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29 Cards in this Set
- Front
- Back
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40. Significance of prenatal lab findings of: positive Pap smear?
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a. Only invasive cancer ulcer would alter management
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41. Next step with prenatal lab findings of: positive Pap smear?
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a. ASC-US: repap postpartum
b. LGSIL, HSIL= colposcopy c. Reflexive HPV not recommended with ASC–US. |
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42. Significance of prenatal lab findings of: nuchal translucency (11-13 wk)?
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a. May indicate trisomy
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43. Next step with prenatal lab findings of: nuchal translucency (11-13 wk)?
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a. Offer karyotype and follow-up ultrasounds
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44. Is there any significance to increased nuchal translucency?
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a. Yes, increased NT means increased risk.
b. Not definitive diagnosis |
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45. Significance of prenatal lab findings of: positive trisomy screen (16-20 wk)?
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a. At risk for trisomy or NTD
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46. Next step with prenatal lab findings of: positive trisomy screen (16-20 wk)?
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a. Basic ultrasound for dates
b. If dates confirmed, offered genetic amniocentesis. |
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47. Most common reason for abnormal trisomy screening?
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a. Wrong dates
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48. Significance of prenatal lab findings of: Positive 1-h diabetic screen (26-28 wk)?
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a. May indicate gestational diabetes
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49. Next step with prenatal lab findings of: 1-h diabetic screen (26-28 wk)?
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a. Go to 3 hour GTT
b. About 15% of the screen will be positive |
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50. Significance of prenatal lab findings of: positive 3-h glucose tolerance test?
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a. Gestational diabetes
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51. Next step with prenatal lab findings of: positive 3-h glucose tolerance test?
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a. Try ADA diet
b. Monitor blood sugars. i. If elevated may need meds or insulin c. About 15% of abnormal one hour GCT will have gestational diabetes. |
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52. Significance of prenatal lab findings of: positive GBS culture (35-37 weeks)?
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a. GBS colonizing general tract
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53. Next step with prenatal lab findings of: positive GBS culture (35-37 weeks)?
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a. Give pcn during labor
b. Help prevent early GBS sepsis of newborn |
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54. Triple screen test?
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1. Serum hCG
2. Unconjugated Estriol 3. α-fetoprotein. |
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55. Quad screen?
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a. Includes Inhibin-A.
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56. When are the triple screen or Quad screen administered?
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a. 16-18 weeks’ gestation.
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57. What do the triple screen and Quad screen, screen for?
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a. Trisomy 21
b. Trisomy 18 c. Neural tube defects |
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58. Sensitivity and specificity of the triple screen?
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a. Sensitivity: 65 to 69%
b. Specificity 95% |
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59. When should all pregnant women be screened for gestational DM?
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a. 24-28 weeks
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60. Note: a diagnosis of gestational diabetes impact pregnancy, but also increases the risk of type II diabetes in the patient throughout her life.
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60. Note: a diagnosis of gestational diabetes impact pregnancy, but also increases the risk of type II diabetes in the patient throughout her life.
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61. When should women be offered the GBS screening?
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a. 35-37 weeks
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62. What should be done if a woman is not going to labor spontaneously by 42 weeks gestation?
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a. Induction of labor should be considered.
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63. Which vaccine can be given safely during pregnancy?
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a. Influenza
b. Tetanus toxoid |
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64. Which vaccines are not advised during pregnancy?
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a. Rubella and varicella
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65. Most accurate way to date fetal age?
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a. FIRST trimester U/S
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66. When do you look for nuchal translucency?
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a. 11-13 weeks.
b. Admeasurement together with serum hCG and PAPP-A can give risk of trisomy. |
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67. To whom is genetic counseling offered?
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a. To any woman who will be 35 years old or older at her estimated date of confinement EDC.
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a. To any woman who will be 35 years old or older at her estimated date of confinement EDC.
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a. To any woman who will be 35 years old or older at her estimated date of confinement EDC.
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