LE 3: Prenatal Care

Question 0

a useful measure of prenatal care adequacy

Answer 0

Keissner index

Question 1

Length of gestation
Timing of the 1st prenatal visit
Number of visits
 w/c are incorporated from the birth     
  certificate

Answer 1

Keissner index

Question 2

most common barrier to care

Answer 2

Late identification of pregnancy

Question 3

Second most commonly barrier to care

Answer 3

money or insurance

Question 4

3rd most common barrier

Answer 4

inability to obtain an appointment

Question 5

the abrupt cessation of menstruation in a healthy reproductive-aged woman who previously has experienced spontaneous cycle

Answer 5

Amenorrhea

Question 6

dark bluish red and congested vaginal mucosa

Answer 6

Chadwick sign

Question 7

softer fundus and compressible interposed softened isthmus

Answer 7

Hegar sign

Question 8

soft, blowing sound that is synchronous with the maternal pulse

Answer 8

uterine souffle

Question 9

it is produced by the passage of blood through the dilated uterine vessels and is heard more distinctly near the lower portion of the uterus.

Answer 9

uterine souffle

Question 10

a sharp, whistling sound that is synchronous with the fetal pulse

Answer 10

funic souffle

Question 11

it is caused by the rush of blood through the umbilical arteries and may not be heard consistently

Answer 11

funic souffle

Question 12

when is the quickening felt in primigravida?

Answer 12

16 - 18 wks AOG

Question 13

depending on maternal habitus, when can an examiner begin to detect fetal mov’ts?

Answer 13

20 wks AOG

Question 14

it is the detection of hCG in maternal blood and urine is the basis for endocrine assays of pregnancy

Answer 14

Pregnancy test

Question 15

this hormone prevents involution of the corpus luteum

Answer 15

hCG

Question 16

what is the principal site of progesterone formation during the first 6 weeks of pregnancy

Answer 16

Corpus Luteum

Question 17

this, produces hCG in amounts that inc. exponentially during the 1st trimester following implantation

Answer 17

Syncytiotrophoblast

Question 18

what are the 3 hormones which HCG is STRUCTURALLY and IDENTICAL with?

Answer 18

Fsh
Lh
Tsh

Question 19

what is the distinctive characteristic of Beta subunit from LH, FSH TSH?

Answer 19

structurally

Question 20

what is the distinctive characteristic of Alpha subunit from LH, FSH TSH?

Answer 20

Identical

Question 21

this test, a monoclonal antibody against the beta subunit bound to a solid-phase support, attached antibody is then exposed to and binds hCG in the serum or urine specimen, 2nd antibody is then added, binds to another site on the hCG molecule

Answer 21

sandwich-type immunoassay

Question 22

this modality for pregnancy imaging and is commonly used to accurately establish gestational age and confirm pregnancy location

Answer 22

Tansvaginal Sonography

Question 23

a small anechoic fluid collection within the endometrial cavity and it is the first sonographic evidence of pregnancy

Answer 23

Gestational sac

Question 24

a fluid collection, but, can also be seen w/in the endometrial cavity w/ an ectopic pregnancy

Answer 24

Pseudogestational sac or pseudosac

Question 25

potential indicator of early intrauterine pregnancy are an anechoic center surrounded by a single echogenic rim

Answer 25

intradecidual sign

Question 26

a brightly echogenic ring w/ an anechoic center

Answer 26

Yolk sac

Question 27

Major goals of prenatal care?

Answer 27

- Define health status of the mother and fetus - estimate gestational age - initiate plan for continuing obstetrical care

Question 28

woman who is not pregnant nor has ever been pregnant

Answer 28

Nulligravida

Question 29

woman currently pregnant or has been in the past, irrespective of the pregnancy outcome

Answer 29

Gravida

Question 30

woman's first pregnancy

Answer 30

primigravida

Question 31

woman with successive pregnancies

Answer 31

multigravida

Question 32

woman who has never completed a 20 wks gestation

Answer 32

Nullipara

Question 33

woman who has been delivered only once of a fetus born alive or dead w/ an estimated length of gestation of 20 or more weeks

Answer 33

Primipara

Question 34

woman who has completed two or more pregnancies to 20 or more weeks of gestation

Answer 34

Multipara