Fetal Biometry Flashcards

(26 cards)

1
Q

What is the most accurate sonographic method for determining gestational age?

A

CRL

pg. E 174

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2
Q

If the AC falls below 2 SD, what can it indicate?

A

IUGR

pg. E 174

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3
Q

If the FL falls below 2 SD, what can it indicate?

A

skeletal dysplasia

pg. E 174

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4
Q

If the head and/or AC fall short, what should be calculated?

A

HC/AC ratio

pg. E 174

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5
Q

What does Nagele’s Rule determine?

A

due date from LMP

pg. E 174

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6
Q

What is Nagele’s Rule equation?

A

EDC = LMP - 3 months + 7 days

pg. E 174

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7
Q

What is a cephalic index?

A

defines head shape by dividing BPD by OFD

pg. E 174

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8
Q

What is the normal range for a cephalic index?

A
  1. 70 - 0.86

pg. E 174

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9
Q

When is a head considered dolichocephaly?

A

CI < 0.70

pg. E 174

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10
Q

When is a head considered brachycephaly?

A

CI > 0.86

pg. E 174

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11
Q

How is OFD measured?

A

outer to outer (anterior to posterior skull)

pg. E 175

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12
Q

At what level is the AC taken?

A

stomach
portal sinus of umbilical vein
pg. E 175

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13
Q

What is included in the circumference of the abdomen?

A

along skin line to include soft tissue and fat

pg. E 175

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14
Q

What is included in the circumference of the head?

A

not include scalp

pg. E 175

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15
Q

Which measurement is the least reliable in establishing gestational age?

A

AC

pg. E 174

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16
Q

When is the distal femoral epiphysis visualized?

A

33 weeks

pg. E 176

17
Q

What is binocular distance?

A

measurement from lateral orbital rim to lateral orbital rim

pg. E 176

18
Q

What is included in a BPP?

A
fetal breathing
gross body movements
fetal tone
amniotic fluid
NST
pg. E 177
19
Q

What is footling breech?

A

hips extended
feet presenting
pg. E 178

20
Q

What is frank breech?

A

hips flexed
knee extended
pg. E 178

21
Q

What is complete breech?

A

hips flexed
knees flexed
pg. E 178

22
Q

A BPD greater than __ cm can indicate macrosomia.

23
Q

What fluid measurement is taken with twins?

A

maximum vertical pocket

24
Q

What is included in the NST?

A

Doppler records fetal heart rate

Stress is added and baby’s heart rate should accelerate

25
Cerebellum is equal to gestational age up to how many weeks?
28 weeks
26
When does CRL become invalid for fetal dating?
12 weeks