Lectures

Initial Prenatal Visit

by Veronica Gillispie, MD, FACOG
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    About the Lecture

    The lecture Initial Prenatal Visit by Veronica Gillispie, MD, FACOG is from the course Preconception Care. It contains the following chapters:

    • Prenatal Care – The Initial Visit
    • Do’s and Don’ts of Pregnancy

    Included Quiz Questions

    1. Fetal heart rate monitoring
    2. Pelvic exam
    3. Evaluation of social history
    4. Confirmation of pregnancy
    5. Evaluation of family history
    1. Advise the patient that she is at increased risk of pre-eclampsia again during this pregnancy and should start daily aspirin after her first trimester to decrease that risk.
    2. Advise the patient that as long as she did not have persistent hypertension after delivery of her first child, that she is at no greater risk of pre-ecclampsia during this pregnancy than anyone else.
    3. Advise the patient that she is at risk of pre-eclampsia again during this pregnancy and should start daily aspirin immediately to decrease that risk.
    4. Advise the patient that she is at risk of pre-eclampsia again during this pregnancy, and other than close monitoring of her blood pressures and early induction of labor, there is no other risk reduction that can be done.
    5. Advise the patient that she is at increased risk of pre-eclampsia again during this pregnancy, and that she should enroll in a new aerobic exercise regime to lose weight to decrease that risk.
    1. Advise her to continue her current daily exercise plan and to try to avoid gaining any more than 20 pounds.
    2. Advise her to loose weight during pregnancy to decrease her risk of delivering by cesarean section (c-section).
    3. Advise her to start a new high intensity exercise plan to avoid excessive weight gain and gestational diabetes during pregnancy.
    4. Advise her to take daily aspirin after her first trimester to avoid her increased risk of pre-eclampsia due to obesity.
    5. Advise her to eat a healthy diet and to expect to gain between 25-35 pounds during pregnancy, as most people would.
    1. ...preterm delivery.
    2. ...pregnancy loss.
    3. ...cesarean section (c-section)
    4. ...pre-eclampsia
    5. ...gestational diabetes
    1. She is at increased risk of pre-term delivery again and should be administered 17-hydroxyprogesterone starting from 16 weeks gestational age to 37 weeks gestational age.
    2. She is at no greater risk of pre-term delivery again given she doesn't have any medical problems or other risk factors.
    3. She is at increased risk of pre-term delivery again and should be administered 17-hydroxyprogesterone starting immediately and until she delivers at term.
    4. She is at increased risk of pre-term delivery again and should get a cervical cerclage.
    5. She is at increased risk of pre-term delivery and should be put on bed rest after 24 weeks gestational age.

    Author of lecture Initial Prenatal Visit

     Veronica Gillispie, MD, FACOG

    Veronica Gillispie, MD, FACOG


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