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26 Cards in this Set
- Front
- Back
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1. Indications for an ultrasound in pregnancy?
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a. An ultrasound is not mandatory routine, low risk prenatal care.
b. It is indicated for the evaluation of uncertain gestational age, size/date discrepancies, vaginal bleeding, multiple gestation, or other high-risk situations |
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2. 9 Lab studies recommended that the initial prenatal visit?
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1. CBC
2. Hep B Surface antigen (HBsAg) 3. HIV testing 4. Syphilis screening with RPR 5. UA and urine culture 6. Rubella antibody 7. Blood type and Rh status with anybody screen 8. Pap smear 9. Cervical swab for gonorrhea and chlamydia |
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3. When is the risk to the baby increased with radiation exposure from dental x-rays?
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a. Once the radiation exposure is > 5 rads.
b. The radiation exposure from routine dental x-rays is 0.00017 rads. |
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4. Optimal time for the trisomy screen?
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a. 16-18 weeks.
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5. Advanced maternal age definition?
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a. Pregnant women who will be 35 years or beyond at the estimated date of delivery.
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6. Isoimmunization?
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a. The development of specific antibodies as a result of antigenic stimulation by material from the red blood cells of another individual.
b. I.e., Rh isoimmunization means a Rh negative woman who develops anti-D (Rh factor) anybody's response to exposure to Rh (D) antigen. |
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7. Asymptomatic bacteriuria?
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a. 100,000 cfu/mL or more of a pure pathogen of a mid-stream voided specimen.
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8. Antenatal testing?
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a. A procedure that attempts to identify whether the fetus is at risk for uteroplacental insufficiency and perinatal death .
b. Some of these tests include nonstress test and biophysical profile |
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9. Preconception visit?
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a. An ideal opportunity for the patient to discuss with their physician any issue related possible pregnancy or contraception occurring within one year pregnancy.
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10. What are fetuses particularly sensitive to radiation?
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a. During the early stages of development, between 2 and 15 weeks after conception
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11. Folic acid recommendation for pregnancy?
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a. 400 ug daily starting at least 1 month prior to attempting to conceive.
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12. Folic acid recommendation for a woman who has had a child with a neural tube defec
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a. 4 mg of folic acid daily
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13. Folic acid recommendation for a woman w/DM or epilepsy?
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a. 1 mg/day.
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14. Naegele’s rule?
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a. From the 1st day of the LMP subtract 3 months and add 7 days.
b. The LMP considered reliable of the following criteria are met: i. The date is certain ii. The last menstrual period was normal iii. There is but no contraceptive use in the past one year iv. The patient has had no bleeding since the LMP v. her menses are regular c. If these criteria are not met, an ultrasound should be performed. |
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15. When should heart sounds be attainable?
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a. By 10 weeks gestation using a handheld Doppler fetoscope.
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16. Typical protocol for follow-up prenatal visits?
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a. Every 4 weeks until 28 weeks gestation
b. Every 2 weeks from 28 to 36 weeks gestation c. Every week from 36 weeks until delivery. i. More frequent visits should be performed if any problems arise or all issues are not addressed and scheduled visits |
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17. Ramifications of prenatal lab findings of: HB < 10.5 g/dL?
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1. Preterm delivery
2. low fetal iron stores 3. Identify thalassemia |
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18. Next step with prenatal lab findings of: HB < 10.5 g/dL?
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a. Mild: therapeutic trial or Iron
b. Moderate: Ferritin and hemoglobin electrophoresis |
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19. Significance of prenatal lab findings of: Negative Rubella?
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a. Nonimmune to rubella
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20. Next step with prenatal lab findings of:
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a. Stay away from sick individuals
b. Vaccinate postpartum (live attenuated vaccine in the postpartum period) |
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a. Stay away from sick individuals
b. Vaccinate postpartum (live attenuated vaccine in the postpartum period) v |
a. May help pediatricians identify ABO incompatibility
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22. Significance of prenatal lab findings of: negative Rh factor?
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a. May be susceptible to Rh disease
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23. Next step with prenatal lab findings of: negative Rh factor?
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a. If anybody screen negative, give Rhogam at 28 weeks and babies Rh+, then also after delivery .
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24. Significance of prenatal lab findings of: positive anybody screen?
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a. May indicate isoimmunization
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25. Next step with prenatal lab findings of: positive anybody screen?
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a. Need to identify the anybody, and then titre.
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26. Positive anybody screen mnemonic?
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a. Lewis lives
b. Kell Kills c. Duffy dies |
