Fetal Growth Abnormalities Flashcards
What can be used to evaluate pregnancy complicated by fetal growth restriction?
amniotic fluid volume, umbilical artery Doppler studies, non-stress test
What does BPP evaluate?
fetal movement, fetal tone, amniotic fluid, and breathing
What to do if preterm IUGR detected?
NSTs should be performed twice weekly with at least a weekly AFI, BPP may be performed weekly
Ultrasound for fetal growth is not useful to detect a difference if performed more frequently than ___.
every 2 weeks
In order to accurately confirm gestational age at term, one of the following criteria should be met:
fetal heart tones have been documented for 20 weeks by non electronic fetoscope or for 30 weeks by Dopper; it has been 36 weeks since positive serum or urine HCG test performed by reliable laboratory; ultrasound measurement of crown rump lenght obtained at 6 to 12 weeks, supports gestational age of at least 39 weeks, determined by clinical history and physical exam. Crown rump length can reliably date a pregnancy within 5 to 7 days.
abnormal fetal swallowing may be a result of :
CNS or GI tract abnormalities, such as anencephaly, esophageal or duodenal atresia, diaphragmatic hernia or primary muscular disease
fetal growth restriction is a risk factor for development of disease as an adult such as:
cardiovascular disease, chronic hypertension, stroke, chronic obstructive lung disease, type 2 diabetes, obesity, cognitive delay in childhood
what is growth restriction definition by percentile?
fetal weight less than 10th percentile
The fetus with macrosomia is defined by:
birth weight at or above the 90th percentile for gestational age
what is the best option for estimating fetal weight?
obstetric ultrasound