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MJ- Womens Health EOR > pregnancy > Flashcards

Flashcards in pregnancy Deck (16)
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1

How do you calculate EDD using Naegele's rule?

1st day LMP + 7days - 3months

 

(ex: 1st day LMP= 8/7/16, EDD= 5/14/17)

2

When can NT be done

10-13 wks

 

(11w4d and 13w6d?)

3

how far along do you have to be before you can get FHT

10-12wks

4

when do you screen for GDM

24-28wks

5

When is Rhogam given if Rh- mom

28wks

(and w/in 72hrs after childbirth)

6

when is GBS screening 

32-37wks

7

What is a reactive NST indicating fetal well being?

  • >2 accelerations in 20 min
  • Incr. FHR >15bpm from baseline (120-160)  lasting <15sec

8

What is a negative and positive response during a contraction stress test

Negative: No late decelerations inthe presence of 3 contractions in 10min

Positive: Repetitive decels in presence of 3 contractions in 10min (DELIVER)

9

How are the 3 trimesters broken up

1st trimester: 1wk- 12wks

2nd trimester: 13wks- 27wks

3rd trimester: 28wks +

10

MC location of ectopic pregnancy

ampulla of fallopian tube

11

how should B-hCG rise in normal preg? in ectopic?

nml: Doubles q24-48hrs

ectopic: rises <66% expected

12

Absence of gestational sac with B-hCG levels > _____ strongly suggest ectopic or nonviable IUP

>2,000

13

tx for UNruptured ectopic pregnancy

Methotrexate or laparoscopic salpingectomy

14

When is Methotrexate CI for tx of unruptured ectopic preg

ruptured ectopic

h/o TB

HCG >5,000

+ FHT

15

Tx for ruptured/unstable ectopic preg

laparoscopic salpingostomy

16

What fetal position has the least complications

Cephalic presentation in the occiput anterior position.