6: Testing and Visits Flashcards
Who should be offered screening tests for chromosomal abnormalities and neural tube defects and when?
All women.
Up to 20 weeks.
These tests indicate presence of condition.
Diagnostic
How often do prenatal visits occur in uncomplicated pregnancies?
Q 4 weeks until 28 weeks
Q 2 weeks 28-36 weeks
Q weekly until delivery
Which women should be screened for diabetes?
Hx of impaired glucose metabolism or GDM.
Current BMI 30+.
Which women should be screened for varicella antibody?
Women with no hx of natural infection.
T/F All pap testing is suspended until postpartum d/t risk for stimulating preterm labor.
False. Pap testing can be done if necessary or due.
Which women should be offered hemoglobin electrophoresis?
African descent
These tests indicate risk.
Screening
Which tests should be completed at the 1st prenatal visit for all women with each pregnancy?
CBC (+ H/H) Blood type + Rh Antibody screen Rubella titer HBsAg HIV Syphilis (VDRL or RPR) Urine culture Urine chlamydia and gonorrhea
What ongoing assessments should occur at each prenatal visit?
- BP
- Weight
- Urinalysis
- FHTs
- Fetal growth
- Maternal perception of fetal activity
- Significant events since last visit
- Fetal presentation (3rd trimester)
What is a GTT and why and when is it ordered in pregnancy?
Glucose Tolerance Test is done at 24-28 weeks. First one is a 50-gram 1 hour test. If over 135 (or 140), they fail and go to next test. 75-gram 3 hour GTT test is next. The 2 abnormals are needed for a diagnosis of gestational DM. So 1-hour is first. Failure leads to 3-hour GTT.
Which women should be screened for TSH?
Women with a hx of thyroid abnormalities.
Which women should be screened for Hep C?
Women with a hx of blood transfusion before 1992 or any injected drug use.
