Exam 1 part 2

Question 1

total number of times a women has been pregnant

without regard to number of fetuses, including a current pregnancy

Answer 1

Gravida

Question 2

number of births after 20 weeks whether alive or still birth
More than 1 fetus still equals only one birth

Answer 2

Para

Question 3

Expanded system to include specific information about past pregnancies, deliveries and current number of children

Answer 3

GTPAL

Question 4

T

Answer 4

Term infants > 37 weeks

Question 5

P

Answer 5

preterm infants

Question 6

A

Answer 6

abortions (spontaneous or therapeutic)

Question 7

L

Answer 7

living children

Question 8

pregnant more than 5 times

Answer 8

Grand multi gravida

Question 9

means never given birth

Answer 9

Nuli para

Question 10

pregnant for the first time

Answer 10

prima para

Question 11

never been pregnant

Answer 11

nuli gravida

Question 12

means pregnant for at least the second time

Answer 12

Multi gravida

Question 13

underweight BMI

Question 14

normal BMI

Answer 14

18.5-24.9

Question 15

overweight BMI

Answer 15

25-29.5

Question 16

obese BMI

Answer 16

> 30.0

Question 17

morbidly obese

Answer 17

> 40.0

Question 18

Total weight gain for BMI

Answer 18

28-40

Question 19

total weight gain fro BMI 18.5-24.9

Answer 19

25-35

Question 20

total weight gain for BMI 25.0-29.9

Answer 20

15-25

Question 21

Total weight gain for BMI >30

Answer 21

11-20

Question 22

How much does the fetus weigh

Answer 22

7-8

Question 23

how much does the placenta weigh

Answer 23

1-2

Question 24

how much does the amniotic fluid weigh

Answer 24

2

Question 25

how much does the uterine mass weigh

Answer 25

2

Question 26

how much does the blood volume weigh

Answer 26

2-4

Question 27

how much do the breasts weigh

Answer 27

1-3

Question 28

how much do the maternal fat stores weigh

Answer 28

7-8

Question 29

when do you hear fetal heart tone

Answer 29

10-12 weeks

Question 30

when do you see fetal movement

Answer 30

20 weeks

Question 31

when is there cardiac visualization

Answer 31

4-8 weeks

Question 32

!st trimester labs

Answer 32

``` ABO and rh antibody screen CBC STI panel Rubella Genetic screening Urinalysis/ culture ```

Question 33

High frequency sound waves produced an image if tissue, organ, bone, air (based on density)

Answer 33

Ultrasonography

Question 34

Ultrasonography done in the 1st trimester

Answer 34

transvaginal

Question 35

ultrasonography that needs full bladder

Answer 35

transabdominal

Question 36

Rate and volume of blood flow between the placenta and umbilical vessels Used in adjunct to US in any trimester Looks at blood flow changes in maternal-fetal circulation in order to assess placenta function

Answer 36

Umbilical artery Doppler flow | Doppler velocimetry

Question 37

Indications of umbilical artery doppler flow

Answer 37

IUGR HTN/pre eclampsia Fetal cardiac anomaly

Question 38

Detailes radiological evaluation maternal.fetal tissues, organs, and placenta when abnormalities are suspected Interpretation doen by radiologist

Answer 38

Magnetic resonance imaging MRI

Question 39

Indications of MRI

Answer 39

abnormal US of suspected anatomical malformation | Placental accreta

Question 40

Assess the accumulation of fluid between spine and neck Pregnancy associated plasma protein PAPP-A Free beta-hCG

Answer 40

Nuchal translucency

Question 41

when is a offered

Answer 41

at 11-13 weeks to all pregnant women

Question 42

increased amount of fluid

Answer 42

risk abnormalities genetic syndromes birth defects poor pregnancy

Question 43

> 3mm fold

Answer 43

increase of trisomy 21

Question 44

low levels of PAPP-A are associated with what

Answer 44

Trisomy 21

Question 45

Aspiration small amount of placental tissue (chorion) for chromosomal, metabolic and DNA testing Adjunct with US Catheter placed through cervix/abdominal w/ US guidance then biopsy of tissue then Villi harvested and cultured for chromosomal analysis

Answer 45

Chronic Villus sampling CVS

Question 46

indications of CVS

Answer 46

Detects fetal abnormalities | High risk mothers

Question 47

risks of CVS

Answer 47

7% chance of fetal loss due to bleeding, infection, or rupture of membranes 10% chance of bleeding

Question 48

Blood used to test for metabolic, hematologic disorders, fetal infection, and genetic Adjunct with US Needle inserted into umbilical vein or near parental origin then small fetal blood sample obtained

Answer 48

Percutaneous umbilical blood sampling PUBS

Question 49

Indications of PUBS

Answer 49

after US detects anomaly | Fetal transfusion

Question 50

Abdomen cramp or pain in first trimester

Answer 50

Possible threatened AB, UTI, appendicitis, ectopic pregnancy

Question 51

Vaginal spotting to bleeding during 1st trimester

Answer 51

possible threatened abortion

Question 52

Absent FHT in 1st trimester

Answer 52

Possible missed abortion

Question 53

Dysuria, frequency, urgency during 1st trimester

Answer 53

Possible UTI

Question 54

fever or chills during 1st trimester

Answer 54

possible infection

Question 55

prolonged N/V during first trimester

Answer 55

Possible hyper-emesis gracidarium | >risk dehydration

Question 56

Always assess what during follow up visits

Answer 56

``` BP Weight gain FHT Fundal height urinalysis ```

Question 57

fetal heart rate

Answer 57

110-160 bpm

Question 58

Measured form the top of the symphysis pubis to top of the uterine funds

Answer 58

Fundal height

Question 59

when is the funds at the umbilicus

Answer 59

at 20 weeks

Question 60

reasons why findings may differ for fundal height

Answer 60

Obesity Uterine fibroids poly- or oligo hydramnios