1st Tri Flashcards

1
Q

Gestational age:

A

conceptual + 2 wks

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2
Q

What’s the first sonographic sign of an intrauterine pregnancy?

A

gestational sac (4.5wks)

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3
Q

What is the double decidual sac sign made up of?

A

chorion + decidua capsularis

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4
Q

These MSD measurements should be made at the:

A

interface between the echogenic border and fluid

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5
Q

Normal first trimester GS growth rate should be:

A

1mm/day

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6
Q

An intrauterine pregnancy should be seen TV with a serum beta hCG level greater than

A

1000-2000mIU/mL

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7
Q

What are causes of a high AFP level?

A
underestimated gestational age
multiple gestations
open NTD
abdo wall defect 
cystic hygroma
renal anomalies
fetal demise
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8
Q

What are causes of a low AFP level?

A
overestimated gestational age
chromosomal abnormalities
trophoblastic disease
long-standing fetal demise
chronic maternal hypertension
diabetes
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9
Q

With TVS we should see the GS

A

<8mm at around 5-5.5wks

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10
Q

The yolk sac and embryo can be seen separated by the ______ but connected by the __________ _______

A

amnion, vitelline duct

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11
Q

The yolk sac measures ______ to ______ in the first trimester

A

2-6mm (inner borders)

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12
Q

The embryo grows at a rate of _______ .

A

1mm/day

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13
Q

When is the embryonic period?

A

wk 6-10

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14
Q

When can we see cardiac activity?

A

5-5.5 wks or when the CRL=5mm

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15
Q

With a TA technique, we should see the embryo at what measurement?

A

25mm

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16
Q

What is the normal heart rate of the embryo?

A

120-180bpm

17
Q

The earliest ultrasound with a crown rump length equivalent to at least 7 weeks (or 10 mm) should be used to determine the gestational age. True or false

A

True

18
Q

By what weeks can getting the CRL be difficult? Why? (idk if this is something we need to know but)

A

11-12wks bc of fetal flexion

19
Q

A thickened NT is associated with? (4)

A

tri21
adverse outcome
genetic syndromes
structural anomalies

20
Q

The NT must be evaluated with a CRL no less than and no more than?

A

45-84mm

21
Q

What GA do we take a NT measurement?

A

11+0 - 13+6wks