4 Flashcards

1
Q

Anasarca:

A

diffuse edema

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2
Q

Allantoic cyst:

A

cyst found within the umbilical cord

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3
Q

Are chorioangiomas benign or malignant:

A

benign

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4
Q

Circumvallate placenta:

A

an abnormally shaped placenta caused by the membranes inserting inward from the edge

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5
Q

Cotyledons

A

Groups or lobes of chorionic villi

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6
Q

Erythroblastosis fetalis:

A

a condition in which there is an incompatibility between fetal and maternal red blood cells

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7
Q

Exsanguination:

A

to bleed out

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8
Q

Neonatal period:

A

first 28 days of life

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9
Q

Non immune hydrops

A

fetal hydrops caused by congenital fetal anomalies and infections

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10
Q

Placenta accreta:

A

abnormal adherence of the placenta to the myometrium in an area where the decidua is either absent or minimal

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11
Q

Placenta increta

A

Invasion of the placenta within the myometrium

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12
Q

Placenta percreta:

A

penetration of the placenta through the uterine serosa and possibly adjacent pelvic organs

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13
Q

Preeclampsia is considered after:

A

20 weeks

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14
Q

When the shoulder of the fetus cannot pass through the birth canal

A

shoulder dystocia

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15
Q

Vernix

A

protective fetal skin covering

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16
Q

Vitelline duct:

A

the structure that connects the developing embryo to the secondary yolk sac

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17
Q

Wharton’s Jelly:

A

gelatinous material that is located within the umbilical cord around the umbilical vessels

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18
Q

In later pregnancy, the placenta produces:

A

estrogen and progesterone

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19
Q

The placenta is made up of 3 components:

A

chorionic plate, placental substance ** contains functional parts of the placenta ** and basal layer

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20
Q

What are the concerns with a circumvallate placenta?

A

vaginal bleeding and placenta abruption

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21
Q

The placenta thickness should not exceed:

A

4cm

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22
Q

Placenta previa is more likely seen in women:

A

multiparity
hx of c-section
advanced maternal age
previous abortion

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23
Q

Causes of a thick placenta:

A
diabetes
maternal anemia 
infection 
fetal hydrops
Rh isoimmunization
multiple gestation
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24
Q

Causes of a thin placenta:

A
diabetes (long standing)
IUGR
placental insufficiency 
polyhydramnios
preeclampsia
small for dates fetus
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25
Q

If you suspect potential previa, what should you do?

A

Get the patient to empty the bladder and assess again

26
Q

Vasa previa is often associated with:

A

velamentous cord insertion

27
Q

A complete placental abruption often results in the development of ? Where will they be located?

A

retroplacental hematoma, located between the placenta and myometrium

28
Q

What’s the most common placental abruption identified w sonography?

A

Marginal abruption

29
Q

Maternal conditions associated with placental abruption?

A
hypertension
preeclampsia
cocaine use
cigarette smoking
poor nutrition
trauma
30
Q

What are the concerns with placenta accreta?

A

Pt could suffer from heavy bleeding at delivery and potentially uterine rupture
Pt may need an emergency hysterectomy

31
Q

With placenta accreta, you usually what as well?

A

Placenta previa

32
Q

What’s the symptoms of chorioangioma?

A

Possible elevation of maternal AFP

33
Q

Sonographic appearance of chorioangioma?

A

Hypoechoic or hyperechoic mass adjacent to the umbilical cord insertion

34
Q

Larger chorioangiomas are associated with:

A

polyhydramnios, IUGR and fetal hydrops

35
Q

What’s the most common umbilical cord abnormality?

A

2VC

36
Q

Marginal cord insertion aka

A

Battledore placenta

37
Q

Are allantoic cysts of concern?

A

If unresolved, they can be linked to aneuploidy and omphaloceles. These cysts are usually seen at the fetal abdomen

38
Q

What’s the most common, but also very rare, tumor of the umbilical cord?

A

Hemangioma

Usually by cord insertion

39
Q

Does the S/D increase or decrease with gestational age

A

Decrease

40
Q

A higher S/D ratio is associated with?

A

Placental resistance, IUGR and oligohydramnios, which is associated with perinatal mortality and morbidity

41
Q

The SDP should measure at least:

A

2cm

42
Q

When TORCH is suspected, what could you likely see?

A

Intracranial calcifications
Microcephaly
Ventriculomegaly and Hepatosplenomegaly

43
Q

IUGR is less than

A

10th percentile

44
Q

Large for dates is

A

above 90th percentile

45
Q

What’s the best indicator of IUGR?

A

Abdo circumference

46
Q

Causes of symmetric IUGR:

A

fetal insult – infection

genetic disorders, congenital malformations, syndromes

47
Q

Causes of asymmetric IUGR:

A

Placental insufficiency – most common risk factor is hypertension
Oxygen deficiency

48
Q

Maternal risk factor for macrosomia?

A

Diabetes

49
Q

Cx length should be at least?

A

3cm (penny)

or is it 2.5cm?

50
Q

Immune hydrops occurs when the mother has Rh _______ blood, and the fetus has Rh ________- blood

A

negative

positive (fetus)

51
Q

When and what do they give for immune hydrops?

A

RhoGAM at 28wks via intrauterine transfusion of RBC’s

52
Q

Causes of non-immune hydrops”

A
chorioangioma
CCAM
diaphragmatic hernia
fetal anemia
fetal infection
structural anomalies
chromosomal abnormalities (13, 18, 21, turner's)
53
Q

Those at risk for preeclampsia are:

A

diabetics and those with a hx of gestational trophoblastic disease

54
Q

Sonographic findings of someone with preeclampisa?

A
IUGR
oligohydramnios
GTD
placental abruption
or an elevated S/D ratio
55
Q

Mother’s with pregestational diabetes have a higher risk of:

A

miscarriage and toxemia
the fetus has a higher risk of congenital anomalies, hypoglycemia, respiratory distress and most commonly, cardiac defects, NT defects, sirenomelia, renal abnormalities and caudal regression syndrome

56
Q

Bladder flap hematoma’s appear as:

A

Complex mass greater than 2cm

Located adjacent to the c-sect scar

57
Q

What are the sonogrpahic findings of RPOC?

A

Color flow in an echogenic mass with endo fluid and endo measuring >10mm
Pt’s will have PP bleeding and this is treated by D&C

58
Q

All of the following are associated with thin placentas except: preeclampsia, IUGR, fetal hydrops and long standing diabetes

A

fetal hydrops

59
Q

All of the following are associated with a thick placenta except: fetal infection, Rh isoimmunization, placental insuffiency and multiple gestations

A

placental insufficiency

60
Q

Placenta accreta:

A

abnormal attachment of the placenta to the myometrium