ACTUAL QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS
How do you measure fundal height symphysis pubis to top of uterus
When can you start to hear fetal heart tones? around 12 wks
, What is quickening? fetal movements felt by the mother
When is quickening felt between 16-20 weeks
Abnormal Complaints in first trimester 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? Live vaccines: MMR ,HPV,
varicella, and live attenuated influenza vaccine
What labs are drawn at first visit? 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? PMH, Fx history, Genetic hx (mom & dad)
What is indicated when clu cells are seen? BV
What is the treatment for BV metronidazole (Flagyl) 500mg BID x 7 days
What are presumptive (subjective) signs of pregnancy? Amenorrhea, N/V,