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28 Cards in this Set

  • Front
  • Back

What is the most accurate sono method of estimating GA?

CRL in first trimester

If the AC fall more than ___ SD below the mean for GA look for additional signs of IUGR.

2

If the FL falls short more than ___ SD, look for other signs of skeletal dysplasia.

2

If head measurements and/or AC fall short, calculate the ratio of?

HC/AC

What is Nagele's Rule?

EDC=LMP- 3 months+7days


-used to determine due date from last menstrual period

Measuring the BPD and HC should be at the level of?

thalami and cavum septum pellucidum (CSP)

When measuring BPD calipers are placed?

"outer to inner"

Cephalic Index is? Normal range?

-defines head shape, and is determined by dividing the BPD by occipital frontal diameter (OFD)


-normal: 0.7-0.86 (70-86%)

Dolichocephaly is?

cephalic index <.70 or <70%

Brachyecephaly is?

cephalic index >.86 or 86%

In cases of dolichocephaly or brachycephaly ____ is eliminated from the estimation of GA.

BPD

OFD should be measured?

outer edge to outer edge

AC is performed at the level of?

level of stomach and portal sinus of umbilical vein

AC includes measurement of the?

soft tissue

FL is measured (posterior or anterior)?

anterior

The FL measurement includes only ___, NOT ___.

-only ossified diaphysis


-excludes epipyseal cartilage

What bones are measured when measuring the long bones?

-humerus


-radius


-ulna


-tibia


-fibula

Binocular distance is measured?

lateral orbital rim to lateral orbital rim

Transcerebellar distance is measured?

lateral aspects of cerebellum in axial plane

BPP is a system designed to detect fetal?

asphyxia

Fetal lie is defined as?

relationship of fetal long axis to long axis of mother

Fetal presentation refers to?

fetal part closest to the internal cervical os

What is the most common of all types of fetal presentation?

cephalic (head presenting), vertex most common with parietal bones presenting

A fetus is breech when?

fetal head in fundus of uterus

To determine position "be the fetus" ! If transverse image, and transverse view of fetus, then fetus is in a longitudinal lie meaning fetus is cephalic or breech. With spine 12:00, if stomach at 3:00 fetus is? If stomach is at 9:00 fetus is?

-cephalic


-breech

If longitudinal image, and transverse view of fetus, then fetus is in a transverse lie (head maternal left or head maternal right) Spine 12:00, if stomach is at 3:00 fetus is? If stomach is at 9:00 fetus is?

-transverse head maternal right


-transverse head maternal left

Examples of determining fetal lie.

What is the fetal lie based on this picture?

What is the fetal lie based on this picture?

Breech