Primary Care of the Woman During Pregnancy
FNP Board Review (Fitzgerald Info) Exam – Latest
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Terms in this set (96)
37 weeks through 38 weeks
Early-term
plus 6 days
39 weeks through 40 weeks
Full-term
plus 6 days (EDD=40 weeks)
41 weeks through 41 weeks
Late-term
plus 6 days
Post-term 42 weeks and beyond
Subtract 3 months from first day
of LMP, add 7 days=40 weeks (280
days) from LMP or 38 weeks (266
days) from date of conception.
Naegele's rule Adjust for year as needed.
Provides a reasonable estimation
but can be inaccurate for women
with irregular menses or with
unclear LMP date.
Using crown-rump measurement, accurate with
1st-trimester ultrasound potential of 7-day error margin (considered most
accurate source of EDD)
, Using multiple fetal measurements (biparietal
2nd-trimester (up to 22
diameter, femur length, others) accurate with potential
weeks) ultrasound
of 10 - 14-day error
Uterine Sizing in Singleton - Baseball
Pregnancy • First FHT via abdominal Doppler
• 10 weeks • Range=10-12 weeks
- About 1 cm gain in fundal height per week
From 20 to 36 weeks
- Usually concordant with gestational age, plus or
Uterine Sizing
minus 1 cm
- Additional 300 kcal/d over baseline requirements
Caloric requirements greater in woman within 1-2
Nutrition in Pregnancy
years of menarche and with multiple gestation
• Caloric requirements
- In lactation, additional 500 kcal/d above
baseline requirements
- 1000-1500 mg elemental calcium/d
Nutrition in Pregnancy • ~40% increase from baseline needs
(continued)
• Calcium • Women ages 19-50 yrs need minimum of 1000 mg
• Women ages 14-18 yrs need minimum of 1300 mg
Without history neural tube defect (NTD)
Folic Acid - Folic acid 0.4-1 mg/day
• ~100% increase from baseline needs
, Prior history NTD or family 4mg
hx of NTD
(anencephaly,
myelomeningocele, spina
bifida, others)
- Folic acid ____ mg/day for
1 month before pregnancy
and during first 3 months
gestation then resume 0.4-
1 mg per day to promote
placental/fetal growth
- Little evidence to support routine supplementation
Nutrition in Pregnancy: in non-anemic pregnant women
Iron - Iron in standard prenatal vitamins is sufficient with
well-balanced diet.
- If Hgb <11 g/dL (110 g/L) in 2nd trimester or < 10.5
g/dL (105 g/L) in third trimester, needs 30 mg
elemental iron orally per day
• Recheck 1 month after therapy - if Hg remains low,
Anemia in Pregnancy
check ferritin to confirm iron deficiency, adjust iron
dose
• Divide dose if >30 mg daily for better
absorption; add zinc, copper
FNP Board Review (Fitzgerald Info) Exam – Latest
2025 Version | with Questions and Correct
Answers | Verified & Graded A+
Save
Terms in this set (96)
37 weeks through 38 weeks
Early-term
plus 6 days
39 weeks through 40 weeks
Full-term
plus 6 days (EDD=40 weeks)
41 weeks through 41 weeks
Late-term
plus 6 days
Post-term 42 weeks and beyond
Subtract 3 months from first day
of LMP, add 7 days=40 weeks (280
days) from LMP or 38 weeks (266
days) from date of conception.
Naegele's rule Adjust for year as needed.
Provides a reasonable estimation
but can be inaccurate for women
with irregular menses or with
unclear LMP date.
Using crown-rump measurement, accurate with
1st-trimester ultrasound potential of 7-day error margin (considered most
accurate source of EDD)
, Using multiple fetal measurements (biparietal
2nd-trimester (up to 22
diameter, femur length, others) accurate with potential
weeks) ultrasound
of 10 - 14-day error
Uterine Sizing in Singleton - Baseball
Pregnancy • First FHT via abdominal Doppler
• 10 weeks • Range=10-12 weeks
- About 1 cm gain in fundal height per week
From 20 to 36 weeks
- Usually concordant with gestational age, plus or
Uterine Sizing
minus 1 cm
- Additional 300 kcal/d over baseline requirements
Caloric requirements greater in woman within 1-2
Nutrition in Pregnancy
years of menarche and with multiple gestation
• Caloric requirements
- In lactation, additional 500 kcal/d above
baseline requirements
- 1000-1500 mg elemental calcium/d
Nutrition in Pregnancy • ~40% increase from baseline needs
(continued)
• Calcium • Women ages 19-50 yrs need minimum of 1000 mg
• Women ages 14-18 yrs need minimum of 1300 mg
Without history neural tube defect (NTD)
Folic Acid - Folic acid 0.4-1 mg/day
• ~100% increase from baseline needs
, Prior history NTD or family 4mg
hx of NTD
(anencephaly,
myelomeningocele, spina
bifida, others)
- Folic acid ____ mg/day for
1 month before pregnancy
and during first 3 months
gestation then resume 0.4-
1 mg per day to promote
placental/fetal growth
- Little evidence to support routine supplementation
Nutrition in Pregnancy: in non-anemic pregnant women
Iron - Iron in standard prenatal vitamins is sufficient with
well-balanced diet.
- If Hgb <11 g/dL (110 g/L) in 2nd trimester or < 10.5
g/dL (105 g/L) in third trimester, needs 30 mg
elemental iron orally per day
• Recheck 1 month after therapy - if Hg remains low,
Anemia in Pregnancy
check ferritin to confirm iron deficiency, adjust iron
dose
• Divide dose if >30 mg daily for better
absorption; add zinc, copper
