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24 Cards in this Set

  • Front
  • Back

Sonography practice guidelines are produced by:

ACR- American College of Radiology




AIUM- American Institute of Ultrasound in Medicine




ACOG- American College of Obstetricians & Gynecologists

What does the letter "G" represent?

Number of pregnancies

What does the 1st letter "P" represent?

Pregnancy Outcome(s)

What does the letter "T" represent?

Number of term pregnancies




i.e.: 37+ weeks



What does the 2nd letter "P" represent?

Number of preterm pregnancies




i.e. less than 37 weeks and stillborns

What does the letter "A" represent?

Number of abortions, miscarriages, ectopic pregnancies

What does the letter "L" represent?

Number of living children

Gravidity & Parity Examples:


G5 P3104


Number of living children? _____


Number of full term deliveries? _____


Number of pregnancies? _____


Number of early pregnancy losses? _____


Number of premature births/stillborns? _____




Is this woman currently pregnant?



4


3


5


0


1




YES

A woman comes into the office with her 6 yo and14 yo.Both were born at 40 weeks. She has a positive hCG pregnancy test.



G:


P...


T-


P-


A-


L-


G: 3




P:


T- 2


P- 0


A- 0


L- 2

A woman comes to the obstetrician 14weeks pregnant. This is her first pregnancy.



G:


P...


T-


P-


A-


L-

G: 1




P...


T- 0


P- 0


A- 0


L- 0

First Pregnancy with Twins?

G:




P...


T-


P-


A-


L-


G: 1


P...


T- 1


P- 0


A- 0


L- 2

A 37 yo comes in to the clinic with a 4 monthhistory of missed periods. A quantitative hCG reveals levels indicative of apregnancy. Upon questioning she reveals she has 3 living children. The oldestwas delivered at 39 weeks, one at 36 weeks, and the youngest at 38 weeks.



G:


P...


T-


P-


A-


L-

G: 4




P...


T- 2


P- 1


A- 0


L- 3

A 35 yo woman presents one week post laparoscopyafter a confirmed ectopic pregnancy was discovered. The ectopic contents weresuccessfully removed. History reveals recurrent ectopic pregnancies – 4additional – which were noted in the chart. She has 3 living children, one bornat 35 weeks and twins born at 38 weeks.

G:


P...


T-


P-


A-


L-

G: 7




P...


T- 1


P- 1


A- 5


L- 3

Whatis wrong with this student’s answer? Describe the following patient’s pregnancyhistory…



G4P2113




G:4


P...


2 missed abortions


1 stillborn


1 miscarriage


3 living children

G: 4




P...


T- 3


P- 1


A- 3


L- 3

What is the standard way to date pregnancy in the US?

LMP or LNMP

How long is a human typically pregnant for?

266 days +,- 10 days

Pregnancy is divided into trimesters of approximately ____ weeks each.

13

The first trimester last until week ____.

13

The second trimester last between weeks ____ & ____.

14 -26 weeks

The third trimester begins at week ____ & last until term.

27

Pregnancy should not be dated bysonographic measurements in the _____ trimester.

Third

What is this?




•EDD= LMP –3 months + 7 days (+ 1 year)


•LMP= EDD + 3 months –7 days (- 1 year)

Nagele's Rule

What am I describing?


- Ask if the patient has a latex allergy


- Ask if the patient has experienced supine hypotension. i.e. difficultly lying on their back during pregnancy


- Know if the patient is experiencing bleeding, decreased fetal movement and/or pelvic pain.


-Cervical incompetence


-Fetal macrosomia


-Growth restriction


-Chromosomal fetal anomalies


-Increased maternal age


-Increased serum markers, NT


-Diabetes, Lupus


-Bad nutrition & lack of folic acid


Maternal Risk Factors

What does ALARA stand for?

As Low As Reasonably Achievable