Lecture 5 Normal Second And Third Trimester Test Review

Front 1

A Patient state she has had 1 elective abortion and 2 miscarriages and most recently she has delivered a baby at 35 weeks GA and baby is doing well.
What is the correct Gravida and Para to write on her ultrasound?

Back 1

G 4 P 0 1 3 1

Front 2

A patient has been pregnant 4 times. Her Gravida and Para would read as

Back 2

G 4 P 0 0 4 0

Front 3

The patient in question # 2, is considered to be a ______para felmale.

Back 3

NULLIPARA

Front 4

List all parameters used to assess pregnancy dating, (clinical and routine sonographic.)

Back 4

CLINICAL FINDINGS
*LMP
*Fundal Height
*BHCG

Sonographic Parameters
* GS
*CRL
*BPD,HC,AC,FL

Front 5

Define supine hypotensive syndrome (SHS).

Back 5

A condition that occurs when a large, heavy gravid uterus compresses the IVC.

As a result, venous return to heart is diminished, therefore, BP is lowered.

Front 6

List symptoms of SHS

Back 6

faint
light headed
sweaty
nauseous

If supine hypotention goes undetected, the patient can pass out.

Front 7

How a fetal position determined at the beginning of an ultrasound study?

Back 7

By beginning the scan in the sagittal midline image

Front 8

What can be done to relieve or prevent SHS?

Back 8

change pt position (left side is usually best)
Ways to prevent this from happening the sonographer can...
* place wedge/pillow under the pts rt side to relieve the pressure on IVC

* Bring table up to a semi-reclining position to elevate the torso.

Front 9

When might an external version be attempted by a physician?

Back 9

If baby is in Frank Breech position.

Note: also determine placenta location and measure amniotic fluid

Front 10

See picture question 9 on page 4

Back 10

Complete Breech

Front 11

See picture question 10 on page 4

Back 11

Vertex or Cephalic

Front 12

See picture question 11 pg 4

Back 12

Trans with head to maternal rt

Front 13

See picture question 12 pg 5

Back 13

Incomplete Breech or Footing Breech

Front 14

See picture question 13 pg 5

Back 14

Frank Breech

Front 15

See picture question 14 pg 6

Back 15

Trans w/head to maternal LT

Front 16

What is the most common fetal position?

Back 16

Vertex 95 %

Front 17

When might an external version be attempted by a physician?

Back 17

When fetus is in a Frank Breech position.

(note) determine placental location and measure amniotic fluid

Front 18

Situs or correct positioning of the fetal organs can be determined if the sonographer knows the fetal________.

Back 18

FETAL PRESENTATION/POSITION

Front 19

PG 7 a._______b._______
PG 7 a _______b._______
PG 7 a _______b._______

Back 19

a. vertex b vertex
a. breech b. breech
a. vertex b. vertex

Front 20

PG 8
Frame 1
Frame 2
Frame 3

Back 20

a. breech b. vertex
a. breech b. vertex
a. breech b. vertex

Front 21

What structures are seen at the level of the BPD?

Back 21

Thalmus
Cavum Septum Pellucidum
Falx (ml echo)

Front 22

Describe how to take a BPD measurement.

Back 22

Measure outer skull (in the near field) to the inner skull (in the far field) at the widest part of the head (through the thalmus).

Front 23

The abdominal circumference is useful in assessing fetal growth because_________

Back 23

Main storage for glucose and very sensitive to growth disturbances

Front 24

How do you measure the femur length?

Back 24

from the greater trochanter to the external condyle. Include only ossified diaphysis,exclude femoral head.

Ends of femur should be distinct and blunt.

Measure the femur that is the most anterior.

Front 25

What "pitfalls" does the sonographer need to be aware of when measuring a correct femur length?

Back 25

1.Over estimation occurs by measuring the femoral head or distal femoral epiphysis.

2. Under estimation can result from incorrect orientation and not obtaining the full length of the bone.

Front 26

The cephalic index will be out of normal range of the head is too ______or too _______.

Back 26

Oblong or Round

Front 27

The estimated fetal weight is only an _____of actual weight and can be in error of +/- ______lbs or +/- 10 %.

Back 27

estimated , 1 lb

Front 28

Why would a sonographer place the pt in the Trendelenburg position?

Back 28

To encourage the fetal head to move out of the maternal pelvis.

Front 29

Where is the cerebral spinal fluid produced?

Back 29

Choroid Plexus

Front 30

Question 28 SEE PICTURE

Back 30

Lateral Ventricles

Front 31

Question 29 SEE PIC

Back 31

Choroid Plexus

Front 32

Question 30 SEE PIC

1. This image thru the chest is called the _________.

2. The arrow is pointing to the _______.

Back 32

1. Chamber View
2. LVOT

Front 33

Question 31 see Pic

Back 33

Nuchal Fold

Front 34

Question 32 see pic

Back 34

Diaphragm

Front 35

Question 33 see pic

Back 35

Cerebral Peduncles

Front 36

Question 34 see pic

Back 36

Cisterna Magna

Front 37

Question 35 see pic

Back 37

Cervical Spine in Sagittal

Front 38

Question 36 see pic

Back 38

Transverse Kidneys

Front 39

Question 37 see pic

Back 39

Sacral Spine in Sagittal

Front 40

Question 38 see pic

Back 40

It's a girl

Front 41

Question 39 see pic

Back 41

It's a boy

Front 42

Question 40 see pic

Back 42

Aortic arch...see the candy cane

Front 43

Question 41 see pic
1. The image thru the chest is called the ________.

2. The curved arrows are pointing to the ________.

3. The straight arrows are pointing to the _______.

Back 43

1. 4 chamber heart
2. atria
3. ventricles

Front 44

Question 42: pic

Back 44

Cerebellum

Front 45

Q 43: see pic
1. The curved arrow is pointing to the _________.
2. The straight arrow is pointing to the _____.

Back 45

1. Cavum Septum Pellucidum
2. Thalmus

Front 46

Q 44: see pic

Back 46

Transverse Spine

Front 47

Q 45: see pic

Back 47

Abdominal Cord Insertion

Front 48

Q 46: see pic
1. The straight arrow is pointing to the _______.

2. The curved arrow is pointing to the ________.

Back 48

1. Stomach
2. Bladder

Front 49

First Pregnancy

Back 49

PRIMIGRAVIDA

Front 50

Pregnancy after 42 weeks

Back 50

POST DATES

Front 51

Tells how the pregnancy ended

Back 51

PARA

Front 52

She's never been pregnant

Back 52

NULLIGRAVIDA

Front 53

A society of ultrasound professionals

Back 53

A. I. U. M.

Front 54

Imaginary Pregnancy

Back 54

PSEUDOCYESIS

Front 55

An average of all measurements in grams.

Back 55

EFW

Front 56

A list of required documentation

Back 56

PROTOCOL

Front 57

A fetus capable of living outside the uterus

Back 57

VIABLE

Front 58

Gave birth one time

Back 58

PRIMIPARA

Front 59

A pregnant woman

Back 59

GRAVIDA

Front 60

She better get to the hospital fast!

Back 60

MULTIPARA

Front 61

A baby born before 38 weeks.

Back 61

PRETERM

Front 62

Lowered blood pressure due to a heavy uterus

Back 62

SUPINE HYPOTENSIVE SYNDROME

Front 63

13 week period of pregnancy

Back 63

TRIMESTER

Front 64

Beginning of menses

Back 64

LMP

Front 65

A pregnancy "pro"

Back 65

MULTIGRAVIDA

Front 66

Legally surviable fetus at 500 grams

Back 66

VIABILITY

Front 67

Ending date for fetal incarceration

Back 67

EDC

Front 68

She's been pregnant, but not delivered

Back 68

NULLIPARA

Front 69

Cystic area posterior to cerebellum

Back 69

CISTERNA MAGNA

Front 70

Seperating structure of the chest and abdomen

Back 70

DIAPHRAGM

Front 71

A type of breech presentation

Back 71

FRANK

Front 72

Fluid-filled structure used as a landmark for an abdominal circumference.

Back 72

STOMACH

Front 73

Structures that make most of the amniotic fluid in the 2nd and 3rd trimester

Back 73

KIDNEYS

Front 74

Always measure the anterior one

Back 74

FEMUR LENGTH

Front 75

The spine is maternal left and the stomach is posterior

Back 75

CEPHALIC

Front 76

Sits in between the thalmic structures

Back 76

3rd VENTRICLE

Front 77

You see a cross section of a baby in sagittal

Back 77

Transverse

Front 78

Both of these contain cerebral spinal fluid

Back 78

Lateral Ventricles

Front 79

Looks similar to the thalmus, but smaller and more hypoechoic

Back 79

CEREBRAL PEDUNCLES

Front 80

Midline landmark for BPD

Back 80

THALMUS

Front 81

Sits in midline of pelvis

Back 81

URINARY BLADDER

Front 82

Makes cerebral spinal fluid

Back 82

CHOROID PLEXUS

Front 83

Imaged in left side of a transverse chest

Back 83

4 Chamber Heart

Front 84

5th structure of the 5 chamber view

Back 84

LVOT

Front 85

Anechoic "box" anterior to thalmus

Back 85

CSP

Front 86

Head is in the fundus

Back 86

BREECH

Front 87

Head is presenting at the cervix

Back 87

VERTEX