Deck 28: Return Prenatal Visit

Question 1

Which of the following is not one of the essential components of Centering Pregnancy group prenatal care?

A) Didactic teaching by provider or co-facilitator
B) Education with interactive learning
C) Medical assessment in the group space
D) Social support within the group

Answer 1

A

Question 2

M.M. is seeing you today for a return prenatal visit at 20 weeks gestation. Which of the following would you include in your visit today?

A) Estimated fetal weight (EFW)
B) Fetal heart rate
C) Fundal height measurement in centimeters
D) Leopold's maneuvers

Answer 2

B

Question 3

L.L. is a 27-year-old. G2 P1 who is currently 14 weeks pregnant. She comes to the clinic today saying that she has had headaches about 2-3 times a week that are relieved by acetaminophen. What would you do today about these headaches?

A) Consult with concerns about preeclampsia
B) Inform her that it is most likely stress related
C) Reassure her that headaches are common during pregnancy
D) Warn her that if she has daily headaches it is a danger sign

Answer 3

C

Question 4

You are seeing M.M. for a return prenatal visit at 20 weeks. You now have her second-trimester ultrasound results. In reviewing these results what would you assign as her final estimated delivery date?


$\begin{array}{|l|l|l|l|l|}\hline \text { Criteria } & \text { Date } & \text { Gestational Age } & \text { EDD } & \text { Comments } \\\hline \text { LMP } & 3-1-2016 & & 12-8-2016 & \begin{array}{l}\text { Sure, normal, } \\\text { 28D cycles }\end{array} \\\hline \text { Initial Exam } & 4-19-2016 & 8 \text { week size } & 11-30-2016 & \\\hline \text { Sonogram } & 7-14-2016 & 19+4 \text { days } & 12-01-2016 & \\\hline\end{array}$

A) 11-30-2016
B) 12-01-2016
C) 12-08-2016

Question 5

In reviewing the following dating criteria what would you assign as a final EDD?


$\begin{array}{|l|l|l|l|l|}\hline \text { Criteria } & \text { Date } & \text { Gestational Age } & \text { EDD } & \text { Comments } \\\hline \text { LMP } & 5-07-16 & & 2-14-17 & \begin{array}{l}\text { Sure, normal, } \\28 \mathrm{D} \text { cycles }\end{array} \\\hline \text { Initial Exam } & 6-24-16 & 7 \text { week size } & 2-11-17 & \\\hline \text { Sonogram } & 8-5-13 & 12+4 \text { days } & 2-6-17 & \text { CRL } \\\hline \text { Sonogram } & 9-23-16 & 18+1 \text { day } & 2-24-17 & \\\hline\end{array}$

A) 2-6-16
B) 2-11-16
C) 2-14-16
D) 2-24-16

Question 6

In reviewing the following dating criteria for your multiparous patient what would you assign as a final EDD?

$\begin{array}{|l|l|l|l|l|}\hline \text { Criteria } & \text { Date } & \text { Gestational Age } & \text { EDD } & \text { Comments } \\\hline \text { LMP } & 6-07-16 & & 3-14-17 & \begin{array}{l}\text { Sure, normal, } \\28 \mathrm{D} \text { cycles }\end{array} \\\hline \text { Initial Exam } & 8-25-16 & 9 \text { week size } & 3-28-17 & \\\hline \text { Sonogram } & 10-24-16 & 18+1 \text { day } & 3-23-17 & \\\hline \text { Sonogram } & 1-10-17 & 28+4 & 3-30-17 & \\\hline\end{array}$

A) 3-14-17
B) 3-23-17
C) 3-28-17
D) 3-30-17

Question 7

M.S. is coming in to your office today for a visit at 41 weeks gestation. She told you at her last visit that she really does not want to have her labor induced. Which of the following would be included in your counseling/management today?

A) Advise her that she is post term and induction of labor is recommended
B) Begin biweekly antenatal testing (nonstress test and amniotic fluid index) today.
C) Consider re-dating her pregnancy
D) Inform her that it is safe to await spontaneous labor as long as she desires

Question 8

Which of the following is true of recommended guidelines for weight gain in pregnancy for a woman with a BMI of 22?

A) First-trimester weight gain: 5-10 pounds
B) Total weight gain in the second and third trimesters: 28-40 pounds
C) Weekly weight gain in the second and third trimester 0.8-1 pound

Question 9

A 28-year-old pregnant woman who begins her pregnancy at a normal weight needs approximately how many additional calories a day during the second and third trimester of pregnancy?

A) 300
B) 400
C) 500
D) 600

Question 10

When measuring fundal height in a pregnant woman after 24 weeks one should measure from the superior border of the symphysis pubis to the fundus.

Question 11

M.S. is currently 26 weeks pregnant. She is seeing you today for a prenatal visit. She has had an uncomplicated pregnancy. Which of the following would be a part of your management plan at today's visit?

A) Offer second-trimester serum genetic screening
B) Offer Tdap vaccine
C) Order a glucose load test and a CBC
D) Refer for childbirth education class to being within 2 weeks

Question 12

P.T. is a 17-year-old G1 P0 at 34 weeks gestation. She is seeing you today for a prenatal visit. She was last seen 3 weeks ago. Her pregnancy has been uncomplicated except for dropping out of school and problems with her boyfriend. She is currently living with her parents, who are supportive. Which of the following should be part of your management plan at today's visit?

A) Ultrasound for fetal growth
B) Chlamydia and gonorrhea testing
C) Group beta streptococcus (GBS) culture
D) 1-hour glucose load test and CBC

Question 13

R.L. has a BMI of 42 and is currently pregnant. Of the following when would be the most appropriate time to begin antepartum fetal evaluation?

A) 28 weeks
B) 30 weeks
C) 32 weeks
D) 36 weeks

Question 14

C.C. is currently 26 weeks pregnant. She has had an uncomplicated pregnancy. What would be the most appropriate teaching to include at today's visit?

A) Contraceptive options postpartum
B) Kick count records
C) Pain management in labor
D) Sibling rivalry