Pregnancy (APEA)
Folic acid requirements - correct answer 0.4 mg pre-pregnancy
1 mg pregnancy confirmed
Pregnancy testing initial labs - correct answer Urine hCG (doubles every 24-72 hrs in 1st trimester)
How should an ectopic pregnancy be managed? - correct answer Order quantitative hCG serology
Refer to ER/OBGYN
Ectopic pregnancy symptoms - correct answer Lower abdominal pain
Symptoms 6-8 wks after LMP
Low-grade fever
hCG quantitative does not double
Cramping during pregnancy - correct answer Due to hormonal changes
Cramping that worsens or is associated with bleeding may indicate an ectopic pregnancy
Immunizations in pregnancy - correct answer Influenza: can be given any time
Tdap: give b/w 27-36 wks gestation
Avoid live attenudated vax (MMR, varicella)
When to do gestational diabetes screening - correct answer 24-28 wks
Diabetes diagnosed at initial visit is? - correct answer Overt diabates
Diabetes diagnosed during pregnancy is? - correct answer Gestational diabetes How many abnormal readings must there be on the 3-hour OGTT to be diagnosed with gestational diabetes? - correct answer Two
Pregnant woman diagnosed with diabetes in first trimester has: - correct answer T2DM
1st line treatment for GDM - correct answer Lifestyle
Med choice: insulin
Fetal movement term - correct answer "Quickening"
Primipara: 17-20 wks gestation
Subsequent pregnancies: 15-16 wks
A pregnant mother is Rh negative. When should she recieve RhoGam? - correct answer 28 wks gestation Within 72 hours of delivery
A pregnant mother who is Rh negative has a suspected miscarriage. LMP 8 wks ago. How should this be managed? - correct answer RhoGam now
Maternal assessment of fetal activity - correct answer 28 wks gestation
Lies on left side 30 mins after eating and healthy fetus should kick 3-5 times in one hour
When should group B strep screening be performed? - correct answer 35-37 wks gestation
What ATB are not recommended for a pregnant pt? - correct answer Levofloxacin
Trimethoprim-sulfamethoxazole
Doxycycline
Nitrazine testing - correct answer pH of amniotic fluid 7-7.7
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