Example: June 10-15 was last menstrual period

Calculating expected date of delivery/Naegale's Rule - Correct Answer-FIRST day if last menstrual period + 7 days - 3 months

Example: June 10-15 was last menstrual period

Expected date of delivery:

March 17

Calculating pregnancy weight - Correct Answer-Week of gestation - 9 = lbs

Should only gain 3 lbs during first trimester (12 weeks or 3 months)

Example:

28 weeks gestation - 9 = 19 lb weight gain

Total weight gained during pregnancy - Correct Answer-28 lbs +/- 3

Fundus - when will you first palpated it? - Correct Answer-After the first trimester ~12 weeks

When will the fundus be at the level of umbillicus? - Correct Answer-Weeks 20-22

Can you determine what trimester a pregnant women is in by the fundal height? How? - Correct Answer-Pregnant but can NOT feel the fundus = first trimester, priority = Mom

Can palpated fundus at or below the umbilicus = second trimester, priority = Mom

Palpated ABOVE the umbilicus = third trimester, priority = baby

• positive signs of pregnancy - Correct Answer-Fetal skeleton on X-ray

Fetal presence on ultrasound Auscultation of fetal heart rate (between 8-12 weeks) When examiner palpates (NOT mom)

Types of OB questions - Correct Answer-When would you first... (earliest) When would you most likely...(middle) When should you by...(last)

When would you first auscultate a fetal heart? - Correct Answer-8 weeks

Mark Klimek - Maternity Lecture Exam With 100% Correct Answers Latest Update Graded

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When would you auscultate a fetal heart? - Correct Answer-10 weeks

When should you auscultate a fetal heart? - Correct Answer-12 weeks

Probably (maybe) signs of pregnancy - Correct Answer--All urine/blood pregnancy tests

-Chadwick's sign- cervical color change to cyanosis (all C's)

-Goodell's sign - cervical softening

-Hegar's sign - uterine softening

Signs are in alphabetical order: Chadwick's, Goodell's, Hegar's

A POSITIVE pregnancy test is... - Correct Answer-NOT a positive sign of pregnancy (it is a PROBABLE sign)

Pattern of office visits - prenatal care - Correct Answer-Once a month until week 28

Once every 2 weeks until week 36

Once a week until delivery or week 42 (then induced)

Example:

Pregnant women comes in at week 12, when should she come in next?

Week 16

Hemoglobin will do what during pregnancy? - Correct Answer-DROP in pregnancy

11 (first trimester) = normal 10.5 (second trimester) = normal 10 (third trimester) = normal

Normal female hemoglobin - Correct Answer-12-16 g/dL

Morning sickness - what trimester? How do you treat it? - Correct Answer-First trimester

DRY carbohydrates before you get out of bed

Urinary incontinence - Correct Answer-1st and 3rd trimester

(Do not get it in 2nd trimester because the baby is high in the abdomen)

Tx: VOID EVERY 2 HOURS even 6 weeks after pregnancy

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