Choice and Conceptual Actual Frequently
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1. What are the 3 stages of development? - ANSWER Conception through
week 2
Embryonic period: Week 3-8 when gross malformations can be produced (organ
development)
Fetal period: Week 9-delivery when functions are disrupted
2. What is the PLLR? - ANSWER Pregnancy & lactation labeling rule provides
the prescriber w/ relevant information for critical decision-making when
treating pregnant or lactating women
3. What immunizations can be administered during pregnancy? - ANSWER
Viruses that are killed or inactivated:
Influenza
T-DaP (protects infant from pertussis); given w/ q pregnancy
4. Which immunizations are contraindicated during pregnancy? - ANSWER
Live attenuated vaccines; should avoid trying to get pregnant 28 d after
vaccine:
,Nasal spray influenza
MMR
Varicella
HPV
Pneumococcal polysaccharide (PPSV23)
Pneumococcal conjugate (PCV13)
Meningococcal conjugate (MenACW)
Meningococcal polysaccharide (MPSV4)
Smallpox
5. When is the TDaP administered during pregnancy? - ANSWER Between
27-36 weeks; optimizing duration of antibody protection until after birth
6. Which vaccines can be given under special conditions? - ANSWER HepB
Inactivated polio
HepA
Yellow fever
7. What is included in the Women's health assessment? - ANSWER Complete
PX
Past medical Hx
GYN Sx
OB Hx: menstrual, contraceptive, sexual, reproductive & complications
Nutrition
,Cultural Hx
Support system
Risk Factors
Complete Genetic Hx
Immunizations
Diagnostics
8. What is preventive care during pregnancy? - ANSWER Nutrition: Maintain
avg body wt for ht
Folic acid (0.4mg/d)
Exercise
Smoking Cessation
9. What symptoms occur during first trimester (up to 12 weeks) of pregnancy? -
ANSWER Amenorrhea
N/V
Fatigue
Breast tenderness (first sign)
Urinary frequency
10.What symptoms occur during second trimester (13-27 weeks)? - ANSWER
Fetal movement
Abdominal discomfort (round ligament pain)
Cholasma (brown or gray-brown patches on face)
, Syncopal episodes
11.What symptoms occur during third trimester (28-40 weeks)? - ANSWER
Abdominal growth
Braxton-Hicks
Return of urinary frequency w/descent of presenting part
Increased respiratory effort until descent
12. What is expected during the first trimester PE? - ANSWER Softening of
cervix (Goodell's sign)
Cervical cyanosis (Chadwick's Sign)
Softening of cervicouterine junction (Hegar's sign)
Breast enlargement
Fetal heart tones by 10-12 weeks
13. What is expected during the second trimester PE? - ANSWER Striae
Fundus palpable at umbilicus @ 20 wks; grows 1 cm/wk
Leopold maneuvers after 20 wks
14. What is expected during the third trimester PE? - ANSWER Lightening 3-4
wks prior to delivery
Loss of mucus plug
Increase Braxton-Hicks
Contractions/rupture of membranes