Lecture 1B

Question 1

Most pregnancies last about ____ weeks

Answer 1

40

Question 2

Pregnancys are split into

Answer 2

Trimesters

Question 3

First trimester is weeks

Answer 3

1-13

Question 4

Second trimester is weeks

Answer 4

14-26

Question 5

Third trimester is weeks

Answer 5

27 until ‘term’

Question 6

In the first trimester assesment what is looked at (4)

Answer 6

Presence of gestational sac to confirm pregnancy
Location of gestational sac- to confirm intrauterine pregnancy
Size of sac - confirms age
Number of sacs - number of fetus

Question 7

In the first trimester what do we see within the gestational sac

Answer 7

An embryo, yolk sac and cardiac activity

Question 8

We use _______ to confirm fetal heart rate

Answer 8

M-mode

Question 9

In the first trimester an exam is usually perform at _______ to ______ weeks to exam ______

Answer 9

11-14

Assess certain abnormalities. Increased nuchal translucency measurement is suggested

Question 10

In the first trimester the assesment also includes

Answer 10

Pelvic US of the mother looking at uterus, ovaries and adnexa

Question 11

2 examples of non viable pregnancies

Answer 11

Ectopic pregnancies

Hydatidiform mole

Question 12

3 pregnancy complications

Answer 12

Vaginal bleeding
Pelvic pain
Maternal pelvic masses or uterine abnormalities

Question 13

In the first trimester assesment benefits (2)

Answer 13

Reduced anxiety for mother

Maternal/paternal attachment

Question 14

the second trimester assesment occurs in what time period

Answer 14

18-22 weeks

Question 15

In the second trimester assesment we look at

Answer 15

Assesment of viability- cardiac activity

Fetal number, presentation and anatomical survey to measure growth

Fetal environment

Maternal structures

Question 16

In the second trimester assesment a limited exam can occur due to

Answer 16

Not seeing the heart well due to patient position - may have to bring patient back for limited exam

Question 17

In the second trimester assesment you can have a ____ exam

Answer 17

Specialized

Question 18

In the second trimester assesment a specialized exam is to ____________ and indications for this are _____(3)

Answer 18

Look at detailed examination of specific structures

Indications:
Anomaly suspected on level 1 or earlier
Family history
Abnormal blood tests

Question 19

The third trimester assesment is common?

Answer 19

No

Question 20

The third trimester assesment is limited due to

Answer 20

Fetal bone ossification, especially further along in the pregnancy

Question 21

The third trimester assesment indications (4)

Answer 21

Gestational diabetes
Maternal measurements are inappropriate for age
Mother cannot feel baby
Checking the postion of baby before birth
Placenta location
Incompetent cervix
Multiple gestational pregnancies are considered high risk
Some pathologies are better seen once fetus has grown large

Question 22

Further indications for 2nd and 3rd trimester

Answer 22

Vaginal bleeding
Abdominal/pelvic pain
Poor prenatal care