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28 Cards in this Set
- Front
- Back
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Tradionally performed at ___ weeks.
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16
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Amniotic fluid contains ____ that can be cultured.
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fetal cells
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Third trimester- can do amnio to assess ____.
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fetal lung assessment
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When choosing a site for amnio...
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avoid placenta, fetus, cord, avoid lat location, insert needle quickly
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Before amnio....
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document site, document fhr before and after
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hold td at rt angle to the needle
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Right Angle technique
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U/s is performed prior to amnio to assess...
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gestational age, cardiac activity, movement, fetal number, placental location
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___ gauge 3.5 spinal needle is inserted under u/s guidance
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22
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Discard first ____ of fluid (of ___ drawn out) to avoid contamination.
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.5mL/ 24mL
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___ of amniotic fluid occurs in approx ___% of women/ in most cases the fluid loss is minimal and resolves within several days
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leakage/ 1-2%
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____ may occur in ___% of cases and is self-limiting in most cases
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Vaginal bleeding/ 2-3%
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____ following amnio occurs in approx ___% of cases.
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Intra-amniotic infection/ .1%
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____ of the fetus is usually avoidable with the use of u/s
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Needle puncture
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Miscarriage following amnio
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1 in 200 or less
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noninvasive technique that involves the slow infusion of sterile saline solution into a woman's uterus during u/s imaging
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hysterosonography aka sonoysterography
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Hysterosonography allows the dr to evaluate ___, _____, or _____.
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abnormal growths inside the uterus/ abnormalities of the endometrium/ disorders affecting deeper tissue layers
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Purpose of hysterosonography
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peri or postmenopausal women with unexplained vag bleeding/ abnormal appearing endo during baseline u/s/ fertility problems (can be related to polyps, fibroids, or adhesions inside uterus), women receiving Tamoxifen therapy for breast cancer
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Hysterosonography can be used as a ____ tool after unterine surgery to evaluate its success.
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follow-up
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the lower end of the uterus is narrowed or tightened/ complicates the insertion of a catheter, makes hystero difficult to perform
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cervical stenosis
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___ can sometimes block the flow of saline fluid into the uterus.
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Adhesions or large fibroids
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Pts with ____ should not be tested with hystero until the disease is brought under control
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active PID
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Women with ____ or _____ are given antibiotics before the hystero procedure
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chronic PID or heart problems
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Baseline u/s before hystero allows dr to...
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detect an unsuspected pregnancy, assess thickness and possible abnormalities of the endo
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Hystero takes about ____ minutes.
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10-15 min
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Pts with fertility problems are examined during the first ___ days of the menstrual cycle.
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10 days
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Pts who may have polyps are usually examined at a ____ phase in the cycle.
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later
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Call dr after hystero if...
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abnormal bleeding, fever, abd pain
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___ or ____ is normal after hystero, take ibuprofen.
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Some spotting or cramping
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