Prenatal Care ppt
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Questions and Answers

What is the recommended frequency of prenatal visits during the weeks of 28 to 35 weeks gestation?

  • Twice weekly
  • Once a month
  • Every 2 weeks (correct)
  • Once a week
  • Which of the following is NOT a part of the first prenatal visit history assessment?

  • Menstrual history
  • Obstetrical history
  • Physical fitness level (correct)
  • Surgical history
  • How is the Expected Date of Delivery (EDD) calculated?

  • Substitute the LMP with the date of conception and add 40 weeks
  • Add 3 months to the LMP and add 7 days
  • Count 40 weeks from the last ultrasound date
  • Add 7 days to the LMP and subtract 3 months (correct)
  • Why is the last menstrual period (LMP) often the most accurate for calculating the expected due date?

    <p>It represents a fixed point in time before conception occurs.</p> Signup and view all the answers

    What dietary supplement is recommended at a dosage of 4mg per day during the preconception period?

    <p>Folic acid</p> Signup and view all the answers

    At what stages of a pregnancy should ultrasounds be used to estimate gestational age with varying accuracy?

    <p>6-11 weeks, 12-20 weeks, and after 20 weeks</p> Signup and view all the answers

    What aspect of prenatal care should be managed before conception?

    <p>Chronic diseases</p> Signup and view all the answers

    Which type of medication should be considered safe during pregnancy?

    <p>Medications without contraindications during pregnancy</p> Signup and view all the answers

    What does the first number in the TPAL system represent?

    <p>Number of term deliveries</p> Signup and view all the answers

    Which complication is NOT typically associated with maternal or infant medical history?

    <p>Acute appendicitis</p> Signup and view all the answers

    Which lab test is primarily used to screen for immunity to rubella during pregnancy?

    <p>Rubella titer</p> Signup and view all the answers

    What is the primary purpose of a head-to-toe physical examination during the prenatal visit?

    <p>Establish baseline physical health</p> Signup and view all the answers

    Which of the following substances is classified as a Category X medication during pregnancy?

    <p>Warfarin</p> Signup and view all the answers

    Which genetic condition is specifically screened for in Ashkenazi Jewish populations due to its higher prevalence?

    <p>Tay-Sachs disease</p> Signup and view all the answers

    What is the predicted outcome if a pregnant woman contracts varicella during the first trimester?

    <p>Higher likelihood of congenital varicella syndrome</p> Signup and view all the answers

    What is the purpose of screening for Group B Streptococcus (GBS) during the third trimester?

    <p>To prevent pneumonia and sepsis in newborns</p> Signup and view all the answers

    Which of the following conditions is NOT classified under the TORCH infections?

    <p>Syphilis</p> Signup and view all the answers

    When evaluating a patient’s obstetric medical record, which factor is considered a risk question?

    <p>Age of the mother</p> Signup and view all the answers

    What is the potential consequence of maternal toxoplasmosis during the first trimester?

    <p>Serious complications such as blindness and brain damage</p> Signup and view all the answers

    Which of the following statements is true regarding rubella and its effects during pregnancy?

    <p>Congenital defects can include cardiac defects and deafness.</p> Signup and view all the answers

    What is the risk associated with maternal parvovirus B19 infection during pregnancy?

    <p>Fetal hydrops</p> Signup and view all the answers

    Which infection is known to have a high risk of perinatal transmission and can lead to HIV in the mother?

    <p>Herpes Simplex Virus</p> Signup and view all the answers

    What is a primary concern related to fetal alcohol spectrum disorders during pregnancy?

    <p>Structural brain changes and cognitive deficits</p> Signup and view all the answers

    How does maternal infection with Cytomegalovirus primarily affect the fetus?

    <p>It can result in mental retardation, microcephaly, and blindness.</p> Signup and view all the answers

    What is a recommended action if a pregnant woman has lesions from herpes simplex virus at delivery?

    <p>Deliver by Cesarean section to prevent perinatal infection.</p> Signup and view all the answers

    What aspect of fetal development is most at risk due to binge drinking during pregnancy?

    <p>Cognitive and behavioral deficits</p> Signup and view all the answers

    What is the normal range for fetal heart tones during the third trimester?

    <p>120-160 beats/min</p> Signup and view all the answers

    Which condition is associated with the highest risk of complication for a breech delivery?

    <p>Entrapment of the head above the cervix</p> Signup and view all the answers

    During which weeks should gestational diabetes be routinely screened?

    <p>24-28 weeks</p> Signup and view all the answers

    What is the primary reason for performing Leopold maneuvers after 34 weeks gestation?

    <p>To determine fetal presenting part</p> Signup and view all the answers

    What is the recommended method for fetal movement counting starting at 30 weeks?

    <p>Count movements for 2 hours</p> Signup and view all the answers

    Which symptom during the third trimester is considered concerning and warrants further assessment?

    <p>Sudden gush of fluid from the vagina</p> Signup and view all the answers

    What indicates a likely diagnosis of gestational diabetes following a screening test?

    <p>Two abnormal glucose values or elevated fasting glucose</p> Signup and view all the answers

    What is a common change in vaginal discharge during pregnancy?

    <p>Mild increase is normal</p> Signup and view all the answers

    Which of the following is NOT a potential risk factor for preterm labor?

    <p>Hyperreflexia</p> Signup and view all the answers

    What does a vaginal swab for Group B Streptococcus at 36 weeks assess?

    <p>Presence of sepsis risk for the infant at delivery</p> Signup and view all the answers

    What is the range of percentage of women who reported drinking during pregnancy?

    <p>20 to 30 percent</p> Signup and view all the answers

    What is the risk associated with Valproic Acid during pregnancy?

    <p>1-2% risk of neural tube defects</p> Signup and view all the answers

    Which of the following conditions is NOT typically associated with pre-existing diabetes during pregnancy?

    <p>Hyperemesis gravidarum</p> Signup and view all the answers

    What is the recommended daily caffeine intake limit during pregnancy?

    <p>200 mg</p> Signup and view all the answers

    What is the typical gestational weight gain expectation for a woman with a BMI of 35?

    <p>Approximately 15 lbs</p> Signup and view all the answers

    What is the fundal height measurement method used to assess during pregnancy?

    <p>Distance from the pubic symphysis to the top of the fundus</p> Signup and view all the answers

    Which of the following electrolytes abnormalities is a concern in hyperemesis gravidarum?

    <p>Hyponatremia</p> Signup and view all the answers

    What is the primary goal in managing nausea and vomiting of pregnancy (NVP)?

    <p>To ensure hydration and tolerate oral fluids</p> Signup and view all the answers

    What is a common recommendation for managing varicosities during pregnancy?

    <p>Elevate feet</p> Signup and view all the answers

    Which condition during pregnancy is characterized by severe nausea and inability to tolerate oral intake?

    <p>Hyperemesis gravidarum</p> Signup and view all the answers

    What percentage of pregnant women typically report experiencing nausea and vomiting during pregnancy?

    <p>70-80%</p> Signup and view all the answers

    At what gestational week is fetal movement first typically noted by the patient during their first pregnancy?

    <p>18-22 weeks</p> Signup and view all the answers

    During prenatal visits, what is typically assessed regarding fetal heart tones?

    <p>They should be present after 12 weeks</p> Signup and view all the answers

    What is the risk associated with maternal seizure medications during pregnancy?

    <p>Increased risk of teratogenic effects</p> Signup and view all the answers

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