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FAMILY MED AQUIFER 30: OB/54 QUESTIONS AND ANSWERS (A+)
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FAMILY MED AQUIFER 30: OB/54QUESTIONS AND ANSWERS (A+)
. A few of them have tested positive for group B
streptococcus (GBS) and will need antibiotics in labor
(as recommended by the CDC) to prevent transmission
of GBS to the fetus and possible neonatal sepsis. -
Quiz :When you leave the room, Dr. Barnett asks you:
What do you think are the advantages of group prenatal
care?
Select all that apply.
The best options are indicated below. Your selections
are indicated by the shaded boxes.
A. Group prenatal visits offer an opportunity for group
support and peer education.
B. Group visits allow more time for education and
anticipatory guidance with each patient.
C. Particularly among African American females,
preterm delivery is less likely if they participate in group
prenatal care.
D. Prenatal knowledge, labor preparedness, adequacy
of prenatal care, and patient satisfaction of females in
group prenatal care appear to be better than those in
routine care.
E. Females enrolled in group prenatal visits who
experience preterm deliveries have infants with greater
birth weights than those enrolled in routine prenatal
care. - √Answer :
Quiz :Advantages of Group Prenatal Care -
√Answer :Group prenatal care is an excellent
opportunity for group support, and the women help
educate each other as well, which can be very effective.
,In addition, it can be more efficient for the clinician
because, in many cases, most of the time in individual
visits is taken up by education and anticipatory
guidance.
Ultimately, women enrolled in group prenatal care
receive more time for prenatal education and
anticipatory guidance than those in routine care.
Preterm delivery is less likely in women participating in
group prenatal care. This effect is more significant for
African American females, as shown in one study and in
a subsequent systematic review.
Furthermore, if an infant is preterm, the birth weight (a
significant survival determinant) is greater when the
mother has participated in group prenatal visits.
The incidence of preterm birth is higher in African
American women than European American women, and
preterm birth is the leading cause of neonatal death in
African American infants (as opposed to congenital
anomalies in European American infants). Although
direct causal links are often difficult to elucidate, studies
have shown that there are significant relationships
between these racial health disparities and maternal
stress, experiences of racism, and harmful
environmental exposures. The advantages of group
visits may be an important tool to help combat the racial
disparities seen in maternal health in the United States.
Overall, the prenatal knowledge, labor preparedness,
adequacy of prenatal care, and patient satisfaction of
women in group prenatal care also appears to be better
than those in routine care.
Group visits can be used for a variety of medical
conditions, including diabetes and chronic pain.
, Quiz :Interpreting a Non-Stress Test Strip - √Answer :A
non-stress test is an assessment of fetal well-being in
the antepartum period before labor. Remember, the red
line is fetal heart rate (FHR), the pink line is the
maternal heart rate (measured by a pulse oximeter),
and the black line is uterine contractions. Each thin
vertical line on the graph represents ten seconds, and
each thick vertical line represents one minute.
First check the FHR. A normal FHR has a baseline
between 110 and 160 beats per minute with variability of
6 to 25 beats per minute.
Quiz :Next, determine whether the strip is 'reactive' or
not - √Answer :A neurologically intact and healthy fetus
in the late third trimester should have two heart rate
accelerations of at least 15 beats per minute over at
least 15 seconds in a 20-minute period, which is called
a 'reactive' strip.
For someone in labor, admitted to the birthing unit, they
are not required to have a reactive NST in order to be
considered reassuring. For an antepartum patient with
medical issues indicating fetal well-being testing and
one whom you may consider sending home if she is not
in labor, performing a non-stress test is appropriate.
Quiz :Which of the following would be non-reassuring
with respect to fetal status?
Choose the single best answer.
The best option is indicated below. Your selections are
indicated by the shaded boxes.
A. A baseline fetal heart rate of 170 beats per minute.
B. Moderate variability with an amplitude of about 12
beats per minute.
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