QUESTIONS WITH ANSWERS GRADED A+
◉ When can you start to hear fetal heart tones? Answer: around 12 wks
◉ What is quickening? Answer: fetal movements felt by the mother
◉ When is quickening felt. Answer: between 16-20 weeks
◉ Abnormal Complaints in first trimester. Answer: 1st trimester: Vaginal
bleeding
Book: spotting, bleeding, cramping, painful urination, severe vomiting
and/or diarrhea, fever > 100.4, symptoms of vaginal infection or STI;
persistent or severe low abdominal pain, lightheadedness or dizziness
(particularly if accompanied by shoulder pain)
◉ What vaccines should be avoided during pregnancy? Answer: Live
vaccines: MMR ,HPV, varicella, and live attenuated influenza vaccine
◉ What labs are drawn at first visit? Answer: CBC, RH (antibody
screen) & TYPE, HIV, RPR, MMR TITER, HEP B TITER, R/O STI's,
FULL UA
, ◉ What info is obtained at first OB visit? Answer: PMH, Fx history,
Genetic hx (mom & dad)
◉ What is indicated when clu cells are seen? Answer: BV
◉ What is the treatment for BV. Answer: metronidazole (Flagyl) 500mg
BID x 7 days
◉ What are presumptive (subjective) signs of pregnancy? Answer:
Amenorrhea, N/V, FATIGUE, urine frequency, breast changes,
quickening, pigment, striae
◉ What are probable (objective) signs of pregnancy? Answer: + HCG,
enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's,
Hegar's signs
◉ What are positive signs of pregnancy? Answer: Fetal HT, U/S, fetal
movement
◉ What does a bluish cervix indicate? Answer: Chadwick's sign
◉ How to use Nageles rule. Answer: + 7 days - 3 mos