Question 1

A woman who is currently pregnant reports that she has had three previous pregnancies: twins delivered at 35-weeks gestation (both living), one at 38-weeks gestation (living), and one miscarriage at 16-weeks gestation. How will this be recorded as her G/TPAL in her electronic medical record?

A) G4P:1113
B) G4P:1213
C) G5P:1113
D) G5P:1213

A

Accepted Answer

G4P:1113G: Gravida 4 (4 pregnancies)P: Para 1 (1 live birth at >24 weeks)T: Term 1 (1 live birth at 37-42 weeks)A: Abortion 1 (1 miscarriage at <20 weeks)L: Living 3 (3 living children)

Question 2

A pregnant woman reports not having had any vaccinations as a child but requests vaccines during her pregnancy. Which vaccines may be given? (Select all that apply.)&#10;A) Human papillomavirus (HPV) b. Inactivated influenza&#10;C) Live, attenuated influenza&#10;D) Measles, mumps, and rubella (MMR)&#10;E) Tetanus, diphtheria, and acellular pertussis (Tdap)&#10;F) Varicella

Accepted Answer

A, B, E

Question 3

A mother who has been breastfeeding her infant for several weeks develops a fever, breast warmth, and breast tenderness. What will the provider recommend?&#10;A) Ice packs and decreased frequency of nursing&#10;B) Ice packs and increased frequency of nursing&#10;C) Warm packs and decreased frequency of nursing&#10;D) Warm packs and increased frequency of nursing

Accepted Answer

The symptoms described suggest the mother has developed mastitis, which is an infection of the breast tissue. The treatment for mastitis typically includes warm packs to help with milk flow, and increased frequency of nursing to help improve milk drainage and prevent further infection.

Question 4

A pregnant woman who is overweight has no previous history of hypertension (HTN) or diabetes mellitus (DM). Her initial screening exam reveals a blood pressure of 140/90 and a fasting blood glucose of 128 mg/dL. What will the practitioner do?

A) Initiate insulin therapy.
B) Monitor blood pressure and fasting blood glucose closely.
C) Prescribe an antihypertensive medication.
D) Refer the patient to a high-risk pregnancy specialist.

Accepted Answer

The initial steps for managing a pregnant woman with hypertension and diabetes include closely monitoring blood pressure and fasting blood glucose levels. Insulin therapy may be initiated if needed, but not necessarily at this point. Antihypertensive medications may be considered if the blood pressure remains high despite lifestyle modifications. Referral to a high-risk pregnancy specialist may be necessary if the condition becomes more complicated or if the primary care practitioner feels the need for consultation.

Question 5

The mother of a 3-day-old newborn reports that her infant health care providers every 4 hours during the day and sleeps 6 hours at night. What will the provider recommend?&#10;A) Awakening the baby every 3 hours to health care provider&#10;B) Continuing this schedule until the infant is 6 months old&#10;C) Ensuring that her infant health care providers for 15 to 20 minutes each time&#10;D) Pumping her breasts to maintain her milk supply

Accepted Answer

Newborns need to eat every 2-3 hours to ensure they are getting enough nutrition and to promote healthy growth and development. Waking the baby every 3 hours to feed will ensure the infant is getting enough nutrition and will support healthy weight gain. This recommendation is typically made until the baby is back up to their birth weight, which usually happens by 2 weeks of age.

Question 6

An infant who has just begun nursing develops hyperbilirubinemia. What will the provider tell the mother?&#10;A) To decrease the frequency of breastfeeding&#10;B) To supplement feedings with extra water&#10;C) To switch to formula until the bilirubin level drops&#10;D) To use a breast pump to increase her milk supply

Accepted Answer

Breastfeeding-associated jaundice can occur when a newborn does not consume enough breast milk due to difficulties with breastfeeding or because the mother's milk supply has not yet come in fully. Increasing the frequency of breastfeeding or using a breast pump to increase the milk supply can help reduce bilirubin levels by promoting more frequent bowel movements in the infant, which helps eliminate bilirubin from the body.

Deck 11: Pregnancy, Prenatal Care, and Lactation