OB Exam 1
A grand multipara women: delivered >5 infants >24 weeks
A term used to describe the number of pregnancies Gravida (G)
A term used to describe the number of deliveries > 20 Parity (F)
weeks or > 500 g
How many weeks is considered a previable pregnancy less then 23 weeks
?
How many weeks is considered a Preterm pregnancy ? between 24-37 weeks
What is the number one predisposing factor of having a PRIOR preterm birth
preterm birth?
How many weeks is considered a Term pregnancy ? between 37-42 weeks
True/False True
Before 23 weeks a baby is not viable outside the body
How many weeks is considered a posterm pregnancy ? > 42 weeks
How many weeks and grams is considered a < 20 weeks
spontaneous abortion ? <500 grams
What is the time frame that is considered a puerperium birth - 42 days postpartum
?
What is the time frame that the baby is considered a fertilization to 10 weeks
embryo?
What is the time frame that the baby is considered a 10 weeks to birth
fetus?
How many weeks is considered the first trimester? < 13 weeks
How many weeks is considered the second trimester? 13-26 weeks
How many weeks is considered the third trimester? > 26 weeks
, OB Exam 1
Total number of pregnancies Gravity (G)
Total number of deliveries beyond 20 weeks Parity (F)
The number of premature deliveries (<37 weeks) Pre-term (P)
(KNOW < 37 weeks)
What does GFPAL stand for? G- Gravity
F- Parity
P- Preterm
A- Abortions
L- Living
(KNOW HOW TO CALCULATE)
If a patient delivers twins, what is the difference in parity Parity would equal 1 (because its considered 1 delivery)
vs living? Living would equal 2 (and 2 babies are living)
Calculate the GFPAL for each.. 1. G-1, F-0, P-0, A-0, L-0 (1-0-0-0-0)
1. Jane is pregnant for the first time. 2. G-1, F-1, P-0, A-0, L-1 (1-1-0-0-1)
2. She carries the pregnancy to term and the neonate 3. G-2, F-1, P-0, A-0, L-1 (2-1-0-0-1)
survives 4. G-2, F-1, P-0, A-1, L-1 (2-1-0-1-1)
3. She is pregnant again. 5. G-3, F-2, P-0, A-1, L-3 (3-2-0-1-3)
4. Her second pregnancy ends in abortion (KNOW HOW TO CALCULATE)
5. During her 3rd pregnancy, she delivers viable twin.
Blue discoloration of vagina and cervix which can be an Chadwick's sign
indicator of pregnancy
Softening of cervix that happens when pregnant for >4 Goodell sign
weeks
A discoloration from the umbilicus to pubis linea nigra
, OB Exam 1
This happens during pregnancy when there is palmar erythema
reddening of the surface of the palms
True/False True
Breast swelling & tenderness is the BEST sign of
pregnancy. Additionally, telangiectasia can occur as
well.
What are symptoms of pregnancy? 1. Amenorrhea
2. Pelvic pain
3. AUB (abdominal uterine bleeding)
4. Nausea/vomiting
5. Breast pain
This can be used to diagnose pregnancy and can be UCG- Urine pregnancy test
positive near time of missed menses?
This can be used to diagnose pregnancy and can be BHCG Qualitative (beta-human chorionic gonadotropin)
positive prior to a missed menses?
1. A quantitative BHCG peaks near 100 K by ______ weeks. 1. 10 weeks
2. A quantitative BHCG _______ through the 2nd trimester 2. decreases
3. A quantitative BHCG levels off ______ K in the 3rd 3. 10-30 K
trimester.
When using a vaginal ultrasound to determine 1. 5 weeks **
pregnancy, the gestational sac is seen near ____ weeks 2. 1500-2000 **
or BHCG is between _______. (KNOW)
When using an abdominal ultrasound to determine 1. 6 weeks **
pregnancy, the gestational sac is seen near ____ weeks 2. 6,000**
or BHCG is _______. (know)
A method of determining the estimated date of Nagele's Rule
confinement/delivery (EDC or EDD): after obtaining (KNOW HOW TO CALCULATE)
the first day of the last menstrual period, subtract 3
months and add 7 days.
Patients LMP was 5/10/19. Calculate estimate date of 2/17/20
delivery (EDD) using Nagele's Rule.
If you're uncertain of the LMP what can you use to Use crown rump length on USS in mid 1st semester.
determine EDD that is accurate within 3-5 days.
, OB Exam 1
True/False True
Ultrasound dating should not differ from LMP dating by
more than 1week in 1 st trimester, 2 weeks in 2 nd
trimester, and 3 weeks in 3 rd trimester
When is prenatal care started? Initial visit: 1st trimester b/w 6-10 weeks
At the initial visit what should the PE consist of ? Complete PE with focus on breast, abdomen & pelvic
1. Vital signs
2. Pap/cultures (speculum)
3. Uterine size (bimanual)
What performing a pelvic exam, what position is the dorsolithotomy position
patient in?
An exam in which the doctor inserts two fingers in the bimanual exam
vagina while placing the other hand on top of the lower
part of the abdomen in order to feel for any
abnormalities and to check the size, shape, and mobility
of the uterus
At the initial visit and first trimester, what routine G. All of the above
prenatal labs are taken?
A. HCT, Blood type/screen
B. RPR/VRDL, Chlamydia & GC cultures
C. Rubella antibody screening & Hep B suface antigen
screening
D. PPD, Pap, Urine analysis/culture
E. VZV & HIV offered
F. Early screen for aneuploidy
G. All of the above
At the 2nd trimester, what routine prenatal labs are D. All the above
taken?
A. MSAFP/triple or QUAD screen
B. Obstetric US
C. Amniocentesis offered
D. All the above
At the 3rd trimester, what routine prenatal labs are E. All the above
taken?
A. HCT/ CBC
B. RPR/VRDL
C. GLT
D. GBS culture
E. All the above
How many visits for evaluation in the 1st trimester? 2 visits (monthly)
What should be done during the 1st visit in the 1st 1. complete H & P/order labs
trimester ? 2. Ultrasound if pelvic pain or AUB
A grand multipara women: delivered >5 infants >24 weeks
A term used to describe the number of pregnancies Gravida (G)
A term used to describe the number of deliveries > 20 Parity (F)
weeks or > 500 g
How many weeks is considered a previable pregnancy less then 23 weeks
?
How many weeks is considered a Preterm pregnancy ? between 24-37 weeks
What is the number one predisposing factor of having a PRIOR preterm birth
preterm birth?
How many weeks is considered a Term pregnancy ? between 37-42 weeks
True/False True
Before 23 weeks a baby is not viable outside the body
How many weeks is considered a posterm pregnancy ? > 42 weeks
How many weeks and grams is considered a < 20 weeks
spontaneous abortion ? <500 grams
What is the time frame that is considered a puerperium birth - 42 days postpartum
?
What is the time frame that the baby is considered a fertilization to 10 weeks
embryo?
What is the time frame that the baby is considered a 10 weeks to birth
fetus?
How many weeks is considered the first trimester? < 13 weeks
How many weeks is considered the second trimester? 13-26 weeks
How many weeks is considered the third trimester? > 26 weeks
, OB Exam 1
Total number of pregnancies Gravity (G)
Total number of deliveries beyond 20 weeks Parity (F)
The number of premature deliveries (<37 weeks) Pre-term (P)
(KNOW < 37 weeks)
What does GFPAL stand for? G- Gravity
F- Parity
P- Preterm
A- Abortions
L- Living
(KNOW HOW TO CALCULATE)
If a patient delivers twins, what is the difference in parity Parity would equal 1 (because its considered 1 delivery)
vs living? Living would equal 2 (and 2 babies are living)
Calculate the GFPAL for each.. 1. G-1, F-0, P-0, A-0, L-0 (1-0-0-0-0)
1. Jane is pregnant for the first time. 2. G-1, F-1, P-0, A-0, L-1 (1-1-0-0-1)
2. She carries the pregnancy to term and the neonate 3. G-2, F-1, P-0, A-0, L-1 (2-1-0-0-1)
survives 4. G-2, F-1, P-0, A-1, L-1 (2-1-0-1-1)
3. She is pregnant again. 5. G-3, F-2, P-0, A-1, L-3 (3-2-0-1-3)
4. Her second pregnancy ends in abortion (KNOW HOW TO CALCULATE)
5. During her 3rd pregnancy, she delivers viable twin.
Blue discoloration of vagina and cervix which can be an Chadwick's sign
indicator of pregnancy
Softening of cervix that happens when pregnant for >4 Goodell sign
weeks
A discoloration from the umbilicus to pubis linea nigra
, OB Exam 1
This happens during pregnancy when there is palmar erythema
reddening of the surface of the palms
True/False True
Breast swelling & tenderness is the BEST sign of
pregnancy. Additionally, telangiectasia can occur as
well.
What are symptoms of pregnancy? 1. Amenorrhea
2. Pelvic pain
3. AUB (abdominal uterine bleeding)
4. Nausea/vomiting
5. Breast pain
This can be used to diagnose pregnancy and can be UCG- Urine pregnancy test
positive near time of missed menses?
This can be used to diagnose pregnancy and can be BHCG Qualitative (beta-human chorionic gonadotropin)
positive prior to a missed menses?
1. A quantitative BHCG peaks near 100 K by ______ weeks. 1. 10 weeks
2. A quantitative BHCG _______ through the 2nd trimester 2. decreases
3. A quantitative BHCG levels off ______ K in the 3rd 3. 10-30 K
trimester.
When using a vaginal ultrasound to determine 1. 5 weeks **
pregnancy, the gestational sac is seen near ____ weeks 2. 1500-2000 **
or BHCG is between _______. (KNOW)
When using an abdominal ultrasound to determine 1. 6 weeks **
pregnancy, the gestational sac is seen near ____ weeks 2. 6,000**
or BHCG is _______. (know)
A method of determining the estimated date of Nagele's Rule
confinement/delivery (EDC or EDD): after obtaining (KNOW HOW TO CALCULATE)
the first day of the last menstrual period, subtract 3
months and add 7 days.
Patients LMP was 5/10/19. Calculate estimate date of 2/17/20
delivery (EDD) using Nagele's Rule.
If you're uncertain of the LMP what can you use to Use crown rump length on USS in mid 1st semester.
determine EDD that is accurate within 3-5 days.
, OB Exam 1
True/False True
Ultrasound dating should not differ from LMP dating by
more than 1week in 1 st trimester, 2 weeks in 2 nd
trimester, and 3 weeks in 3 rd trimester
When is prenatal care started? Initial visit: 1st trimester b/w 6-10 weeks
At the initial visit what should the PE consist of ? Complete PE with focus on breast, abdomen & pelvic
1. Vital signs
2. Pap/cultures (speculum)
3. Uterine size (bimanual)
What performing a pelvic exam, what position is the dorsolithotomy position
patient in?
An exam in which the doctor inserts two fingers in the bimanual exam
vagina while placing the other hand on top of the lower
part of the abdomen in order to feel for any
abnormalities and to check the size, shape, and mobility
of the uterus
At the initial visit and first trimester, what routine G. All of the above
prenatal labs are taken?
A. HCT, Blood type/screen
B. RPR/VRDL, Chlamydia & GC cultures
C. Rubella antibody screening & Hep B suface antigen
screening
D. PPD, Pap, Urine analysis/culture
E. VZV & HIV offered
F. Early screen for aneuploidy
G. All of the above
At the 2nd trimester, what routine prenatal labs are D. All the above
taken?
A. MSAFP/triple or QUAD screen
B. Obstetric US
C. Amniocentesis offered
D. All the above
At the 3rd trimester, what routine prenatal labs are E. All the above
taken?
A. HCT/ CBC
B. RPR/VRDL
C. GLT
D. GBS culture
E. All the above
How many visits for evaluation in the 1st trimester? 2 visits (monthly)
What should be done during the 1st visit in the 1st 1. complete H & P/order labs
trimester ? 2. Ultrasound if pelvic pain or AUB
