gyn - Sheet1 Flashcards
Gestational diabetes, when to screen
24-28 weeks
chorionic villus sampling (CVS), when to do
10-12 weeks
CVS: fetal loss rate
1%
Pt has gestional diabetes, goals of glucse:
Fasting <6%
50g glucose challenge test
<140 is normal
100g glucose challenge test
2+ to be abnl = gestional diabetes
Fasting <140
Folate acid requirements
non-high risk patieng: 0.4 mg/day
pt w previous baby w NTD: 4 mg/day
pt does wants non-invasive dx of DS:
detailed fetal US and echocardiogram at 18-20 wks
1st trimester screen for Down Syndrome
11-13,6 weeks
Nuchal translucency
PAPP-A
b-hcg
85% detection rate
2nd trimester screen for Down Syndrome
15-22,6 weeks
AFP b-hcg inhibin A uE3 80% detection rate on its own
Had PPROM, risk of it happening again
32%
PPROM at 28-34 wks
50% go into labor w/in 24 hours
80% go into labor w/in 48 hours
PROM at term
90% go into labor w/in 24 hours
Fetal fibronectin, when to do
24-35 wks, pts w sxs of labor
normal? means 1% chance of going into labor in 2 weeks
Betamethasone steroid use
24-34 weeks
Obesity classes
Class 1: BMI 30-35
Class 2: BMI 35-40
Class 3: BMI 40+
Cerclage
place at 14 weeks
Normal weight pt appropriate weight gain
25-35 pounds
appropriate weight gain for obese pt (BMI >30)
11-20 pounds
appropriate weight gain for underweight pt (BMI <18.5)
28-40 pounds
appropriate weight gain for overweight pt (BMI 25-30)
15-25 pounds
preeclampsia onset
anytime after 20 wks
appropriate number of diapers for well-fed baby
3-4 in 24 hours
appropriate number of wet diapers for well-fed baby
6 wet diapers in 24 hours
