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OB Prenatal Care
| Question | Answer |
|---|---|
| Which type of C-section carries a higher risk for subsequent dehiscence if a trial of vaginal birth is pursued? | Chance of dehiscence is high with vertical, low risk with transverse |
| Domestic Violence in pregnancy | ACOG and the AMA guidelines recommend that physicians routinely screen all pregnant women for domestic violence.Domestic violence escalates w/ pregnancy. Always assess for it w/ pregnancy |
| Estimated Date of Delivery | Calculated by adding 7 days to day 1 of LMP and then subtracting 3 months (in women with 28 day cycles) |
| When is sonographic estimation of the EDD mandatory? | when menses are irregular, the LMP is unknown, or in patients conceiving while taking oral contraceptive pills. |
| In a viable pregnancy, the fetal heart usually can be heard by _______weeks of gestation using a Dopller instrument | 9-12 weeks |
| Transvaginal US can visuzalize fetal cardiac motion as early as | 5.5 -6 weeks |
| Cervical Cancer Screening | Pregnancy is not an indication for a change in the frequency of cervical cancer screening. |
| untreated asymptomatic bacteruria may cause | pyelonephritis |
| Down Syndrome Screening | Screening can be performed in the first or second trimester or both. First trimester screening test characteristics are better than those in the second trimester only. |
| Frequency of prenatal visits up to 28 weeks of gestation | every four to five weeks |
| Frequency of prenatal visits from 28-36 weeks | every 2-3 weeks |
| Frequency of prenatal visits after 36th week | weekly |
| How many visits will a woman have if she is seen at 6 wks gestation and whose last visit is at 41 weeks? | 16 visits |
| Two major goals of prenatal care in the last half of pregnancy | detection of preeclampsia and fetal malpresentation |
| _____ is a medication class known to close the ductor arteriosus | NSAIDs |