Unit 2 Part II Flashcards
(470 cards)
a parent is a known carrier of a structural chromosome rearrangement or there is a previous child with a chromosome abnormality
familial abnormality
ONTD
open neural tube defect
recurrence risk if you already have one child with ONTD
2-5% (multifactorial, genetic component
largest portion of abortuses are due to which chromosome abnormality
trisomies, followed by 45, X
what is the trisomy that causes the most abortuses
trisomy 16
what percentage of 45, X conceptions spontaneously terminate
95%
two types of non invasive prenatal tests
examination, ultrasound
three types of invasive prenatal tests
cytogenetics, biochemical, molecular studies
this test can: detect multiple pregnancy, determine gestational age, determine the sex, identify possible abnormalities, may indicate further testing is needed
ultrasound
when is ultrasound usually performed during the pregnancy
18 weeks gestation
what is a nuchal translucency thickness of 6mm observed by ultrasound associated with
Down Syndrome
what test is used to detect a cleft lip
ultrasound
absence of brain caused by severe ONTD
anencephaly
brain outside of head caused by severe ONTD
encephalocele
MSAFP
maternal serum alpha fetal protein, an albumin produced by fetal liver
how is AFP detected in the maternal circulation
it crosses the placenta from the fetus into the mother
AFP level is likely to be (higher/lower) in a heavy set woman because the assay gives a result in amount per unit volume
lower
factors that affect MSAFP
gestational age (usually do it at 16-18 weeks), mother’s weight, maternal diabetes, diabetic status, race
low levels of MSAFP may risk of
Down syndrome and other chromosome abnormalities
high levels of MSAFP may risk of
ONTD
maternal serum quad test performed at 15-21 weeks
since AFP tests only give risks, combine with other tests to get closer to a diagnosis
PAPP test performed at 10-13 weeks, when low, is associated with risk of
Down Syndrome
non invasive prenatal screening uses _____ for testing
cell free placental DNA–free floating DNA comprised of DNA from mother and fetus
what percent of the cfpDNA is from fetus
about 15%