Answers
How do you measure fundal height - ANS symphysis pubis to top of uterus
When can you start to hear fetal heart tones? - ANS around 12 wks
What is quickening? - ANS fetal movements felt by the mother
When is quickening felt - ANS between 16-20 weeks
Abnormal Complaints in first trimester - ANS 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? - ANS Live vaccines: MMR ,HPV,
varicella, and live attenuated influenza vaccine
What labs are drawn at first visit? - ANS CBC, RH (antibody screen) & TYPE, HIV, RPR, MMR
TITER, HEP B TITER, R/O STI's, FULL UA
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, What info is obtained at first OB visit? - ANS PMH, Fx history, Genetic hx (mom & dad)
What is indicated when clu cells are seen? - ANS BV
What is the treatment for BV - ANS metronidazole (Flagyl) 500mg BID x 7 days
What are presumptive (subjective) signs of pregnancy? - ANS Amenorrhea, N/V, FATIGUE,
urine frequency, breast changes, quickening, pigment, striae
What are probable (objective) signs of pregnancy? - ANS + HCG, enlarged Abdo, fetal outline,
Balloment, Braxton, Chadwick's, Goodall's, Hegar's signs
What are positive signs of pregnancy? - ANS Fetal HT, U/S, fetal movement
What does a bluish cervix indicate? - ANS Chadwick's sign
How to use Nageles rule - ANS + 7 days - 3 mos
What are signs of preeclampsia? - ANS rapid weight gain, edema to hands and face, HTN,
H/A, visual changes, proteinuria, epigastric pain
What is the treatment of preeclampsia? - ANS Bedrest, (nifedipine, hydralazine) if severe
delivery of the fetus
What does HELLP stand for? - ANS hemolysis, elevated liver enzymes, low platelets
S/S of HELLP - ANS EDEMA, N/V, RUQ pain
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