Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
19 Cards in this Set
- Front
- Back
|
What defines advanced maternal age? what is this a risk for?
|
35 at time of delivery
increased risk of chromosomal abnormality |
|
|
What is the biggest individual factor that a woman should consider when deciding to get pregnant?
|
BMI
get it close to ideal... can lower chances of gestational HTN, big babies, gestational diabetes |
|
|
What goal are you trying to reach with BP prior to getting pregnant
|
140/90
|
|
|
pts who have had bariatric surgery and want to get pregnant will likely have to receive more of the following before and during pregnancy....
|
Iron
Folic acid B12 |
|
|
At an initial OB visit, what are some of the important things you should screen
objective |
Rubella
Varicella Hepatitis HIV STD HSV Syphilis DIABETES |
|
|
2 of the most common complications of childbearing
|
Diabetes and HTN
|
|
|
how often should Vital signs, weight, urine screen be done in a pregnant woman?
|
EVERY VISIT
|
|
|
after what point does the likelihood of miscarriage dramatically drop?
|
after the 1st trimester
|
|
|
What does nuchal translucency show?
|
if it is thick (3mm) increased chance of DOWNS
|
|
|
what are potential side effects of chorionic villus sampling?
|
risk of bleeding, potential limb malformations
note: done in the first trimester (best after 10 weeks) |
|
|
What is the triple screen?
shows? |
AFP, BHCG, Ue3 (estriol)
shows Downs |
|
|
this is made in the yolk sac, liver
it is elevated in open neural tube defects poor marker for Down's alone, but can be helpful... |
AFP – Alpha Fetal Protein
|
|
|
If HCG is high, what chromosomal problems should you think?
if AFP is elevated, what should you think? If the triple screen is low, what is it? |
Elevated HCG – Down’s
Elevated AFP > 2.5 MOM – ONTD HCG, AFP, Ue3 all low in Trisomy 18 |
|
|
what is the Quadruple screen
|
hCG, AFP, Ue3, and INHIBIN A
improves detection of Down's to 82 |
|
|
What is one of the major risks of Amniocentesis?
** |
1:270 risk of abortion
|
|
|
When is an anatomical ultrasound done?
how good is it at picking up an aneuploidy? |
Done at 20 weeks
Genetic sono picks up aneuploidy in 50% |
|
|
On US, what is the most common abnormality seen for Down's syndrome?
** |
VSD (cardiac defect)
Duodenal atresia--Double Bubble |
|
|
On US what are the markers for open neural tube defects (2)
|
lemon sign, banana sign
|
|
|
Diabetes screen is done at 24-28 weeks..why?
|
placenta is at peak mass, and human placental (something..missed the name) is secreted at its highest at this point-->most likely to lead to diabetes
|
