Comprehensive final exam BBB Flashcards
What characteristics of fertile mucus should she look for
Slippery
Which hormone is responsible for making cervical mucus slippery and optimal for sperm capture and transport
Estrogen
Which hormone causes the endometrium to grow thicker and regenerate during each cycle
Estrogen
What are the best fertile days for a patient with regular 26-27 day menstrual cycle
Days 9-16
27 DAYS - 14 = 13
26 DAYS - 14 = 12
DAY 12 - 3 =9
DAY 13 + 3 =16
Not absolutely set in stone…..but look for the closes answer..
What does omega-3 helps with
Has been shown to help fetal eye and brain development
What are the 6 or 7 fish types that FDA and EPA recommend that pregnant people avoid/highest mercury levels
Listeriosis
food culprit
Toxoplasmosis
Key questions to rule in/out Implantation bleeding
Amount of bleeding
Timing in cycle
Pain
Key questions to rule in/out Ectopic
Pain
location
timing
Key questions to rule in/out cervical irritation
Amount of bleeding .
Timing after intercourse or exam
Key questions to rule in/out spontaneous abortion
Amount of bleeding
Cramping
What fetal structures will the sonographer measure in 9 weeks pregnancy
Crown-rump length
Which genetic tests are diagnostic
Amniocentesis /Chorionic villus sampling
When can chorionic villus sampling (CVS) be done
Between 10-13 weeeks
What information are included in the cell-free DNA (cfDNA) screen
Only aneuploidies like trisomy 21
What does the first trimester genetic screening consists of?
when can the first trimester be done
nuchal translucency ultrasound + serum analytes
11-13 weeks
If patient chooses first trimester genetic screening…what can you tell her about screening for NTDs
She would need to have a second trimester screen with MSAFP, ultrasound or both
When is the fetal anatomy survey ultrasound done
around 20 weeks pregnancy
What does the integrated or sequential screen include
Nuchal translucency ultrasound and maternal serum analytes in the first trimester + a quad screen in the second trimester
Where do you find patient’s fundus at 20 weeks
Around the umbilicus
When do we do Tdap for a pregnant woman
Pregnant women should get a Tdap with every pregnancy, preferably between 27 and 36 weeks.
What questions can you ask to determine normal back pain
Recommend for relief
Contractions/cramping
Dysuria, frequency
Increased vaginal discharge, odor, irritation
Optimize posture
Use good body mechanics
when should GBS be collected
36 0/7-37 6/7 weeks gestation
Which hormone is responsible for constipation
Progesterone