3rd trimester testing

Question 1

what diseases are we looking for?

Answer 1

gestational diabetes, Rh, Hbg

Question 2

gestational diabetes is what

Answer 2

diabetes that begins after 20wks.

Question 3

who do we test for GD

Answer 3

everyone. because it increases risks for mom. big babies (macrostomia) shoulder distocia

Question 4

risks for GD

Answer 4

BMI >30, history of GD in previous pregnancies, prediabetic.

Question 5

when do we screen for GD

Answer 5

later part of 2nd trimester unless risk factors

Question 6

how do we screen for diabetes?

Answer 6

asymptomatic screen: 1 hr after glucose load (50g) if >140.
then go to 3 hr test, 100g glucose. then measure fasting (>90), 1hr (180), 2hr (185), 3hrs (140) –any two of these is a positive.

Question 7

Do we use the A1c for diabetes

Answer 7

We do not screen A1c. this is will not show us the true value

Question 8

how do we treat GDs

Answer 8

insulin only. monitor postprandial glucose

Question 9

when do we give rhogam

Answer 9

28 wks and within 72 hours of delivery

Question 10

normal nadir at 28wks

Answer 10

10/30

Question 11

when do we screen Hgb

Answer 11

28 wks.

Question 12

if maternal anemia what do we need

Answer 12

iron studies.

Question 13

how do we treat anemia

Answer 13

iron.

Question 14

what do we think of with vitamin deficiency in preg

Answer 14

Iron!

Question 15

what is folate for?

Answer 15

neural tube defects