OB Exam #1 Exam Questions with 100% Correct Answers

In a routine pregnancy, how often are prenatal doctor visits made? Correct Answer 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? Correct Answer 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? Correct Answer 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? Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer softening and compressibility of lower uterus Chadwick's sign Correct Answer deepened bluish color of vaginal mucosa Goodell's sign Correct Answer softening of cervical tip Ballottement Correct Answer rebound of unengaged fetus