OB Exam 1 Questions and Answers Graded A

OB Exam 1 Questions and Answers Graded A In a routine pregnancy, how often are prenatal doctor visits made? every 4 wks for 28wks, every 2 wks during 28-36 wks, every wk from 36-41qks, twice weekly after that What things are done during the initial prenatal visit? done at 8 weeks gestation; determine EDD; obtain hx; risk assessment; vital signs/weight/urinalysis; physical exam; FHR assessment (doppler); and labs What are things done during the ongoing prenatal visits? vs, weight, urinalysis; fundal height measurement (20wks); Leopold's Maneuver (34 weeks); FHT; fetal activity (daily kick counts 28 weeks); signs of labor; ultrasound screening; glucose screening; cervical checks (during last month of gestation) What items should be included in health promotion education? avoiding OTC and RX meds unless obstetrician has knowledge of this; avoid alcohol and tobacco use; avoid substance abuse; flu vaccination is encouraged; tx current infections; genetic testing/counseling; avoid use of hot tubes; moderate exercise; consuming 2-3L of water/day; Presumptive signs of pregnancy changes that make the woman suspect she is pregnanct; subjective information; amenorrhea, fatigue, n&v, urinary frequency, breast changes, fetal movements felt by the woman, uterine enlargment, linea nigra, chloasma, striae gravidarum Probable signs of pregnancy changes that make the examiner suspect a woman is pregnant (signs can be caused by other physiological factors); abdominal enlargment, cervical changes, Braxton hick's contractions, positive pregnancy test, fetal outline felt by examiner Positive signs of pregnancy signs that can only be explained by pregnancy; fetal heart sounds, visualization of fetus by ultrasound, fetal movement palpated by an experienced examiner Hegar's sign softening and compressibility of lower uterus Chadwick's sign deepened bluish color of vaginal mucosa Goodell's sign softening of cervical tip Ballottement rebound of unengaged fetus Nagele's rule way to calculate estimated due date; first day of LMP, subtract 3 months, then add 7 days McDonald's method way to calculate estimated gestational age; after 20 wks, measure fundal height and # of centimeters should correlate with # of weeks of gestation gravidity number of pregnancies Nulligravida a woman who has never been pregnant Primigravida a woman in her first pregnancy Multigravida a woman who has been pregnant more than once Parity number of pregnancies in which the fetus reached viable age (20 wks) Nullipara no pregnancies in which fetus reached viable age Primipara one pregnancy in which fetus reached viable age Multipara more than one pregnancy in which the fetus reached viable age What does GTPAL stand for when using the 5 stage