatal visit frequency in complicated pregnancies

Answer 63

more frequent visits in a week

Question 64

DOH recommended prenatal visits

Answer 64

on or before 1st trim, 2nd trim, 3rd trim, and every 2 weeks after the 8th month 'til pregnancy

Question 65

When should folic acid supplements be taken?

Answer 65

At least 3 months before conception

Question 66

How much iron must be taken?

Answer 66

27 mg

Question 67

Which vitamin is dangerous to a pregnant woman's health and may cause abortion?

Answer 67

Vit. A