Ch 22 Ob Review

Front 1

Gravid means?

Gravidity means?

Back 1

Gravid: Pregnant

Gravidity: number is times that woman has been pregnant.

Front 2

Define adnexa:

Back 2

Area located posterior to the broad ligaments and adjacent to the uterus, which contains the ovaries and Fallopian tubes.

Front 3

Supine Hypotensive Syndrome, define?

Back 3

Decreased blood return to the moms heart caused by the gravid uterus compressing the moms inferior vena cava

Front 4

Gravid patient complains of tachycardia, sweating, nausea, pallor. What do you suspect?

Back 4

Supine Hypotensive Syndrome.

Assist pt to right lateral or left lateral position to alleviate symptoms

Front 5

Vaginal bleeding in first trimester can be?

Back 5

Ectopic pregnancy, gestation trophoblastic Disease, miscarriage, blighted ovum, embryonic demise, subchorionic hemorrhage

Front 6

Vaginal bleeding in first trimester can be?

Back 6

Ectopic pregnancy, gestation trophoblastic Disease, miscarriage, blighted ovum, embryonic demise, subchorionic hemorrhage

Front 7

Second trimester bleeding is associated with?

(Painful versus painless)

Back 7

Placenta previa -painless

Placenta abruption- painful

Front 8

Differentiate the triple screen from the quad screen?

Back 8

Triple screen includes- Estriol, hCG, Maternal serum alpha fetoprotein. Performed at 15–20 weeks.

Quad screen includes- Estriol, hCG, MSAFP, inhibin A

Front 9

First trimester screening includes?

This test can reveal the gender, highly accurate in detecting chromosomal abnormalities, trisomy 13, 18, 21 and sex chromosome abnormalities at 9 wks gestation.

Back 9

Maternal blood levels of hCG, pregnancy associated plasma protein A, and Nuchal translucency.

Cell free fetal DNA testing (MaterniT21Plus).

Front 10

What’s the purpose of a biophysical profile?

Back 10

Investigate signs of fetal hypoxia

Front 11

Decrease of hCG can indicate?

Back 11

Miscarriage, anembryonic pregnancy

Front 12

Decrease of hCG can indicate?

Back 12

Miscarriage, anembryonic pregnancy

Front 13

Increase of maternal serum AFP indicates?

Back 13

Anencephaly, cephalocele

Front 14

Decrease of hCG can indicate?

Back 14

Miscarriage, anembryonic pregnancy

Front 15

Increase of maternal serum AFP indicates?

Back 15

Anencephaly, cephalocele

Front 16

Increase of hCG

Decrease of Estriol

Decrease of maternal serum AFP

increase of inhibin A, decrease of PAPP-A.

What does this indicate?

Back 16

Trisomy 21 (Down Syndrome)

Front 17

Decrease hCG

Decrease Hematocrit, indicate?

Back 17

Ectopic pregnancy

Front 18

Decrease hCG

Decrease Hematocrit, indicate?

Back 18

Ectopic pregnancy

Front 19

Increase maternal serum AFP indicates?

Back 19

Gastroschisis, omphalocele , spina bifida (meningocele, myelomeningocele).

Front 20

Decrease hCG

Decrease Hematocrit, indicate?

Back 20

Ectopic pregnancy

Front 21

Increase maternal serum AFP indicates?

Back 21

Gastroschisis, omphalocele , spina bifida (meningocele, myelomeningocele).

Front 22

Increased hCG (with molar) indicates?

Back 22

Triploidy

Front 23

Decrease hCG

Decrease Hematocrit, indicate?

Back 23

Ectopic pregnancy

Front 24

Increase maternal serum AFP indicates?

Back 24

Gastroschisis, omphalocele , spina bifida (meningocele, myelomeningocele).

Front 25

Increased hCG (with molar) indicates?

Back 25

Triploidy and molar pregnancy

Front 26

Decrease hCG (w / hydrops)

Decrease maternal serum AFP

Decrease PAPP-A, decrease inhibin A (with Hydrops), decrease estriol

Back 26

Turner Syndrome

Front 27

Decreased Estriol, hCG, inhibin A, PAPP-A, MSAFP, this indicates?

Back 27

Trisomy 18 (Edwards Syndrome)

Front 28

When measuring the abdominal circumference, where is the measurement taken?

Back 28

At the level of the umbilical vein and fetal stomach. Might see in transverse the thoracic spine, right adrenal gland, and fetal gallbladder.

Front 29

When measuring the abdominal circumference, where is the measurement taken?

Back 29

At the level of the umbilical vein and fetal stomach. Might see in transverse the thoracic spine, right adrenal gland, and fetal gallbladder.

Front 30

Measuring head circumference includes?

Back 30

Outer perimeter of the skull at the level of the third ventricle, thalamus, CSP, and falx cerebri

Front 31

When measuring the abdominal circumference, where is the measurement taken?

Back 31

At the level of the umbilical vein and fetal stomach. Might see in transverse the thoracic spine, right adrenal gland, and fetal gallbladder.

Front 32

Measuring head circumference includes?

Back 32

Outer perimeter of the skull at the level of the third ventricle, thalamus, CSP, and falx cerebri

Front 33

Measure femur length at what level?

Back 33

Measured at the long axis of femoral shaft, perpendicular to the shaft.

Front 34

When measuring the abdominal circumference, where is the measurement taken?

Back 34

At the level of the umbilical vein and fetal stomach. Might see in transverse the thoracic spine, right adrenal gland, and fetal gallbladder.

Front 35

Measuring head circumference includes?

Back 35

Outer perimeter of the skull at the level of the third ventricle, thalamus, CSP, and falx cerebri

Front 36

Measure femur length at what level?

Back 36

Measured at the long axis of femoral shaft, perpendicular to the shaft.

Front 37

Measure the biparietal diameter at what level?

Back 37

Outer edge of the proximal skull to the inner edge of the distal skull - at level of third ventricle, thalamus, CSP, falx cerebri.

Front 38

When measuring the abdominal circumference, where is the measurement taken?

Back 38

At the level of the umbilical vein and fetal stomach. Might see in transverse the thoracic spine, right adrenal gland, and fetal gallbladder.

Front 39

Measuring head circumference includes?

Back 39

Outer perimeter of the skull at the level of the third ventricle, thalamus, CSP, and falx cerebri

Front 40

Measure femur length at what level?

Back 40

Measured at the long axis of femoral shaft, perpendicular to the shaft.

Front 41

Measure the biparietal diameter at what level?

Back 41

Outer edge of the proximal skull to the inner edge of the distal skull - at level of third ventricle, thalamus, CSP, falx cerebri.

Front 42

Biophysical profile criteria follows?

Back 42

Thoracic movements (watching fetal diaphragm) fetal movements (3 or more gross fetal movement), fetal tone (at least one flexion to extension) amniotic fluid (at least one pocket of fluid that measures 2cm in vertical diameter in 2 perpendicular planes. non stress test.

Front 43

Fetus is determined by identifying the fetal anatomy that is closest to?

Back 43

That is closest to the internal os of the cervix.

Front 44

Fetus is determined by identifying the fetal anatomy that is closest to?

Back 44

That is closest to the internal os of the cervix.

Front 45

What is the most common pelvic mass associated with pregnancy?

Back 45

Corpus luteum cyst of the ovary

Front 46

Fetus is determined by identifying the fetal anatomy that is closest to?

Back 46

That is closest to the internal os of the cervix.

Front 47

What is the most common pelvic mass associated with pregnancy?

Back 47

Corpus luteum cyst of the ovary

Front 48

Large ovarian cysts or masses can lead to?

Back 48

Ovarian torsion

Front 49

This is common during late pregnancy. Most often secondary to the large size of the uterus with subsequent transient asymptomatic obstruction of the ureters.

Back 49

Hydronephrosis

Front 50

All of the following may be visualized at the correct level of the head circumference except:

Third ventricle, thalamus, CSP, falx cerebri?

Back 50

Falx cerebri

Front 51

The anechoic space along the posterior aspect of the fetal neck is the?

Back 51

Nuchal translucency

Front 52

Why does the mature ovum release through ovulation at day 14 of the menstrual cycle?

Back 52

The Graafian follicle ruptures

Front 53

The union of an ovum and sperm is called?

Back 53

Conception

Front 54

The outer tissue layer of the blastocyst is comprised of?

Back 54

Trophoblastic cells

Front 55

What produces the pregnancy hormone human chorionic gonadotropin?

Back 55

Trophoblastic cells

Front 56

Inner part of the blastocyst will develop into?

Outer part of the blastocyst will develop into?

Back 56

Inner part will develop into the embryo, umbilical cord, amnion, primary and secondary yolk sac.

Outer part, trophoblastic tissue will develop into the chorion and placenta.

Front 57

Inner part of the blastocyst will develop into?

Outer part of the blastocyst will develop into?

Back 57

Inner part will develop into the embryo, umbilical cord, amnion, primary and secondary yolk sac.

Outer part, trophoblastic tissue will develop into the chorion and placenta.

Front 58

Implantation of the blastocyst within the endometrium causes a small amount of vaginal bleeding. What is this called?

Back 58

Implantation bleeding

Front 59

Alimentary canal, Neural tube begin forming what gestational week?

Neural tube will become?

Back 59

Fourth week gestation.

Neural tube will become the head and spine.

Front 60

Alimentary canal, Neural tube begin forming what gestational week?

Neural tube will become?

Back 60

Fourth week gestation.

Neural tube will become the head and spine.

Front 61

Gestational sac is also referred to as?

Back 61

Chorionic Sac

Front 62

In the fist trimester, hCG maintains the corpus luteum cyst, why?

Back 62

So the corpus luteum can continue to produce progesterone. The progesterone maintains the thickness of the endometrium so the implantation can occur.

Front 63

With hCG, the IUP should generally be visualized between what mIU/ mL?

Back 63

1,000-2,000 mIU/ml

Front 64

With hCG, the IUP should generally be visualized between what mIU/ mL?

Back 64

1,000-2,000 mIU/ml

Front 65

Normal hCG levels ______ q 48 hours in the first trimester.

Back 65

Double

Front 66

Gestational sac will grow at what rate in early pregnancy?

Back 66

1 mm / day in early pregnancy

Front 67

The appearance of the small gestational sac in the uterine cavity surrounded by the thickened, echogenic endometrium.

Back 67

Intradecidual sign

Front 68

What are the two distinct layers of the double sac sign?

Back 68

Decidua capsularis: inner layer

Decidua parietalis: outer layer

Front 69

Space between the gestational sac and the amniotic sac. Location of the secondary yolk sac?

Back 69

Chorionic cavity

Front 70

Space between the gestational sac and the amniotic sac. Location of the secondary yolk sac?

Back 70

Chorionic cavity

Front 71

Portion of the chorion that does not contain villi?

Back 71

Chorion lavae

Front 72

Space between the gestational sac and the amniotic sac. Location of the secondary yolk sac?

Back 72

Chorionic cavity

Front 73

Portion of the chorion that does not contain villi?

Back 73

Chorion lavae

Front 74

Endometrial tissue at the implantation site. The maternal contribution of the placenta?

Back 74

Decidua basalis

Front 75

Space between the gestational sac and the amniotic sac. Location of the secondary yolk sac?

Back 75

Chorionic cavity

Front 76

Portion of the chorion that does not contain villi?

Back 76

Chorion lavae

Front 77

Endometrial tissue at the implantation site. The maternal contribution of the placenta?

Back 77

Decidua basalis

Front 78

The portion of the Decidua opposite of the uterine cavity across from the Decidua basalis?

Back 78

Decidua capsularis

Front 79

Space between the gestational sac and the amniotic sac. Location of the secondary yolk sac?

Back 79

Chorionic cavity

Front 80

The Portion of the chorion that does not contain villi?

Back 80

Chorion laeve

Front 81

Endometrial tissue at the implantation site. The maternal contribution of the placenta?

Back 81

Decidua basalis

Front 82

The portion of the Decidua opposite of the uterine cavity across from the Decidua basalis?

Back 82

Decidua capsularis

Front 83

The Decidualized tissue at the implantation site containing chorionic villi. The fetal contribution of the placenta?

Back 83

Chorion Frondosum

Front 84

Decidualized tissue along the uterine cavity adjacent to the Decidua basalis?

Back 84

Decidua parietalis

Front 85

Measurement of the gestational sac is the earliest measurement obtained. (Used until fetal pole seen.) Referred as and how?

Back 85

Mean sac diameter.

L x W x H / 3.

Front 86

How is the Yolk sac connected to the embryo?

Back 86

Viteline duct also referred as omphalomesenteric duct.

Contains one artery, one vein

Front 87

Amino and chorion fuse at what gestational week?

What is the most accurate measurement of pregnancy?

Back 87

16 weeks

Crown rump length

Front 88

Embryo at 7-8 weeks, you will notice?

Back 88

Limb buds developing, Rhombencephalon (hindbrain) starting develop parts of the brain.

Head bigger than body.

8 weeks stomach might be seen.

Front 89

Bowel herniation begins and ends?

Back 89

at 8 weeks and should resolve by 12 weeks.

Front 90

The placenta is formed by?

Back 90

Decidua basalis (maternal contribution), and Decidua frondosum (fetal contribution)

Front 91

The placenta is formed by?

Back 91

Decidua basalis (maternal contribution), and Decidua frondosum (fetal contribution)

Front 92

Placenta appearance at end of first trimester?

Back 92

Well defined, homogenous, crescent shaped, along the margins of the gestational sac.

Front 93

The placenta is formed by?

Back 93

Decidua basalis (maternal contribution), and Decidua frondosum (fetal contribution)

Front 94

Placenta appearance at end of first trimester?

Back 94

Well defined, homogenous, crescent shaped, along the margins of the gestational sac.

Front 95

Nuchal translucency is evaluated when?

Increased NT is associated with?

Back 95

First trimester. 11-13 weeks.

Trisomy 21, 18, Turner Syndrome, Congestive Heart Failure.

Front 96

First trimester, Asymptomatic, pain assoc with hemorrhage and enlargement of cyst?

Back 96

Corpus luteum of pregnancy

Front 97

First trimester, Asymptomatic, pain assoc with hemorrhage and enlargement of cyst?

Back 97

Corpus luteum of pregnancy

Front 98

Most common pelvis mass associated with pregnancy is the?

Back 98

Ovarian corpus luteum cyst

Front 99

Most common cause of pelvic pain with a positive pregnancy test?

Back 99

Ectopic pregnancy (extrauterine pregnancy)

Front 100

Most common cause of pelvic pain with a positive pregnancy test?

Back 100

Ectopic pregnancy (extrauterine pregnancy)

Front 101

Who’s at high risk for an EUP?

Most common location?

Back 101

Women with hx of assisted reproductive therapy, Fallopian tube scarring, pelvic inflammatory disease.

Other contributing factors: advance maternal age, multi parity.

Fallopian tube, specifically the ampullary portion of the tube.

Front 102

What is it called when a patient has a EUP and IUP simultaneously?

Back 102

Heterotopic pregnancy

Front 103

What pt is at an increased risk for heterotopic pregnancy?

Back 103

Undergoing assisted reproductive therapy.

Front 104

Pain, vaginal bleeding, palpable abdominal / pelvic mass; what’s this finding?

Back 104

Ectopic pregnancy

Front 105

What is used to treat an EUP?

Back 105

Methotrexate

Front 106

The most common form of GTD is?

Back 106

Complete molar pregnancy

Front 107

Do complete molar or partial molar have a malignant potential?

What are they?

Most common site of metastatic involves?

Back 107

Complete molar has a high malignant potential.

Malignant GTD is: invasive mole, choriocarcinoma

Lungs, liver, vagina.

Front 108

Do complete molar or partial molar have a malignant potential?

What are they?

Most common site of metastatic involves?

Back 108

Complete molar has a high malignant potential.

Malignant GTD is: invasive mole, choriocarcinoma

Lungs, liver, vagina.

Front 109

Normal or slight evaluated hCG level, smaller than normal uterus or possibly normal size uterus based on gestational age. Possible vagina bleeding?

Complex mass, vesicular snowstorm appearance, multiple variable sized cysts replacing placental tissue, but also Triploid fetus

Back 109

Partial molar pregnancy

Front 110

Ovarian mass associated with a molar pregnancy and elevated hcg is the?

Back 110

Theca Lutein Cyst

Front 111

Ovarian mass associated with a molar pregnancy and elevated hcg is the?

Back 111

Theca Lutein Cyst

Front 112

No evidence of a fetal pole or yolk sac within gestational sac?

Back 112

Anembryonic gestation or blighted ovum

Front 113

Vaginal bleeding, reduction of pregnancy symptoms, low hCG?

Sono: large, irregular gest sac without an embryo or yolk sac, poor decidual reaction.

Back 113

Blighted ovum

Front 114

Causes of embryonic death is?

Back 114

Idiopathic, but may be linked to chromosomal abnormalities.

Front 115

Yolk sac diameter measuring over 7mm is linked with?

Back 115

A high rate of pregnancy failure

Front 116

Termination of a pregnancy before viability is called?

Back 116

Miscarriage or abortion

Front 117

Vaginal bleeding, pelvic cramping, passage of products of conception?

Back 117

Miscarriage

Front 118

First trimester miscarriages have been linked to?

Back 118

Ovarian abnormalities, aneuploid fetuses, maternal infection, physical abuse, trauma, drug abuse, maternal endocrine abnormalities

Front 119

Vaginal bleeding or spotting, uterine cramping, closed cervix, called?

Back 119

Subchorionic Hemorrhage

Front 120

Fibroids are stimulated by? Two important things to assess?

Back 120

Estrogen.

Size and location.

Front 121

Fibroids are stimulated by? Two important things to assess?

Back 121

Estrogen.

Size and location.

Front 122

Positive pregnancy test, pelvic pressure, menorrhagia, palpable pelvic mass, enlarged bulky uterus, urinary frequency, dysuria, constipation; finding?

Back 122

Uterine leiomyoma (with pregnancy)

Front 123

With a normal pregnancy the first structure noted with the decidualized endometrium is the?

Back 123

Chorionic Sac

Front 124

With a normal pregnancy the first structure noted with the decidualized endometrium is the?

Back 124

Chorionic Sac

Front 125

Which of the following location got an ectopic would be least likely?

Back 125

Ovary

Front 126

All of the following are contributing factors for an ectopic pregnancy except:

PID, assisted reproductive therapy, IUCD, advanced paternal age?

Back 126

Advanced paternal age

Front 127

All of the following are contributing factors for an ectopic pregnancy except:

PID, assisted reproductive therapy, IUCD, advanced paternal age?

Back 127

Advanced paternal age

Front 128

All of the following are clinical features of an ectopic pregnancy except?

Pain, vaginal bleeding, shoulder pain, adnexa ring?

Back 128

Adnexa ring