Antepartum Flashcards
What has the highest correlation with congenital abnormalities?
Alcohol use
What is measured in first trimester to check for down’s syndrome?
pregnancy associated plasma protein (decreased), Beta HCG (increased), NT
What is the quad test and when is it performed?
most sensitive test for downs. unconjugated estriol, alpha feto protein, Beta HCG, inhibin A
How many accelerations are appropriate for babies?
2 accelerations of at least 15bpm above baseline for 15 seconds in a 20 min period
What are the components of fetal heart rate measured in a NST?
baseline, variability, periodic changes
What does a late decel indicate?
fetal hypoxemia
What are the causes variable decels? late decels?
cord compression? hypoxemia
What qualifies as a normal score on the biophysical exam?
10 points is normal 8-10 OK
Increased S/D in the umbilical artery indicates…
increased resistance = hypoxemia
What is the difference between CVS and amniocentesis
CVS done earlier, higher risks for baby
What is the best way to manage fetal heart tracings of variable decelerations? What do variable decels indicate?
variable decels - cord compression
oxygen delivery and maternal reposition
A child presents with midfacial hypoplasia, micocephaly, cleft lip, digit hypoplasia, hirsuitism and developmental delay. this is
phenytoin toxicity
What can be given to women with a history of preeclampsia for prevention?
Low dose aspirin
A woman presents at 10 weeks with large clots, open cervical os and no fetal cardiac activity. This is.. (and how do you manage)
inevitable spontaneous abortion - suction and curretage
When should universal screening for GBS take place?
Between 35-37 weeks
