ANSWERS
The single most preventable cause of intellectual disabilities is: - ANSWER
ETOH use during pg
The gestational age of greatest concern for taking a drug that can cause cardiac
anomalies is: - ANSWER 3-8 weeks
Determining the most accurate estimated date of birth (EDB) is best achieved -
ANSWER Obtaining the first day of the last menstrual period
(Naegele's Rule: Subtract 3 months from first day of LMP and add 7 days, can
only be used on regular menstrual cycles).
Relief from heartburn during pregnancy may be obtained by - ANSWER
Eating 5 or 6 small meals each day
In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the
patient tells you she had the Tdap vaccination with her last pregnancy which
was 2 years ago. You would advise her she needs a: - ANSWER Tdap
vaccination in her third trimester for every pregnancy!
Expected findings during examination of the pregnant woman who is 10 weeks
gestation would include: - ANSWER Softening of the cervix
Which of the following would NOT be a normal physical examination finding
during pregnancy - ANSWER Mildly enlarged, nodular thyroid
During pregnancy, the thyroid has an increased workload. Two pregnancy-
related hormones—human chorionic gonadotropin (hCG) and estrogen—cause
higher measured thyroid hormone levels in your blood. During pregnancy,
thyroid volume and thyroid function adapt in a physiological way to meet the
increased demands for iodine (needed to make hormones for mom and baby)
and energy It is normal for it to increase in size, but it should not be palpable.
, Which of the following is NOT a normal hormone related skin change during
pregnancy? - ANSWER Itching and inflammation of extremities
Which of the following immunizations may be given during pregnancy? -
ANSWER Hepatitis B vaccine
can also give flu, TDAP, and Covid-19
A woman with a height of 5'2" has a pre-pregnant weight of 115 lbs, BMI=
21.0, normal weight category. Which of the following represents the most
appropriate weight for her by the end of her pregnancy? - ANSWER 145 lbs
*Weight gain in pregnancy
-underweight (BMI < 18.5): 28-40 lbs
-normal pre-pregnant weight (BMI 18.5-24.9): 25-35 lbs
-overweight (BMI 25-29.9): 15 to 25 lbs
A female client presents at the clinic stating her boyfriend told her he had
Chlamydia. She had unprotected sex 5 days ago. Her LMP was 3 weeks ago. A
urine pregnancy test is negative. On examination you note that she has
mucopurulent cervical discharge. Chlamydia and Gonorrhea tests are done at
this visit. The most appropriate treatment for this client is: - ANSWER
Azithromycin 1 Gm to be taken while in the clinic
Tx: Chlamydia is Azithromycin, Gonorrhea is ceftriaxone
Routine gestational diabetes screening is recommended at between - ANSWER
24 and 28 weeks gestation (6-7mos)
The screening test for group B streptococcus requires that a specimen be
obtained from the: - ANSWER Vaginal introitus and rectum
***How to remember: B for Bottom
Nutritional counseling for the pregnant woman should - ANSWER include Iron
supplements should be taken between rather than with meals