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Routine office visit times - ANSWER ✔✔every 4 weeks until 28
weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
,First Trimester Normal findings - ANSWER ✔✔breast pain,
enlargement, changes in pigmentation, constipation, excessive
salivation and bad taste in mouth, fatigue, flatulence, headache,
hemorrhoids, nausea and vomiting, urinary frequency and incontinence,
varicosities of vulva and legs.
Second Trimester Normal findings - ANSWER ✔✔backache,
dyspnea, epistaxis, leukorrhea, ligament pain, muscle cramps in the calf,
thigh, or buttocks, PICA, syncope.
Third Trimester Normal findings - ANSWER ✔✔Braxton-hick's
contractions, discomfort in the upper extremities, edema, heartburn,
insomnia, joint pain/ pelvic girdle pain.
First Trimester Danger Signs - ANSWER ✔✔spotting or bleeding,
cramping, painful urination, severe vomiting and/ or diarrhea, fever
higher than 100.4F, symptoms of vaginal infection or STIs, persistent or
severe low abdominal pain, lightheadedness, dizziness, abdominal
trauma.
Second Trimester Danger Signs - ANSWER ✔✔regular uterine
contractions (6 or more per hour), unilateral leg or calf pain, edema, pain
with movement, redness, heat, and tenderness or coldness, numbness
and paleness to extremity, sudden gush or consistent leaking of fluid,
, absence of fetal movement for more than 24 hours after quickening,
sudden weight gain, significant edema of the face and/ or hands, severe
upper abdominal pain, headache with visual changes and/ or
photophobia.
Third Trimester Danger Signs - ANSWER ✔✔decrease in daily fetal
movement, after 37 weeks gestation, when contractions are 3-5 minutes
apart if a primipara or 5-8 minutes apart if a multipara lasting 45-60
seconds and strong in intensity or with the characteristics of true labor.
What oral contraceptive can be given to breast feeding women -
ANSWER ✔✔Progestin-only pills
What immunizations can be given during pregnancy - ANSWER
✔✔Hepatitis B, inactivated influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes - ANSWER ✔✔50 gram
oral glucose with a blood draw 1 hour later to determine glucose levels.
If the glucose level is greater than 130-140 then a 3 hour 100 gram oral
glucose tolerance test is performed.
When do we screen for gestational diabetes - ANSWER ✔✔24 weeks
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