QUESTIONS AND CORRECT DETAILED
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Routine office visit times - CORRECTANSWERevery 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
First Trimester Normal findings - CORRECTANSWERbreast pain, enlargement, changes in
pigmentation, constipation, excessive salivation and bad taste in mouth, fatigue, flatulence,
headache, hemorrhoids, nausea and vomiting, urinary frequency and incontinence, varicosities
of vulva and legs.
Second Trimester Normal findings - CORRECTANSWERbackache, dyspnea, epistaxis, leukorrhea,
ligament pain, muscle cramps in the calf, thigh, or buttocks, PICA, syncope.
Third Trimester Normal findings - CORRECTANSWERBraxton-hick's contractions, discomfort in
the upper extremities, edema, heartburn, insomnia, joint pain/ pelvic girdle pain.
First Trimester Danger Signs - CORRECTANSWERspotting or bleeding, cramping, painful
urination, severe vomiting and/ or diarrhea, fever higher than 100.4F, symptoms of vaginal
infection or STIs, persistent or severe low abdominal pain, lightheadedness, dizziness,
abdominal trauma.
,Second Trimester Danger Signs - CORRECTANSWERregular uterine contractions (6 or more per
hour), unilateral leg or calf pain, edema, pain with movement, redness, heat, and tenderness or
coldness, numbness and paleness to extremity, sudden gush or consistent leaking of fluid,
absence of fetal movement for more than 24 hours after quickening, sudden weight gain,
significant edema of the face and/ or hands, severe upper abdominal pain, headache with visual
changes and/ or photophobia.
Third Trimester Danger Signs - CORRECTANSWERdecrease in daily fetal movement, after 37
weeks gestation, when contractions are 3-5 minutes apart if a primipara or 5-8 minutes apart if
a multipara lasting 45-60 seconds and strong in intensity or with the characteristics of true
labor.
What oral contraceptive can be given to breast feeding women - CORRECTANSWERProgestin-
only pills
What immunizations can be given during pregnancy - CORRECTANSWERHepatitis B, inactivated
influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes - CORRECTANSWER50 gram oral glucose with a
blood draw 1 hour later to determine glucose levels. If the glucose level is greater than 130-140
then a 3 hour 100 gram oral glucose tolerance test is performed.
When do we screen for gestational diabetes - CORRECTANSWER24 weeks
What plasma glucose levels would indicate gestational diabetes - CORRECTANSWERFasting >/=
95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
, What is the treatment for mild pregnancy induced hypertension? - CORRECTANSWERLifestyle
modification: smoking cessation, healthy diet, regular exercise. Implement close observation
Signs and symptoms of mastitis - CORRECTANSWERFlu-like symptoms including malaise, fever,
and chills. Tender, hot, red, painful area, or lump in the breast. Fever is often high, tachycardia,
breast exam reveals warmth, redness, tenderness, and swelling. Nipple may be cracked or
abraded and breast distended with milk.
What is the first line therapy for mastitis - CORRECTANSWERDicloxacillin 250-500mg every 6
hours for 10-14 days. Erythromycin 500mg every 6 hours for 10 days if PCN allergy. Tylenol as
needed. Ice or warm packs. Continue to nurse infant on both breasts but begin on unaffected
side. Increase fluid intake.
What antibiotic cannot be given if an infant is nursing and less than 1 month -
CORRECTANSWERSulfa
When should you suspect a breast abscess - CORRECTANSWERIf there is no resolution of
symptoms after several days of antibiotics. Pitting edema is possible and fluctuation may be felt
over the affected area. This usually requires both abx and drainage. Refer to physician. Culture
and sensitivity of breast milk.
S/S of gestational hypertension - CORRECTANSWERBP greater than 140/90 after mid-pregnancy
but no proteinuria
Fundal Height at 12 weeks - CORRECTANSWERSymphysis pubis
Fundal Height at 16 weeks - CORRECTANSWERbetween symphysis pubis and umbilicus
Fundal height at 20 weeks - CORRECTANSWERumbilicus and measures 20 cm