Keppler - Lecture 3 Flashcards
first step in counseling/education
SAB precautions
lifestyle
medication
sexual activity
second step in counseling/education
screening for aneuploidy
delivery plan
birth control
third step in counseling/education
anesthesia
breastfeeding
postpartum care/f.u
what is done at each visit
maternal vitals
fetal heart tones
fundal height
OB targeted ROS
what is done at each visit
maternal vitals
fetal heart tones
fundal height
OB targeted ROS
earliest gestational age fetal heart tones can be heard by doppler
10 weeks
measuring fundal height estimates fetal size, and the distance should be w.in about __ cm of pt’s gestational age in weeks
2-3
preferred genetic testing/screening test
CFDNA
genetic screening to offer all pt’s
CF
SMA (spinal muscular atrophy)
t/f diagnostic tests like cvs and amniocentesis are rarely performed currently given the increased accuracy of screening tests like cell-free DNA
t!
2 screenings done in second trimester for all pregnant pt (regardless of risk)
GDM
anemia
common complications to educate/screen for in second trimester
preterm labor
t/f: low risk pt’s do not need to be screened for GDM in the 2nd trimester
F
but low, low risk pt’s do not necessarily need to be screened
what % of pregnancies are preterm
10%
types of malpresentation (3)
vertex
breech
transverse
spontaneous labor
anytime after 37 weeks
many indications for induction or cesarean occur >
39 weeks
>37 weeks for more serious
t/f: GBS carrier screening should be done for all pt’s at 36 weeks
t!
90% of preterm labor occurs
after 34 weeks
__ tests range from 80-99% sensitivity and are non-invasive
__ tests are 100% accurate but carry a small risk of pregnancy loss
screening
diagnostic
does US pose risk to pregnancy
no!
at a recent holiday gathering you learn that your great, great, great, great grandmother was a G20 P10 6 6 13. how many of her pregnancies ended prior to 20 weeks
6
