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How do you measure fundal height - ANSWER symphysis pubis to top of uterus
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
What are signs of preeclampsia? - ANSWER rapid weight gain, edema to hands
and face, HTN, H/A, visual changes, proteinuria, epigastric pain