Uncomplicated Pregnancy Flashcards

(62 cards)

1
Q

What is Goodell’s sign

A

Cervical softening due to increased vascularization at 4-5 weeks

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2
Q

A failed 3 hour glucose test at hour 2 is a blood sugar over ______

A

155

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3
Q

When do you do TDaP vaccination for pregnant women

A

35-37 weeks

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5
Q

What are the 5 components of the biophysical profile

A

Fetal breathing

Fetal tones

Amniotic fluid levels

NST (non-stress test)

Gross fetal movements

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7
Q

What is tested in the triple screen

A

ß-hCG, a-FP, estradiol

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9
Q

Where is the fundal height at 20 weeks

A

Umbilicus

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12
Q

When is the first trimester of pregnancy

A

1-12 weeks

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13
Q

What value indicates abnormalities of ß-hCG in Down Syndrome screening

A

Abnormally high or low

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14
Q

Where is the fundal height at 16 weeks

A

Midway between the pubis and the umbilicus

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16
Q

When can a pelvic ultrasound detect a fetus

A

5-6 weeks

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19
Q

What is Chadwick’s sign

A

Bluish coloration of the cervis and vulva at 8-12 weeks

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20
Q

How do you detect fetal heart tones

A

Doppler

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21
Q

When do pregnant women start having visits every 2 weeks instead of every 4

A

28 weeks

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22
Q

When can sex of the fetus be determined with ultrasound

A

16 weeks

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23
Q

When can you do chorionic villus sampling

A

10-13 weeks

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24
Q

When do you do RhoGam immunization for Rh- mothers

A

Weeks 28-30

Repeat within 72 hours after childbirth

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26
Q

describe the 1 hour glucose test

A

50 grams

Fail if >140

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27
Q

Cervical softening due to increased vascularization at 4-5 weeks

A

Goodell’s sign

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29
Q

You do a triple screen and get a high a-FP. What are you concerned about?

A

Open neural tube defects

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30
Q

What is normal heart rate for fetal heart tones at 10-12 weeks

A

120-160 bpm

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34
Q

What are you looking for with contraction stress test

A

No late decelerations int he presence of 3 contractions in 10 minutes

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35
Q

What is assessed at the 30 week fetal ultrasound

A

Fetal growth

Position

State of placenta

AFI

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37
Q

A failed 3 hour glucose test at hour 1 is a blood sugar greater than _____

A

180

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38
Q

You do a triple screen and get low values for all 3: a-FP, ß-hCG, estradiol. What are you concerned about?

A

Trisomy 18

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39
Who gets chorionic villus sampling offered to them
Prior child with chromosomal abnormality Maternal age > 35 Abnormal screening tests Abnormal ultrasound Prior pregnancy losses
41
When can urine ß-hCG be detected?
14 days after conception
42
What value indicates Down Syndrome for PAPP-A
Low
44
When do pregnant women go from visits every 2 weeks to every week
36 weeks
45
Describe the 3 hour glucose test
100 g of glucose Fail if > 180 first hour >155 second hour >140 third hour
46
What are you looking for in non-stress testing
>2 accelerations in 20 minutes Increased fetal heart rate > 15 bpm lasting >15 seconds
47
When can you detect fetal heart tones
10-12 weeks
48
When is the third trimester of pregnancy
28 + weeks
52
Bluish coloration of the cervix and vulva at 8-12 weeks
Chadwick’s sign
53
A failed 3 hour glucose test at hour 3 is a blood sugar above _____
140
54
When do you do Group B Strep screening for pregnant women
35-37 weeks
55
When is Piskacek’s sign (palpable lateral bulge or softening of uterine cornus)
7-8 weeks
58
When is the gestational diabetes screen
24-28 weeks
61
What do you see on triple screen with trisomy 18
Low ß-hCG Low Estradiol Low a-FP
63
When is the second trimester of pregnancy
13-27 weeks
64
When is the fetal anatomy ultrasound
18-20 weeks
65
What abnormality would you find in a nuchal tranlucency ultrasound with Down Syndrome
Increased thickness
66
What is Ladin’s sign
Uterus softening at 6 weeks
67
What does high levels of inhibin-A indicate?
Chromosomal abnormalities
68
When can you do a nucal translecency ultrasound
10-13 weeks
69
What can you look for on the maternal blood screening test for indications of Down Syndrome
Free ß-hCG (abnormally high or low) PAPP-a (low)
71
When do you do a maternal blood screening test for Down syndrome
10 weeks
75
Palpable lateral bulge or softening of uterine cornus at weeks 7-8
Piskacek’s sign
77
A failed 1 hour glucose test is a blood sugar over ______
140
79
You get a high ß-hCG on triple screen. What are you concerned for?
Trisomy 21 Down Syndrome
81
What do you see on a triple screen with open neural tube defects
ß-hCG: N/A Estradiol: N/A High a-FP
82
What does the fetal anatomy ultrasound assess for?
Anatomic abnormalities Fetal position Location and status of placenta Amniotic fluid index Cervical length Fetal weight
83
When does fetal quickening happen
18-20 weeks for first pregnancy 16-18 weeks for all other pregnancies
87
What do you see on a triple screen with Down Syndrome
High ß-hCG Low estradiol Low a-FP
89
When is Ladin’s sign (uterus softening)
6 weeks
90
When can a serum ß-hCG be detected?
5 days after conception
91
When is the maternal quad (or triple) screen
15-18 weeks
97
What is Piskacek’s sign
Palpable lateral bulge or softening of uterine cornus at 7-8 weeks
99
When is Hegar’s sign (uterine isthmus softening)
6-8 weeks
101
What is Hegar’s sign
Uterine isthmus softening at 6-8 weeks
103
When is Gooddell’s sign (cervical softening due to increased vascularization)
4-5 weeks
107
Uterine isthmus softening at 6-8 weeks
Hegar’s sign
110
Uterus softening at 6 weeks =
Landin’s sign