Pregnancy (APEA) Practice Exam Questions Fully Solved| 2024.

Folic acid requirements - correct answer 0.4 mg pre-pregnancy 1 mg pregnancy confirmed Pregnancy testing initial labs - correct answer Urine hCG (doubles every 24-72 hrs in 1st trimester) How should an ectopic pregnancy be managed? - correct answer Order quantitative hCG serology Refer to ER/OBGYN Ectopic pregnancy symptoms - correct answer Lower abdominal pain Symptoms 6-8 wks after LMP Low-grade fever hCG quantitative does not double Cramping during pregnancy - correct answer Due to hormonal changes Cramping that worsens or is associated with bleeding may indicate an ectopic pregnancy Immunizations in pregnancy - correct answer Influenza: can be given any time Tdap: give b/w 27-36 wks gestation Avoid live attenudated vax (MMR, varicella) When to do gestational diabetes screening - correct answer 24-28 wks Diabetes diagnosed at initial visit is? - correct answer Overt diabates Diabetes diagnosed during pregnancy is? - correct answer Gestational diabetes How many abnormal readings must there be on the 3-hour OGTT to be diagnosed with gestational diabetes? - correct answer Two Pregnant woman diagnosed with diabetes in first trimester has: - correct answer T2DM 1st line treatment for GDM - correct answer Lifestyle Med choice: insulin Fetal movement term - correct answer "Quickening" Primipara: 17-20 wks gestation Subsequent pregnancies: 15-16 wks A pregnant mother is Rh negative. When should she recieve RhoGam? - correct answer 28 wks gestation Within 72 hours of delivery A pregnant mother who is Rh negative has a suspected miscarriage. LMP 8 wks ago. How should this be managed? - correct answer RhoGam now Maternal assessment of fetal activity - correct answer 28 wks gestation Lies on left side 30 mins after eating and healthy fetus should kick 3-5 times in one hour When should group B strep screening be performed? - correct answer 35-37 wks gestation What ATB are not recommended for a pregnant pt? - correct answer Levofloxacin Trimethoprim-sulfamethoxazole Doxycycline Nitrazine testing - correct answer pH of amniotic fluid 7-7.7 What is improper implantation of the placenta into the lower uterine segment? - correct answer Placenta previa Symptoms of placenta previa - correct answer Painless vaginal bleeding, soft uterus, cervix not disdended Treatment for placenta previa - correct answer Strict bedrest & IV Mg What is the sudden onset of vaginal bleeding? - correct answer Placental abruption Symptoms of placental abruption - correct answer Contracted uterus, painful, hard uterus Should a vaginal exam be performed if placenta previa is suspected and will they need a c-section? - correct answer No Yes Severe preeclampsia treatment - correct answer Birth HELLP Syndrome - correct answer Complication of preeclampsia/eclampsia Hemolysis, elevated liver enzymes, low pmts What if there is proteinuria in U/A? - correct answer Order 24-hr urine WBC & Hgb/Hct in pregnancy - correct answer WBC increase Hgb/Hct decrease Serum alpha-fetoprotein (AFP) - correct answer Biochemical marker used to estimate risk of down syndrome Order triple screen test if high or low Gold standard test for genetic disorders - correct answer Fetal chromosomes/DNA Normal weight gain in pregnancy - correct answer Normal wt: 25-35 lbs Underweight should gain more Overweight should gain less Fetal heart tones - correct answer 10-12 wks doppler 20 wks stethoscope Probable signs of pregnancy - correct answer Goodell, Chadwick, Hegar's signs Presumptive sign of pregnancy - correct answer Quickening Postive signs of pregnancy - correct answer Palpation of fetus by HCP US of fetus Fetal heart tones Naegele's Rule - correct answer LMP + 9 months + 7 days When should post-partum mood changes resolve? - correct answer By day 10 Examples of neural tube defects - correct answer Spina bifida Anencephaly Encephalocele