Chapter 52: Infertility Flashcards Preview

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Flashcards in Chapter 52: Infertility Deck (18)
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1

Advanced Maternal Age

a patient who will be 35 or older at the time of delivery

2

First trimester testing combined with ultrasound between 11 and 14 wks is...

looking for biochemical markers associated with plasma protein A (PAPP-A) and free BhCG3. These lab values are used in conjunction with an ultrasound to measure the nuchal translucency

3

Second trimester screening can be performed with

the maternal serum quad screen lab value and targeted ultrasound exam

4

A targeted detailed evaluation of all fetal anatomy that can be seen between

18 and 20 wks

5

Hydrops Fetalis

a condition in which excessive fluid accumulates within the fetal body cavities

6

Excessive fluid accumulation may result in

anasarca, ascities, pericardial effusion, pleural effusion, placenta edema or polyhydramnios

7

Any substance that elicits an immunologic response, such as production of anitbody to that substance

is an anitgen

8

Sonograhpic findings for Hydrops

scalp edema, pleural effusion, pericardial effusion, ascities, polyhydramnios and thickened placenta

9

A procedure in which a needle is placed into the fetal umbilical vein and a blood sample is obtained is

cordocentesis

10

Infants with thrombocytopenia are at increased risk for

intracerebral hemorrhage in utero and spontaneous bleeding

11

A group of conditions in which hydrops is present in the fetus but is not a result of fetomaternal blood group incompatibility is

non-immune hydrops

12

Cardiovascular lesions are often the most frequent causes of

NIH (non-immune hydrops)

13

congestive heart failure may result from

functional cardiac problems: dysrhythmias, tachycardias, myocarditis and from structural anomalies, such as hypoplastic left heart and other types of congenital heart disease

14

if glucose levels are high and uncontrolled

the fetus may become marcosomic

15

If delivery of a marcosomic infant is attempted vaginally, the physician may have difficulty delivering the shoulders of the baby after the head has delivered is termed..

shoulder dystocia

16

Anomalies associated with diabetes include

congenital heart and neural tube defects

17

The most common cardiac problems in the diabetic fetus include

transposition of the great arteries and tetralogy of fallot

18

What is seen almost exclusively in diabetic individuals?

caudal regression syndrome (lack of development of caudal spine and cord)