Keppler - Lecture 3

Question 1

first step in counseling/education

Answer 1

SAB precautions

lifestyle

medication

sexual activity

Question 2

second step in counseling/education

Answer 2

screening for aneuploidy

delivery plan

birth control

Question 3

third step in counseling/education

Answer 3

anesthesia

breastfeeding

postpartum care/f.u

Question 4

what is done at each visit

Answer 4

maternal vitals

fetal heart tones

fundal height

OB targeted ROS

Question 4

what is done at each visit

Answer 4

maternal vitals

fetal heart tones

fundal height

OB targeted ROS

Question 5

earliest gestational age fetal heart tones can be heard by doppler

Answer 5

10 weeks

Question 6

measuring fundal height estimates fetal size, and the distance should be w.in about __ cm of pt’s gestational age in weeks

Answer 6

2-3

Question 7

preferred genetic testing/screening test

Answer 7

CFDNA

Question 8

genetic screening to offer all pt’s

Answer 8

CF

SMA (spinal muscular atrophy)

Question 9

t/f diagnostic tests like cvs and amniocentesis are rarely performed currently given the increased accuracy of screening tests like cell-free DNA

Answer 9

t!

Question 10

2 screenings done in second trimester for all pregnant pt (regardless of risk)

Answer 10

GDM

anemia

Question 11

common complications to educate/screen for in second trimester

Answer 11

preterm labor

Question 12

t/f: low risk pt’s do not need to be screened for GDM in the 2nd trimester

Answer 12

F

but low, low risk pt’s do not necessarily need to be screened

Question 13

what % of pregnancies are preterm

Answer 13

10%

Question 14

types of malpresentation (3)

Answer 14

vertex

breech

transverse

Question 15

spontaneous labor

Answer 15

anytime after 37 weeks

Question 16

many indications for induction or cesarean occur >

Answer 16

39 weeks

>37 weeks for more serious

Question 17

t/f: GBS carrier screening should be done for all pt’s at 36 weeks

Answer 17

t!

Question 18

90% of preterm labor occurs

Answer 18

after 34 weeks

Question 19

__ tests range from 80-99% sensitivity and are non-invasive

__ tests are 100% accurate but carry a small risk of pregnancy loss

Answer 19

screening

diagnostic

Question 20

does US pose risk to pregnancy

Answer 20

no!

Question 21

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

Answer 21

6