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16 Cards in this Set
- Front
- Back
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Goal of genetic testing
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Testing for trisomy
Testing for CF Completely optional Makes sense to offer test for mothers over 35 |
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First look test
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Nuchal translucency at 11.5-14 weeks
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Diagnosis from nuchal translucency
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Test for trisomy 13, 18, and 21
Not definitive yes or no |
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Quad screen test
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Screens maternal serum alpha-fetoprotein, estradio, beta-hCG, and inhibin
Screen at 15-22 weeks |
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Diagnosis from quad-screen test
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Test for trisomy 13, 18, 21
Not definitive yes or no |
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Chorionic villus sampling
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Invasive test at 12-14 weeks
Evaluates karyotype 1/100 risk of miscarriage |
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Amniocentesis
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Invasive testing at 15+ weeks
Evaluates karyotype Risk of miscarriage is 1/270 |
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First stage of labor
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Onset of labor to full cervical dilation
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Phases of first stage of labor
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Latent - time from onset of labor to change in slope of cervical dilation
Active - greater rate of cervical dilation |
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Second stage of labor
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Interval between full cervical dilation and delivery of infant
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Cardinal movements of second stage
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Engagement - head gets to cervix
Descent - head goes down the cervix slightly Flexion - baby flexes head Internal rotation - baby puts head toward maternal sacum Extension - head gets under pubic symphysis External rotation Expulsion - anterior, then posterior shoulder |
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Third stage of labor
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Delivery of the fetal membranes and placenta
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Definition of maternal mortality
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Death up to 42 days after pregnnacy
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Epidemiology of maternal mortality
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Highest for non-Hispanic blacks
Due to increased risk of pregnancy-induced HTN, socioeconomic status, and access to care |
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Causes of maternal mortality
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Hemorrhage - intrapartum, postpartum, ectopic pregnancy, miscarriage/abortion
Pregnancy-induced HTN Pulmonary or amniotic fluid embolus Infection |
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Highest maternal morbidities
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Anemia
Mental health problems UTI HTN |
