MVU NURS 629
EXAM 1
QUESTIONS AND
ANSWERS
Three trimesters of pregnancy
1st: week 1-13
2nd: weeks 14-27
3rd: weeks 28 to delivery
Naegeles rule of EDB
First day of LMP- subtract 3 months, add 7 days and one year
Ultrasound to determine EDB
1st trimester: accurate within 7 days
2nd trimester: accurate within 10-14 days
The sooner a woman gets an ultrasound the better estimate we
can give for weeks gestation and tracking of fetal growth and
development.
,Prenatal visit schedule for low-risk
pregnancies
-Preconception visit: up to 1 yr before conception
-1st prenatal visit: 6-8wks after missed menses
Up to 28 weeks- every 4 weeks
28 to 36 weeks - every 2 weeks
36 weeks and on -every week or more as necessary
First prenatal visit should include
· Confirmation of pregnancy
1. Pregnancy test and ultrasound
· History
· Menstrual history (LMP) and obstetric history
· Past medical history
· Nutrition and habits: tobacco, alcohol, drugs
· Genetic history: mom, father and 1st relative
· Social history including work, abuse, coping
· Current symptoms
· Physical exam and labs
1. Pelvic exam and pap smear
,2. Blood type and antibody screen
3. Rubella and hepatitis B titer
4. GC, RPR, HIV, Hep C
5. CBC
6. Urinalysis with culture
7. UDS (?)
Prenatal visits 12-21 weeks
Quad Marker screening, discuss newborn feeding options
Prenatal visit 18-22 weeks
Anatomy OB ultrasound
Prenatal visit 24-28 weeks
1 hour glucose test, RH neg type and screen
Prenatal visit 28-34 weeks
RhoGam administration, STI testing if indicated, review newborn
feeding discussion, administer Tdap, preterm labor assessment
and education at each visit
Prenatal visit 34-36 weeks
Group B strep swab, review s/s of labor and review labor plan
, Prenatal visit 36-40+ weeks
fetal position assessment, cervical exam, review s/s of false labor
vs true contractions
Quad screening
Test performed at 16-18 weeks. Tests levels of Inhibin A, MSAFP,
unconjugated estriol, and HCG. Has increased accuracy in
screening for DS for women under 35.
1st trimester typical symptoms
· Breast pain, enlargement, and changes in pigmentation: wear a
supportive bra, avoid caffeine use
· Constipation: large amount of circulating progesterone cause
decreased GI motility - use bulk-forming laxatives or Colace,
EXAM 1
QUESTIONS AND
ANSWERS
Three trimesters of pregnancy
1st: week 1-13
2nd: weeks 14-27
3rd: weeks 28 to delivery
Naegeles rule of EDB
First day of LMP- subtract 3 months, add 7 days and one year
Ultrasound to determine EDB
1st trimester: accurate within 7 days
2nd trimester: accurate within 10-14 days
The sooner a woman gets an ultrasound the better estimate we
can give for weeks gestation and tracking of fetal growth and
development.
,Prenatal visit schedule for low-risk
pregnancies
-Preconception visit: up to 1 yr before conception
-1st prenatal visit: 6-8wks after missed menses
Up to 28 weeks- every 4 weeks
28 to 36 weeks - every 2 weeks
36 weeks and on -every week or more as necessary
First prenatal visit should include
· Confirmation of pregnancy
1. Pregnancy test and ultrasound
· History
· Menstrual history (LMP) and obstetric history
· Past medical history
· Nutrition and habits: tobacco, alcohol, drugs
· Genetic history: mom, father and 1st relative
· Social history including work, abuse, coping
· Current symptoms
· Physical exam and labs
1. Pelvic exam and pap smear
,2. Blood type and antibody screen
3. Rubella and hepatitis B titer
4. GC, RPR, HIV, Hep C
5. CBC
6. Urinalysis with culture
7. UDS (?)
Prenatal visits 12-21 weeks
Quad Marker screening, discuss newborn feeding options
Prenatal visit 18-22 weeks
Anatomy OB ultrasound
Prenatal visit 24-28 weeks
1 hour glucose test, RH neg type and screen
Prenatal visit 28-34 weeks
RhoGam administration, STI testing if indicated, review newborn
feeding discussion, administer Tdap, preterm labor assessment
and education at each visit
Prenatal visit 34-36 weeks
Group B strep swab, review s/s of labor and review labor plan
, Prenatal visit 36-40+ weeks
fetal position assessment, cervical exam, review s/s of false labor
vs true contractions
Quad screening
Test performed at 16-18 weeks. Tests levels of Inhibin A, MSAFP,
unconjugated estriol, and HCG. Has increased accuracy in
screening for DS for women under 35.
1st trimester typical symptoms
· Breast pain, enlargement, and changes in pigmentation: wear a
supportive bra, avoid caffeine use
· Constipation: large amount of circulating progesterone cause
decreased GI motility - use bulk-forming laxatives or Colace,
