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NCM-109 > High Risk Pregnancy: Assessment & Screening > Flashcards

High Risk Pregnancy: Assessment & Screening Flashcards

1
Q

Percentage of pregnancies that are high risk

A

29-30%

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2
Q

A pregnancy complicated by a disease or disorder that may endanger life or affect the health of the mother, fetus, or newborn

A

HIGH-RISK PREGNANCY

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3
Q

Examples of High Risk Pregnancy

A
  1. Bad obstetrics history
  2. Heart disease
  3. Diabetes
  4. Twins/triplets
  5. Hypertension / preeclampsia
  6. Severe anemia
  7. Placental Abortion
  8. Threatened preterm labor
  9. Hemolytic anemia
  10. Thrombocytopenia
  11. Bleeding disorders
  12. Thalassemia
  13. History of thrombosis
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3
Q

Any ascertainable characteristic or circumstance of a person (or group) known to be associated with abnormal risk of developing or being adversely affected by a morbid process

A

RISK FACTOR

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4
Q

Example of High Risk Labor

A
  1. Preterm
  2. Previous caesarian section
  3. Cephalopelvic disproportion
  4. Prolonged labor
  5. Obstructed labor
  6. Shoulder dystocia
  7. Retained placenta
  8. Inversion of uterus
  9. Ruptured uterus
  10. Perineal tear
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4
Q

Process for defining the nature of that problem, determining a diagnosis, and developing specific treatment recommendations

A

ASSESSMENT

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5
Q

Process of identifying apparently healthy people who may be at increased risk of a disease or condition

A

SCREENING

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6
Q

Screening of high risk cases is preferably done on what trimester?

A

FIRST TRIMESTER

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7
Q

It is a test to establish the presence (or absence) of disease as basis for treatment in decisions in symptomatic or screen positive individuals

A

DIAGNOSTIC TEST

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8
Q

Examples of Diagnostic Tests for High Risk Pregnancy

A
  1. Fetal ultrasound / ultrasonic testing
  2. Cardiotography (CTG)
  3. Non-stress test (NST)
  4. Contraction Stress Test (CST)
  5. Chorionic villus sampling
  6. Amniocentesis
  7. Embryoscopy
  8. Fetoscopy
  9. Percutaneous umbilical cord blood sampling
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9
Q

A test done during pregnancy that uses reflected sound waves to produce a picture of a fetus, the placenta, and amniotic fluid

A

FETAL ULTRASOUND

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10
Q

The pictures of a fetal ultrasound are called ______

A

SONOGRAM

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10
Q

This ultrasound is done on _____ trimester to:

  1. Determine how pregnancy is progressing
  2. Find out if female is pregnant with more than 1 fetus
  3. Estimate the age of the fetus (gestational age)
  4. Estimate the risk chromosome defect (DS)
  5. Check for birth defects that affect the brain / spinal cord
A

1ST TRIMESTER

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11
Q

Non-Invasive Diagnostic tests

A
  1. Fetal ultrasound
  2. Cardiotography
  3. Non-Stress Test
  4. Contractility Test
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11
Q

This ultrasound is done on _____ trimester to:

  1. Estimate gestational age of fetus
  2. Look at size & position of fetus, placenta, and amniotic fluid
  3. Determine position of fetus, umbilical cord
  4. Detect major birth defects
A

2ND TRIMESTER

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11
Q

This ultrasound is done on _____ trimester to:

  1. Make sure that a fetus is alive & moving
  2. Look at size and position of fetus, placenta, amniotic fluid
A

3RD TRIMESTER

12
Q

Machine used to perform monitoring in Cardiotography

A

CARDIOTOGOGRAPH (electronic fetal monitor)

13
Q

A technical means of recording the fetal heartbeat and the uterine contractions during pregnancy (usually 3rd trimester)

A

CARDIOTOGRAPHY

14
Q

At what week is chorionic villus sampling done?

A

10-12 weeks gestation

14
Q

These structures contain cells from the developing fetus. A test that removes a sample of these cells thru a needle is called ______

A

CVS - CHORIONIC VILLUS SAMPLING

14
Q

Also known as fetal heart rate monitoring in which a baby’s heart rate is monitored to see how it responds to the baby’s movement

A

NON-STRESS TEST

14
Q

A test performed near the end of pregnancy to determine how well the fetus will cope w/ contractions of childbirth. The aim is to induce contractions and monitor the fetus to check for heart rate abnormalities using cardiotocograph

A

CONTRACTION STRESS TEST (CST)

15
Q

These are small structures in the placenta that act like blood vessels

A

CHORIONIC VILLI

15
Q

A form of prenatal diagnosis to determine chromosomal or genetic disorders in the fetus

A

CHORIONIC VILLUS SAMPLING (CVS)

16
Q

A test that can be done during pregnancy to look for birth defects and genetic problems in the developing baby by removing a small amount of fluid from the sac around the baby in the uterus

A

AMNIOCENTESIS

16
Q

This test is 99% accurate for diagnosing Down Syndrome

A

AMNIOCENTESIS

17
Q

Examination of the embryo at 9-10 weeks gestation thru the intact membranes by introducing an endoscope into the exocoelomic space/cavity transcervically or transabdominally

A

EMBRYOSCOPY

18
Q

Examination of the fetus after 11 weeks gestation which is performed transabdominally in the amniotic fluid

A

FETOSCOPY

19
Q

A diagnostic test that examines blood from the fetus to detect fetal abnormalities

A

CORDOCENTESIS / PERCUTANEOUS UMBILICAL CORD BLOOD SAMPLING

20
Q

Examples of Invasive Diagnotic Tests

A
    1. Chorionic villus sampling
  2. Amniocentesis
  3. Embryoscopy
  4. Fetoscopy
  5. Cordocentesis

NCM-109 (9 decks)

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