CERTIFICATION EVALUATION QUESTIONS
AND SOLUTIONS 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