Prenatal and Postpartum Care Quiz with Latest Update

SR presents to your office for her first prenatal visit. Her LMP was 6 weeks ago and she reports she is certain of her date. She tells you that her breasts have been really tender and reports they "tingle". She asks you if this is normal. An appropriate response to her: A) It is slightly concerning that she is already feeling breast tenderness as that doesn't usually occur until late second trimester. B) Those are normal physiologic changes of pregnancy. She should expect that her breasts will get bigger as well as the pregnancy progresses C) Her symptoms are normal, but what is not normal is darker pigmentation of the nipples and nipple discharge. D) You ask her if she has a family history of breast cancer. - Answer-B) Those are normal physiologic changes of pregnancy. She should expect that her breasts will get bigger as well as the pregnancy progresses You are doing a pelvic exam on a new obstetric woman who presents for prenatal care. She is unsure of her LMP, but had a positive pregnancy test at home 2 days ago. On your abdominal exam, you cannot palpate the fundus and on pelvic exam you noted that uterus palpates to the size of a navel orange. Your best guess to her gestational age assessment is: A) 15 weeks B) 8 weeks C) 4 weeks D) 20 weeks - Answer-B) 8 weeks You are dating a pregnancy and you know the most accurate gestational age assessment is: A) Abdominal circumference at 14-20 weeks B) Crown rump length at 6-12 weeks C) BPD, HC, Femur length and AC at 21-30 weeks D) certain last menstrual period - Answer-B) Crown rump length at 6-12 weeks Sally presents for her routine 28 week prenatal visit today. What should be included in her plan of care today? A) 1 GTT, HIV, RPR, CBC, and administer Rubella (MMR) if needed B) GBS culture, Gonorrhea/chlamydia screening C) Quad screen, CBC, & administer Rhogam if needed D) 1 GTT, CBC, HIV and administer TDAP vaccine - Answer-D) 1 GTT, CBC, HIV and administer TDAP vaccine