Mark Klimek - Maternity lecture
Calculating expected date of delivery/Naegale's Rule - correct answer FIRST day if last
menstrual period + 7 days - 3 months
Example: June 10-15 was last menstrual period
Expected date of delivery:
March 17
Calculating pregnancy weight - correct answer Week of gestation - 9 = lbs
Should only gain 3 lbs during first trimester (12 weeks or 3 months)
Example:
28 weeks gestation - 9 = 19 lb weight gain
Total weight gained during pregnancy - correct answer 28 lbs +/- 3
Fundus - when will you first palpated it? - correct answer After the first trimester ~12
weeks
When will the fundus be at the level of umbillicus? - correct answer Weeks 20-22
Can you determine what trimester a pregnant women is in by the fundal height? How? -
correct answer Pregnant but can NOT feel the fundus = first trimester, priority = Mom
Can palpated fundus at or below the umbilicus = second trimester, priority = Mom
Palpated ABOVE the umbilicus = third trimester, priority = baby
4 positive signs of pregnancy - correct answer Fetal skeleton on X-ray
Fetal presence on ultrasound
Auscultation of fetal heart rate (between 8-12 weeks)
When examiner palpates (NOT mom)
Types of OB questions - correct answer When would you first... (earliest)
When would you most likely...(middle)
When should you by...(last)
When would you first auscultate a fetal heart? - correct answer 8 weeks
When would you auscultate a fetal heart? - correct answer 10 weeks
When should you auscultate a fetal heart? - correct answer 12 weeks
Quickening - correct answer 16-20 weeks
, Mark Klimek - Maternity lecture
Probably (maybe) signs of pregnancy - correct answer -All urine/blood pregnancy tests
-Chadwick's sign- cervical color change to cyanosis (all C's)
-Goodell's sign - cervical softening
-Hegar's sign - uterine softening
Signs are in alphabetical order: Chadwick's, Goodell's, Hegar's
A POSITIVE pregnancy test is... - correct answer NOT a positive sign of pregnancy (it is
a PROBABLE sign)
Pattern of office visits - prenatal care - correct answer Once a month until week 28
Once every 2 weeks until week 36
Once a week until delivery or week 42 (then induced)
Example:
Pregnant women comes in at week 12, when should she come in next?
Week 16
Hemoglobin will do what during pregnancy? - correct answer DROP in pregnancy
11 (first trimester) = normal
10.5 (second trimester) = normal
10 (third trimester) = normal
Normal female hemoglobin - correct answer 12-16 g/dL
Morning sickness - what trimester? How do you treat it? - correct answer First trimester
DRY carbohydrates before you get out of bed
Urinary incontinence - correct answer 1st and 3rd trimester
(Do not get it in 2nd trimester because the baby is high in the abdomen)
Tx: VOID EVERY 2 HOURS even 6 weeks after pregnancy
Difficulty breathing (dyspnea) - correct answer 2nd and 3rd trimester problems
Teach TRIPOD position.
Calculating expected date of delivery/Naegale's Rule - correct answer FIRST day if last
menstrual period + 7 days - 3 months
Example: June 10-15 was last menstrual period
Expected date of delivery:
March 17
Calculating pregnancy weight - correct answer Week of gestation - 9 = lbs
Should only gain 3 lbs during first trimester (12 weeks or 3 months)
Example:
28 weeks gestation - 9 = 19 lb weight gain
Total weight gained during pregnancy - correct answer 28 lbs +/- 3
Fundus - when will you first palpated it? - correct answer After the first trimester ~12
weeks
When will the fundus be at the level of umbillicus? - correct answer Weeks 20-22
Can you determine what trimester a pregnant women is in by the fundal height? How? -
correct answer Pregnant but can NOT feel the fundus = first trimester, priority = Mom
Can palpated fundus at or below the umbilicus = second trimester, priority = Mom
Palpated ABOVE the umbilicus = third trimester, priority = baby
4 positive signs of pregnancy - correct answer Fetal skeleton on X-ray
Fetal presence on ultrasound
Auscultation of fetal heart rate (between 8-12 weeks)
When examiner palpates (NOT mom)
Types of OB questions - correct answer When would you first... (earliest)
When would you most likely...(middle)
When should you by...(last)
When would you first auscultate a fetal heart? - correct answer 8 weeks
When would you auscultate a fetal heart? - correct answer 10 weeks
When should you auscultate a fetal heart? - correct answer 12 weeks
Quickening - correct answer 16-20 weeks
, Mark Klimek - Maternity lecture
Probably (maybe) signs of pregnancy - correct answer -All urine/blood pregnancy tests
-Chadwick's sign- cervical color change to cyanosis (all C's)
-Goodell's sign - cervical softening
-Hegar's sign - uterine softening
Signs are in alphabetical order: Chadwick's, Goodell's, Hegar's
A POSITIVE pregnancy test is... - correct answer NOT a positive sign of pregnancy (it is
a PROBABLE sign)
Pattern of office visits - prenatal care - correct answer Once a month until week 28
Once every 2 weeks until week 36
Once a week until delivery or week 42 (then induced)
Example:
Pregnant women comes in at week 12, when should she come in next?
Week 16
Hemoglobin will do what during pregnancy? - correct answer DROP in pregnancy
11 (first trimester) = normal
10.5 (second trimester) = normal
10 (third trimester) = normal
Normal female hemoglobin - correct answer 12-16 g/dL
Morning sickness - what trimester? How do you treat it? - correct answer First trimester
DRY carbohydrates before you get out of bed
Urinary incontinence - correct answer 1st and 3rd trimester
(Do not get it in 2nd trimester because the baby is high in the abdomen)
Tx: VOID EVERY 2 HOURS even 6 weeks after pregnancy
Difficulty breathing (dyspnea) - correct answer 2nd and 3rd trimester problems
Teach TRIPOD position.
