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NM702 > Need to memorize from each unit of Module 4 > Flashcards

Need to memorize from each unit of Module 4 Flashcards

1
Q

Gestational age range for changing from menstrual date to U/S date

A

< 9 weeks: >5 days
9-13 6/7 weeks: >7 days
14-15 6/7 weeks: >7 days
16-21 6/7 weeks: > 10 days
22-27 6/7 weeks: >14 days
28 weeks and beyond: 21 days

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2
Q

Pre-pregnancy body mass index < 18.5

A

Category: Underweight
Total pregnancy weight gain: 28-40 lbs
1st trimester weight gain: 5 lbs
2nd and 3rd trimester weight gain: 1lb/wk

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3
Q

Pre pregnancy body mass index 18.5-24.9

A

Category: Normal
Total pregnancy weight gain: 25-35 lbs
1st trimester weight gain: 2-5 lbs
2nd and 3rd trimester weight gain: 1

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4
Q

Pre pregnancy body mass index 25.0-29.9

A

Category: overweight
Total pregnancy weight gain: 15-25lbs
1st trimester weight gain: 0-2 lbs
2nd and 3rd trimester weight gain: 0.6 lbs

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5
Q

Pre pregnancy body mass index > 30

A

Category: Obese
Total pregnancy weight gain: 11-20
1st trimester weight gain: 0-1 lbs
2nd and 3rd trimester weight gain: 0.5 lbs

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6
Q

What are the pre pregnancy body mass indexes?

A

Underweight: <18.5
Normal 18.5-24.9
Overweight: 25.0-29.9
Obese: > 30

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7
Q

Abnormal Hemoglobin 2nd trimester

A

<11 g/dL

This is the lowest of all the trimesters

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8
Q

Abnormal Hematocrit 2nd trimester

A

< 32%

This is the lowest for all the trimesters

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9
Q

what does low cut off of GTT means

A

More false positives screens (so a screen looks abnormal but the patient doesn’t have GDM)

Few false negative screens (there are not many times that the screen looks fine but the person really has GDM and we missed it).

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10
Q

What does a higher GTT cut off mean?

A

Fewer false positive screens (there are not as many screens that look abnormal but the patient doesn’t really have GDM

More false negative screens (there are more screens that look fine but the person really has GDM and we missed it

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11
Q

How much will 300 mg regular RhoGAM protect against exposure

A

Up to 15 mL or Rh positive red blood cells.

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12
Q

How much RhoGAM given for bleeding after 12 weeks

A

50 mg

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13
Q

why do we order CBC in 2nd trimester

A

Point of maximum physiologic hemodilution in pregnancy

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14
Q

Fundal height 14 Week gestation in 2nd trimester

A

Height: Several fingerbreadths above the symphysis

Normal range: Symphysis + 2 fingerbreadths ato almost halfway between symphysis and umbilicus

Measurement method: palpation of fingerbreadths above symphysis

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15
Q

Fundal height 16 week gestation in 2nd trimester

A

Height: Midway between symphysis and umbilicus

Normal range: Midway between symphysis and umbilicus +/- 1 or 2 fingerbreadths

Measurement method: Palpation in relationship to symphysis and umbilicus

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16
Q

Fundal height 20 weeks gestation in 2nd trimester

A

Height: At level of umbilicus

Normal Range: Umbilicus +/- 1 or 2 fingerbreadths

Measurement method: Palpation in relation to umbilicus

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17
Q

Fundal height 22 weeks gestation in 2nd trimester

A

Height: 22 cm from symphysis to fundus

Normal range: +/- 2 cm of gestational age =20-24 cm

Measurement method: Tape measure from symphysis to fundus

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18
Q

Fundal height 24 weeks gestation in 2nd trimester

A

Height: 24 cm from symphysis to fundus

Normal range: +/- 2 cm of gestational age = 22-26 cm

Measurement method: Tape measure from symphysis to fundus

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19
Q

Fundal height 28 weeks gestation in 2nd trimester

A

Height: 28 cm from symphysis to fundus

Normal range: +j/- 2 cm of gestational age = 26-30 cm

Measurement method: Tape measure from symphysis to fundus

20
Q

when can you hear fetal heartbeat with fetoscope

A

15-20 weeks

21
Q

How does fetoscope work

A

nonelectronically and by conducting sound through the fetoscope via bone into the earpieces.

22
Q

Avg gestational age for quickening

A

16–20 weeks

23
Q

How is fetus measured in 2nd trimester

A

Biparietal diameter
Abdominal circumference
Femur length
Head Circumference

24
Q

What is Amniocentesis test

A

Direct analysis of a sample of amniotic fluid

25
Q

What conditions does Amniocentesis test for

A

Trisomy 13, 18, 21
Neural tube defects

26
Q

What is the time frame for Amniocentesis test

A

15 weeks and later

27
Q

Is Amniocentesis screening or diagnostic test

A

Diagnostic

28
Q

What is Quad screen (AKA second trimester screen)

A

Blood test for 4 analytes

29
Q

What conditions does Quad screen test for

A

Trisomy 18, 21
Neural tube defect

30
Q

What is the time frame for Quad screen

A

15-22 weeks (optimal 16-18 weeks)

31
Q

is Quad screen diagnostic or screening test

A

Screening

32
Q

What is integrated and sequential screens

A

Combines first trimester and second trimester screen

33
Q

WHat conditions does integrated and sequential screens test for

A

Trisomy 13, 18, 21
Neural tube defects

34
Q

Time frame for Integrated and sequential screens

A

First trimester portion (10-14 weeks)

2nd trimester portion (15-22 weeks)

35
Q

Is integrated and sequential screens diagnostic or screening test

A

screening

36
Q

what is the first task if second trimester screen comes back positive

A

double check that the correct dates went to the lab

if dates are uncertain…..do a dating ultrasound before offering an amniocentesis

37
Q

What does integrated screening consists of

A
  1. First trimester screen (nuchal translucency ultrasound + serum analytes)
  2. Second trimester Quad screen
38
Q

When is integrated screening results received

A

Single result after Quad screen in 2nd trimester

39
Q

What does Sequential screening consists of

A
  1. First trimester screen (nuchal translucency ultrasound + serum analytes)
  2. AS DESIRED BASED ON FIRST TRIMESTER RESULTS: Second trimester Quad screen
40
Q

When is Sequential screening results received

A

Initial results after first trimester portion: provides risk assessment to then determine if pt wants no more testing, planned second trimester screen, or diagnostic testing

41
Q

Warning signs for second trimester pregnancy-specific complications

A

Uterine cramping or more than 4-6 contractions per hour
vaginal bleeding
leaking of fluid from vagina
absent fetal movement after quickening

42
Q

Total pregnancy weight gain in underweight women

A

28-40

43
Q

Total pregnancy weight gain in women 18.5-24.9 (normal)

A

25-35

44
Q

Total pregnancy weight gain in overweight women

A

15-25

45
Q

Total pregnancy weight gain in obese women

A

11-20 lbs

NM702 (32 decks)

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