OB exam 1

  1. 1LT Michaelson's obstetric history reveals that her first baby was born with spina bifida. She presents to the prenatal clinic for preconceptual counseling. What dose of Folic Acid would you prescribe for her?
     



    D. 4.0 mg
  2. At which gestational week is it appropriate to culture for GBS?




    A. 36 weeks
  3. LT Nabors comes to see you for routine OB care and tells you her LNMP was March 28, 2013. Using Naegle's Rule, what is her EDC?
    4 Jan 2014
  4. Describe 2 therapies that might help a pregnant woman cope with nausea and vomiting during her first trimester or preggers?



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    small frequent meals, clear liquid diet, room temp food, avoid fatty/spicy food, crackers at bedside, food separate from meals, avoid cooking meals.

    Herbals: peppermint, chamomile, ginger root, raspberry leaf.

    Phenergan, Unisom/B6, Reglan, Emetrol, Zofran



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  5. SGT Weiss is 20 weeks pregnant. She reports mild irritability, occasional tachycardia and heat intolerance. On physical exam, you palpate a moderately enlarged thyroid gland. All other findings negative. Thyroid panel shows: TSH normal, Total T4 - Elevated, Free T4 - Normal. Based on the above findings, SGT Weiss should be




    C. Reassured that these findings are normal results during pregnancy
  6. Which of the following parameters is LEAST likely to increase during pregnancy?




    C. Total Lung Capacity
  7. During a WWE, Mrs. Smith tells you she and her husband are trying to conceive. List 3 topics you would include in your preconceptual counseling and the reason why each of them is important.
    Psychological readiness: relationship health, mental health, financial status, stress and coping skills

    Physical readiness: medical hx (DM, seizure d/o, infections), general health, dental

    • Medication use
    • Family hx/genetics

    Lifestyle - smoking/etoh/substance use, caffeine, occupational exposure, nutrition, folic acid, vitamins
  8. Which of the following would be of concern when examining a prenatal patient?




    B. Breast lump approximately 1cm and nontender
  9. At what gestational week would you obtain the MOST accurate gestational age via ultrasound?

    A. 8 weeks
    B 12 weeks
    C. 16 weeks
    D. 36 weeks
    8 weeks
  10. Increased hemolytic disease of the newborn can occur when




    A. Mother is Rh-, fetus is Rh+, father is Rh+
  11. The expected weight gain during pregnancy in a normal prepregnant weight mother is:




    B. 25-35 lbs
  12. At which gestational week is it most appropriate to schedule a 1 hour (50GM) GTT in a woman at average risk for Gestational DM?




    B. 28 weeks
  13. Mrs. Able is 12 weeks gestation and presenting to you for her new OB appointment. You collect a history and do a PE. Which of the follwoing heart sounds is NOT normal in pregnancy and would promp a consult to cardiology or high risk OB?




    D. SOFT DIASTOLIC MURMUR
  14. SSG S, G1P0, presents for prenatal care at 9 wks gestation. Initial testing shows that her blood type is A+ with neg antibody screen. Based on this test result what is the appropriate management?




    B. Schedule her for routine labwork at appropriate intervals
  15. Identify the three primary functions of the Pelvic Floor Muscles....
    Supportive- hammock to hold pelvic organs against gravity

    Sphincteric- help with control of opening and closing of urethra and rectum to maintain continence and normal voiding.

    Sexual- must have laxity ot allow for penetration and superficial muscles and allow arousal and erection
  16. What % of parous women will have some degree of pelvic floor laxity (prolapse) if a careful exam is conducted?




    C. 50%
  17. ______ is defined as "Involuntary spasm of PFM restricting vaginal entrance of a penis or even a finger often associated with pain"








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    A. Vaginismus



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  18. Discuss UI in the military female population. Ientify at least 2 reasons why military women are at increased risk and 2 reasons why they won't present for care.
    • 30-50% of AD women report UI. Causes are from duties- heavy lifting, prolonged standing. Environmental- limited access to bathrooms, many layers of clothing, privacy
    • Urinary retention associated with prolonged holding, sacral nerve damage from blast injuries affecting bowel, bladder, and sexual fnction.
  19. SSG S. G1P0 presents at 9 wks for prenatal care. Her blood type is A+ with negative antibody screen. Based on this test result what is the appropriate management?




    C. Schedule her for routine labowrk at appropriate intervals
  20. Identify 6 urinary symptoms often associated with urge urinary incontinence (UUI).
    Urgency, frequency, painful bladder, hesitancy, straining, hematuria, intermittent/weak stream, incomplete emptying, post void dribble
  21. Risk factors for stress urinary incontinence include all of the following EXCEPT







    C. Cervical Polyp
  22. The diagonal conjugate must be how long to be considered adequate for vaginal delivery?




    C. >11.5cm
  23. Identify the three basic pelvic measurements:




    C. diagonal conjugate (inlet), midplane, and outlet
  24. During a routine prenatal pelvimetry assessment, the patient is found to have an android pelvic shape, suggesting that this woman:




    D. may need a cesarean section
Author
rhondak
ID
234343
Card Set
OB exam 1
Description
OBFINAL
Updated