QUESTIONS AND ANSWERS
How do you measure fundal height - ANSWER-symphysis pubis to top of
uterus
When can you start to hear fetal heart tones? - ANSWER-around 12 wks
What is quickening? - ANSWER-fetal movements felt by the mother
When is quickening felt - ANSWER-between 16-20 weeks
Abnormal Complaints in first trimester - ANSWER-1st trimester: Vaginal
bleeding
Book: spotting, bleeding, cramping, painful urination, severe vomiting and/or
diarrhea, fever > 100.4, symptoms of vaginal infection or STI; persistent or
severe low abdominal pain, lightheadedness or dizziness (particularly if
accompanied by shoulder pain)
What vaccines should be avoided during pregnancy? - ANSWER-Live
vaccines: MMR ,HPV, varicella, and live attenuated influenza vaccine
What labs are drawn at first visit? - ANSWER-CBC, RH (antibody screen) &
TYPE, HIV, RPR, MMR TITER, HEP B TITER, R/O STI's, FULL UA
What info is obtained at first OB visit? - ANSWER-PMH, Fx history, Genetic hx
(mom & dad)
What is indicated when clu cells are seen? - ANSWER-BV
What is the treatment for BV - ANSWER-metronidazole (Flagyl) 500mg BID x
7 days
What are presumptive (subjective) signs of pregnancy? - ANSWER-
Amenorrhea, N/V, FATIGUE, urine frequency, breast changes, quickening,
pigment, striae
What are probable (objective) signs of pregnancy? - ANSWER-+ HCG,
enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's,
Hegar's signs