1st Trimester Flashcards
Which of the following would not be a normal sonographic appearance for a gestational sac?
intact echogenic borders
round, oval, or teardrop shaped
double decidua sign
located in mid to lower uterus
located in mid to lower uterus
Which of the following is the most common method used for measuring serum hCG levels?
1st IRP
2IS
3rd IRP
3rd IRP
Which of the following does the amnion NOT cover?
umbilical cord
insertion site into the embryo
yolk sac
amniotic fluid
yolk sac
A ___________ is the first reliable sign of an IUP (intrauterine pregnancy) with gray-scale sonography.
positive pregnancy test
secondary yolk sac
increased levels of hCG
gestational sac
gestational sac
During what week does the primitive gut develop?
week 4
week 5
week 6
week 8
week 4
The embryo forms limb buds at what week(s)?
Week 4-5
Week 5-6
Week 7-8
Week 9-10
Week 7-8
The morula will leave the fallopian tube and enter into where?
uterine cavity
blastocyst
corpus luteum
cervix
uterine cavity
Which of the following is used to help determine fetal well-being?
AFV
CRL
BPD
HC
AFV
Which lab would not be used to evaluate pregnancy?
ALT
AFP
inhibin A
unconugated estriol
ALT
The fetal phase makes up which weeks of development?
1-5
6-10
11-12
10-13
11-12
The umbilical cord is comprised of 2 veins and 1 artery.
True
False
False
What is the hCG level range that most labs use to indicate pregnancy should be visible?
1000-2000 mlU/ml
3000-4000 mlU/ml
5000 mlU/ml
50,000 mlU/ml
2000-3000 mlU/ml
1000-2000 mlU/ml
Which of the following would not be a normal sonographic appearance for a gestational sac?
anechoic
should be located in the mid to fundal uterus
should be located in mid to lower uterus
round, oval, or teardrop shaped
should be located in mid to lower uterus
A normal embryo grows at a rate of _______ per day.
2 cm
2 mm
1 mm
1 cm
1 mm
When the amniotic fluid is measured and put into units this is called:
AFC
MSD
AFV
CRL
AFV
Which of the following does the amnion NOT cover?
insertion site into the embryo
umbilical cord
yolk sac
yolk sac
When is the embryo a bilaminar disk?
Week 6
Week 7
Week 5
Week 4
Week 4
Which weeks are considered the most critical phase of human development?
12-14
4-5
6-10
5-8
6-10
Which of the following structures make up the double bleb sign?
A. yolk sac
B. chorion
C. amnion
D. pseudosac
B and C
A and C
A and B
C and D
A and C
The earliest a sonographer would expect to visualize the amnion, and consequently the double bleb sign, would be at _____ weeks.
6 weeks
4 weeks
3.5 weeks
5.5 weeks
4 weeks
Fertilization typically occurs in which portion of the fallopian tube?
infundibulum
ampulla
isthmus
interstitial portion
ampulla
Fertilization of the ovum typically occurs on what day?
16
20
14
15
15
Fetal lung buds will develop by:
week 6
week 4
week 5
week 8
week 5
Functional Kidney tissue and major organ systems are established by week:
9
8
7
10
10
What do sonographers use to determine the gestational age or menstrual age of an embryo/fetus?
first day of LMP
day 14 of a normal menstrual cycle
date of conception
last day of LMP
first day of LMP
A ___________ is the first reliable sign of an IUP with gray-scale sonography.
primitive yolk sac
increased levels of hCG
Gestational sac
secondary yolk sac
Gestational sac
During what week does the primitive gut develop?
week 5
Week 4
week 6
week 8
Week 4
While scanning an OB patient, you notice a midgut herniation extending into the base of the umbilical cord. According to the first day of LMP, the pregnancy is in 15th week. Which of the following should be done by you the technologist?
write that it appears abnormal and you notified the patient
note it was present during the scan, possibly normal vs. pathology
write on the worksheet that it appears normal
nothing at all
note it was present during the scan, possibly normal vs. pathology
The umbilical cord can be visualized around what anatomical structure?
Liver
Stomach
Kidneys
Bladder
Bladder
All of the following develop from the inner cell mass except:
embryonic disk
amnion
chorion
secondary yolk sac
chorion
Which of the following is not a layer of the endometrium in the pregnant state?
decidua media
decidua capsularis
decidua parietalis
decidua basilis
decidua media
The embryo forms limb buds at what week(s)?
Week 9-10
Week 5-6
Week 7-8
Week 4-5
Week 7-8
Which of the following would not be a cause of lower-than-expected hCG levels?
incorrect dates and pregnancy is not as far along
gestational trophoblastic disease
embryonic demise
ectopic pregnancy
gestational trophoblastic disease
Which of the following occurs at week 8?
Heartbeat visualized
major organ systems are est. by week
mineralization of skeleton
amnion and chorion should fuse
mineralization of skeleton
The morula is a ___ cell cluster.
25
14
13
16
16
Which of the following is used to help determine fetal well-being?
AFV
CRL
BPD
HC
AFV
The neural tube develops at what week?
week 4
week 7-8
week 6
week 5
week 4
The morulla will leave the fallopian tube to enter into where?
uterine cavity
corpus luteum
blastocyst
endometrium
uterine cavity
During what week does a primitive uteroplacental circulation develop?
week 4
week 5
week 6
week 7
week 4
Sonographic visualization and identification of a _________ within an early gestational sac is diagnostic of IUP.
embryonic disk
double bleb sign
yolk sac
vitelline duct
yolk sac
Typically, serum hCG levels will double every 2 to 3 _________.
hours
days
weeks
minutes
days
During what week does the embryo become a trilaminar disk?
week 4
week 5
week 6
week 10
week 5
Which of the following structures produces hCG?
C. embryonic disk
, Not Selected
A and B
B. inner cell mass
A. yolk sac
D and E
C and D
D. placenta
E. trophoblastic cells
D and E
The morulla will leave the fallopian tube on what day?
15
18
20
21
18
Typically, at which gestational age can a small gestational sac be visualized with TV ultrasound?
5.5 to 6 weeks
4.5 to 5 weeks
3-5 weeks
2 weeks
3-5 weeks
Which of the following is the most accurate way of dating a pregnancy sonographically?
crown rump length
mean sac diameter
measurement of yolk sac
head circumference
by fetal heart rate
crown rump length
The heart is visualized by week(s)?
4-5
5-7
6-8
10-12
5-7
By what week has the neurotube become a primitive embryonic brain?
week 4
week 5
week 6
week 7
week 6
During a normal 28 day menstrual cycle, ovulation typically occurs on day _____.
7
14
18
21
14
What parts fuse to become the umbilical cord?
yolk stalk and vitelline duct
The bladder is usually visualized at ____ weeks?
Correct answer:
11-13
The chorion surrounds the following:
amnion, yolk sac, embryo
Which term means “gravid or pregnant endometrium.”
decidua
The embryo can be visualized at ____ weeks with TV ultrasound.
5-6 weeks
When is the fetal phase?
Final 2 weeks of first trimester
The placenta acts to transfer gases, supply nutrients, and produce hormones throughout the pregnancy.
True
False
True
Which are functions of amniotic fluid?
aids with organ system development
produces estrogen and progesterone
shock absorber for fetus
removes waste products
aids with organ system development
hock absorber for fetus
Match the terms to the corresponding answer.
oligohydramnios
inadequate amniotic fluid
chorionic villi
fingerlike projections of trophoblasts
lacunae
where gases and waste products are transferred
polyhydramnios-
excess amniotic fluid
polyhydramnios- excess amniotic fluid
oligohydramnios- inadequate amniotic fluid
chorionic villi-
fingerlike projections of trophoblasts
lacunae-
where gases and waste products are transferred
midbrain-
mesencephalon
hindbrain-
rhombencephalon
forebrain-
prosencephalon
Serum hCG becomes detectable at approximately same time as gestational sac is visualized TV.
False
True
False
The rhombencephalon is the middle brain.
True
False
False
The embryo’s initial heartbeat occurs at 6 weeks.
False
True
True
The correct way to obtain the crown rump length is to measure from top of head to bottom of rump, including the legs.
True
False
False
he amniotic cavity expands and fill the chorionic cavity, this should be complete by week 16.
True
False
True
A patient has arrived for her first OB ultrasound exam. According to her lab results, the serum hCG level is 1980 mlU/ml. During the transabdominal scan, you are unable to visualized an intrauterine gestational sac. You should look for a possible ectopic pregnancy.
True
False
True
What is formed first after the union of an egg and sperm?
zygote
zygote
The umbilical cord is usually visualized at ____ weeks.
8 weeks
Which yolk sac is visualized sonographically throughout the first trimester?
secondary
What is the normal diameter of the Umbilical Cord?
<2 cm
The zygote will divide and then become a ___________.
morula
Implantation should be complete by day ______.
28
Where does normal bowel herniation occur?
base of umbilical cord
hCG stands for:
human chorionic gonadotrophin
What is the time range for the first trimester?
first day of LMP to 12 weeks
What makes up fetal vernix?
skin flakes
What occurs during the fetal phase?
rapid growth, organ devl, intestinal activity