To understand the cause of different fetal heart rate patterns, remember VEAL CHOP.
Variable decelerations -> Cord compression.
Early deceleration -> Head compression.
Accelerations -> OK.
Late decelerations -> Placental Insufficiency.
A patient who was rubella non-immune during pregnancy should receive the MMR vaccine after delivery (this vaccine is contraindicated during pregnancy).
Educate the patient that pregnancy must be avoided for at least 28 days after immunization.
Expected weight gain during pregnancy differs depending on the mother's pre-pregnancy weight.
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