OB Exam 2

When teaching a patient about what she can do to prevent spinal issues, what would you recommend?

folic acid

Patient has a BMI of 26.5, how much weight can she gain throughout her whole pregnancy?

15-25 pounds

What is an Alfa Fetal protein screening for?

testing for neural tube defects

What do you tell women who smoke cigarettes during pregnancy?

Will cause low birth weight

18 week mom reports fluttering in her stomach, what does that mean?

means that the baby is moving

What is the range of normal fetal heartbeat?

110-160 bpm

In the 2nd trimester in regards to the hematological system you will see?

Cardiac output will increase 30-45% and you will have increased circulation

A patient weighs 145lbs at pregnancy how many calories can she eat?

300-340 in 2nd trimester, 450 in 3rd trimester

A gravita refers to?

number of times a female has been pregnant in total

I have a mom that’s 8 months pregnant and has constipation?

increase fiber and consume fiber and fluid and walk more

A 5’5 patient who weights 127lbs asks if its normal to gain 50-60lbs during pregnancy.

no, rapid weight gain relates to gestational diabetes related to hypertension

I have a mom who is pregnant, and is 20 wks pregnant and has 3 children and all born at 39 wks and has been pregnant 5 times, how will you document?

Gravida- 5

Term- 3

Abortion- 1

important factors with 15 year old who is 10 weeks pregnant

dont care about her job status

You will have a last menstrual period to

calculate the due date

If I’m 20 weeks pregnant, where is the top of the fundus?

at the umbilicus

I am 35 weeks pregnant and i am having blurry vision

Go to ER

Presumptive

when you feel the baby move

A client is 20wks pregnant who already exercises, is it okay for her to continue to exercise?

Yes its okay and promotes circulation

When do you become elderly pregnant?

35 years old

Your pt is lying on her back and is dizzy, what is it called?

Supine hypotension

What is the goal of prenatal care?

Healthy baby, healthy mom

What if im 7wks pregnant and am constantly vomiting?

Dry crackers, toast and small meals

If you have vaginal bleeding at any period of pregnancy

Go to the hospital

In the 2nd trimester and not immune to rubella?

Do not get the vaccine, must get after delivery and DO NOT have intercourse for 1 month

What is Chadwick's sign?

the blue cervix

GBS vaginal/recatal swab at 35-37 weeks to

protect mother and infant from infection during labor and birth