Klepper - Lecture 1

Question 1

dx for pregnancy

Answer 1

amonorrhea and (+) urine pregnancy test (UPT)

Question 2

any woman of childbearing age w. new onset amenorrhea should get

Answer 2

UPT

Question 3

gs to confirm EDD (estimated due date)

Answer 3

US

Question 4

6-12 weeks __ is measured on US

Answer 4

crown rump length (CRL)

Question 5

13-20 weeks __ is measured on US

Answer 5

biparietal diameter (BPD)

Question 6

other important factors when pt presents late in pregnancy (5)

Answer 6

first measurable serum hcg

first urine hcg

fetal heart tones

uterine size

quickening → baby movements

Question 7

first measurable serum hcg

Answer 7

3 weeks

Question 8

first measurable urine hcg

Answer 8

4 weeks

Question 9

fetal heart tones by doppler

Answer 9

10 weeks

Question 10

fundal height =

Answer 10

gestational age (GA) starting 20 weeks gestation

Question 11

how do we measure GA

Answer 11

time elapsed since LMP

NOT calculated from time of conception

Question 12

term =

Answer 12

40 weeks

280 days

Question 13

embryo

Answer 13

2-10 weeks

oogenesis happens

Question 14

fetus

Answer 14

11-40+ weeks

lung development

brain development

Question 15

why is distinction btw embryo vs fetus important

Answer 15

for considering teratogenesis of toxin exposure

Question 16

t/f: the further a pregnancy progressed, US becomes more accurate in predicting due date

Answer 16

F

Question 17

a pt’s lmp was 11/18/19; using naegle’s rule, what was her due date

Answer 17

8/25/2020

Question 18

toxin exposure in fetal period poses less risk of congenital malformations bc

Answer 18

fetal organs have already formed (for the most part)

Question 19

naegele’s rule

Answer 19

lmp + 7 days - 3 mo + 1 year

Question 20

gavida/para

Answer 20

g: total # of pregnancies

p = term, preterm, abortion, living

Gx = P a b c d

Question 21

when does bp return to normal in pregnancy

Answer 21

at term → ⅓ of all cardiac output goes to uterus

Question 22

early US measurement of CRL helps establish EDC w.in

Answer 22

5-7 days

Question 23

US becomes less accurate as

Answer 23

pregnancy progresses

Question 24

embryonic period is from

Answer 24

conception - 10 weeks

Question 25

fetal period is

Answer 25

between 10 weeks and birth

Question 26

gravida refers to

Answer 26

total # of pregnancies, including current pregnancy

Question 27

physiologic changes of pregnancy include

Answer 27

increased: blood volume, cardiac output

decreased: peripheral vascular resistance, ventilation, GI slowing

Question 28

t/f pregnancy increases risk for VTE more than birth control

Answer 28

T!