Clin Med Ob Test 2

Front 1

Urine pregnancy test vs. serum pregnancy test?

Back 1

URINE: measures HCG.
Serum detects beta subunit of HCG & gives you Quantitative results that can dx pregnancy 2 days after conception.

Front 2

Quantitative levels of HCG should ________ every 48 hours in a normal pregnancy.

Back 2

HCG should double every 48 hours.

Front 3

What beta HCG levels can abdominal vs. transvaginal ultrasounds detect pregnancy?

Back 3

Abdominal: if B-hcg >6000; Transvaginal: if B-HCG > 2500

Front 4

What is Naegel's Rule?

Back 4

estimation of delivery date:
[(LMP + 7 days) - 3 months] - 1 year.

Front 5

Primary reason for nausea and vomiting early in pregnancy?

Back 5

Elevated progesterone levels - they plateau and fall later in pregnancy (so N/V decreases later as well).

Front 6

Why are pregnant women prone to constipation?

Back 6

relaxed smooth muscle (decreases motility) and transit time is prolonged by 15-30%.

Front 7

Changed in Alk phos?

Back 7

2x increased

Front 8

Changes in serum cholesterol

Back 8

increases

Front 9

Fibrinogen ____ in pregnancy?

Back 9

increases about 50%

Front 10

increased number of binding proteins for_________

Back 10

Corticosteroids, sex steroids, thyroid hormones, vitamin D

Front 11

Changes in albumin in pregnancy?

Back 11

DECREASES

Front 12

Cardiovascular changes in pregnancy

Back 12

↑ HR & ↑ SV = ↑ CO (co maxes out at 20 - 24 wks);
↓ PVR = major ↓ diastolic BP;
Systolic ejection murmur (from ↑ CO);
Heart is enlarged and displaces laterally.

↓

Front 13

Platelets in pregnancy should ______

Back 13

STAY in normal range.