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Clinical Decision Making Exam 1 > Keppler - 3 > Flashcards

Keppler - 3 Flashcards

1
Q

2 ways to assess fetal growth

A

fundal height

US (biometry)

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2
Q

fetal biometry includes (2)

A

head circumference

biparietal diameter

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3
Q

2 types of fetal growth abnormalities

A

macrosomia

intrauterine growth retardation (IUGR)

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4
Q

macrosomia includes (2)

A

LGA

S>D

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5
Q

macrosomia can be caused by (5)

A

GDM

constitutional (both parents are large)

excessive maternal wt gain

genetic syndromes

inaccurate dating

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6
Q

intrauterine growth retardation (IUGR) includes (2)

A

SGA

fetal growth restriction (FGR)

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7
Q

dx for macrosomia

A

fundal height

fetal US

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8
Q

which is more accurate: fundal height or US

A

US

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9
Q

4 tx for macrosomia

A

tx cause (ex GDM)

induction of labor

cesarean

genetic syndromes

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10
Q

risk of cesarean delivery

A

shoulder dystocia

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11
Q

causes of intrauterine fetal growth restriction (5)

A

placental insufficiency

infxn

genetic syndromes (aneuploidy)

inaccurate dating

constitutional

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12
Q

dx for fetal growth restriction

A

fundal height

fetal US

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13
Q

when is fetal growth restriction concerning

A

<10th %ile

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14
Q

what do umbilical cord dopplers tell us

A

if placenta is functioning properly

so that baby’s heart doesn’t have to work too hard

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15
Q

source of amniotic fluid

A

baby’s kidneys

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16
Q

too much amniotic fluid

A

polyhydraminos

17
Q

too little amniotic fluid

A

oligohydraminos

18
Q

why do we care about oligohydraminos

A

placental insufficiency → risk for fetal demise

19
Q

major cause of polyhydraminos

A

GDM

20
Q

how does the baby get rid of amniotic fluid

A

baby swallows it

21
Q

why do we care about pollyhydraminos

A

preterm labor/rupture

cord prolapse

fetal malpresentation

22
Q

fetal growth delay or excess is suggested by __

and is confirmed by __

A

abnormal fundal height

US → biometry

23
Q

__ is critical to evaluating fetal growth abnormalities

A

accurate pregnancy dating

24
Q

__

and __ are among mc causes of excessive fetal growth and excessive fluid

A

DM

GDM

25
Q

important prevention of excessive fetal growth/fluid

A

aggressive glycemic control

26
Q

__ is a common cause of fetal growth delay and oligohydraminos

A

placental insufficiency

27
Q

management of oligohydraminos

A

close f.u

attention to delivery timing

Clinical Decision Making Exam 1 (22 decks)

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