PREGNANCY (APEA)
Folic acid requirements - ANS-0.4 mg pre-pregnancy
1 mg pregnancy confirmed
Pregnancy testing initial labs - ANS-Urine hCG (doubles every 24-72 hrs in 1st trimester)
How should an ectopic pregnancy be managed? - ANS-Order quantitative hCG serology
Refer to ER/OBGYN
Ectopic pregnancy symptoms - ANS-Lower abdominal pain
Symptoms 6-8 wks after LMP
Low-grade fever
hCG quantitative does not double
Cramping during pregnancy - ANS-Due to hormonal changes
Cramping that worsens or is associated with bleeding may indicate an ectopic pregnancy
Immunizations in pregnancy - ANS-Influenza: can be given any time
Tdap: give b/w 27-36 wks gestation
Avoid live attenudated vax (MMR, varicella)
When to do gestational diabetes screening - ANS-24-28 wks
Diabetes diagnosed at initial visit is? - ANS-Overt diabates
Diabetes diagnosed during pregnancy is? - ANS-Gestational diabetes
How many abnormal readings must there be on the 3-hour OGTT to be diagnosed with
gestational diabetes? - ANS-Two
Pregnant woman diagnosed with diabetes in first trimester has: - ANS-T2DM
1st line treatment for GDM - ANS-Lifestyle
Med choice: insulin
Fetal movement term - ANS-"Quickening"
Primipara: 17-20 wks gestation
Subsequent pregnancies: 15-16 wks
Folic acid requirements - ANS-0.4 mg pre-pregnancy
1 mg pregnancy confirmed
Pregnancy testing initial labs - ANS-Urine hCG (doubles every 24-72 hrs in 1st trimester)
How should an ectopic pregnancy be managed? - ANS-Order quantitative hCG serology
Refer to ER/OBGYN
Ectopic pregnancy symptoms - ANS-Lower abdominal pain
Symptoms 6-8 wks after LMP
Low-grade fever
hCG quantitative does not double
Cramping during pregnancy - ANS-Due to hormonal changes
Cramping that worsens or is associated with bleeding may indicate an ectopic pregnancy
Immunizations in pregnancy - ANS-Influenza: can be given any time
Tdap: give b/w 27-36 wks gestation
Avoid live attenudated vax (MMR, varicella)
When to do gestational diabetes screening - ANS-24-28 wks
Diabetes diagnosed at initial visit is? - ANS-Overt diabates
Diabetes diagnosed during pregnancy is? - ANS-Gestational diabetes
How many abnormal readings must there be on the 3-hour OGTT to be diagnosed with
gestational diabetes? - ANS-Two
Pregnant woman diagnosed with diabetes in first trimester has: - ANS-T2DM
1st line treatment for GDM - ANS-Lifestyle
Med choice: insulin
Fetal movement term - ANS-"Quickening"
Primipara: 17-20 wks gestation
Subsequent pregnancies: 15-16 wks
