14 pregnancy

Question 1

first trimester fetal development

Answer 1

during first 12 weeks - heart, spine, arms, legs, other organs
neural tube closes 4 weeks
at 7-8 weeks, heart beats and fetus begins to move

Question 2

fetal heart tones first heard when

Answer 2

10-12 weeks by doppler

Question 3

RHOGAM

Answer 3

At 28 weeks and within 72 hours of delivery

Question 4

placenta previa risk factors

Answer 4

present in prior pregnancy 
> 35 yo 
smoker
twins or + 
previous uterine scar

more likely to resolve when found earlier

Question 5

chronic htn

Answer 5

before 20 weeks and after 12 weeks pp

Question 6

gestational htn

Answer 6

> 140/90 without proteinuria in normotensive pt now after 20 weeks

Question 7

preeclampsia

Answer 7

? 149/90 with proteinuria of 0.3 g or greater in 24 hour urine

eclampsia if convulsions

Question 8

severe preeclampsia or GH

Answer 8

> 160/110 for at least 6 hours

Question 9

Gestational DM dx

Answer 9

fasting > 95
1 hr > 180
2 hr > 155
3 hr > 140

Question 10

GBS

Answer 10

test at 35 weeks - 37
tx penicillin

OR ampicillin

Question 11

PUPPP

Answer 11

women develop papulovesicular lesions on the trunk and extremities

Question 12

prurigo of pregnancy

Answer 12

excoriated areas on trunk or limbs

Question 13

pruritic folliculitis

Answer 13

rash around ahir follicles, pustular

Question 14

PROM

Answer 14

premature = before labor onset, at any gestational age

Question 15

PPROM

Answer 15

pROM prior to 37 weeks