AAFP article

Question 1

is treatment indicated in iron deficiency in preg

Answer 1

YES - dec risk of preterm labor, intra-uterine grgowth retard, perinatal depression

Question 2

is it recommended to vaccinate for influenza during preg

Answer 2

yes

Question 3

when do you screen for GBS

Answer 3

35-37wks

Question 4

what is the Tx if Hx of PROM, preterm labor or short cervix(

Answer 4

IM progesterone or vag suppository

Question 5

when do you screen for DM

Answer 5

24-28wks

Question 6

a pt presents with high risk for preeclampsia what do you do

Answer 6

81mg ASA + calcium supplement;

Question 7

when can you first appreciate fetal heart tones with doppler, fetoscope

Answer 7

10-12wks, after 20 with fetoscope

Question 8

US dating is considered accurate within _ days for each trimester

Answer 8

4-7 days 1st tri;10-14 days 2nd tri;21 days 3rdtri

Question 9

fetal quickening can be sensed in a multip by_ weeks and prim by _wks

Answer 9

16-18wks-multip; 18-19wks prim

Question 10

what classifies as edema that is significant in preg

Answer 10

1+ pitting after 12 hr bed rest or wt gain of 2.3kg or 5lb

Question 11

what is the tx for a Rh neg mother carrying a Rh pos baby

Answer 11

RhoGam 300mg @ 28wks and again w/in 72hrs of delivery

Question 12

if risk of fetal /maternal transfusion what is the dose of RhoGam

Answer 12

50mg

Question 13

what is included in the Quad screen

Answer 13

Beta hcg, alpha fetoprotein, estriol, inhibin A

Question 14

when is the quad screen done and what ages increase risk

Answer 14

serum test 2nd tri (15-19wks) for women over 35yrs 2/2 higher risk

Question 15

what are the markers for trisomy in the first tri (1-13wks)

Answer 15

nuchal translucency, free Bhcg, PAPPA, maternal age

Question 16

aneuploidy screen

Answer 16

nuchal translucency and serum test (9-11wks) + serum test (15-19wks)

Question 17

if pos test for Down syn what next

Answer 17

amniocentesis 15wks or later or chorionic villous sample 11-13wks

Question 18

what is the dosage and timeline for folic acid

Answer 18

400mcg/d continue until 6-12wks

if taking antagonist of hx of neural tube defect- 4mg/d