Module 3 study Flashcards
1st trimester
1-13 weeks
2nd trimester
13-28 weeks
3rd trimester
28-40 weeks
Menstrual vs u/s pregnancy dating
< 9 weeks:
suggest changing if the difference between menstrual dates and U/S dates is
More than 5 days
9-13 6/7 weeks
Suggest changing if the difference between menstrual dates and U/S dates is
More than 7 days
Uterine size at 6 weeks
small orange or small pear
Uterine size at 8 weeks
Navel orange
Uterine size at 10-12 weeks
grapefruit
Naegele’s rule
Based on 28 day cycle
LMP + 7 days - 3 months + 1 year = estimated date of birth
30 days cycle = + 2 days
26 days cycle = - 2 days
Women Hemoglobin/hematocrit value
11/33
TSH reference range
Non pregnant: 0.34 - 4.25
First Trimester: 0.6 - 3.4….some 4.0 as upper limit
Prepregnancy BMI < 18.5
Weight category: underweight
Total weight gain: 28-40
Recommended 1st trimester: 5 lbs
Recommended 2nd and 3rd trimester: 1/wk
Prepregnancy BMI 18.5 - 24.9
Weight category: normal weight
Total weight gain: 25-35
Recommended 1st trimester: 2-5 lbs
Recommended 2nd and 3rd trimester: 1/wk
Prepregnancy BMI 25.0-29.9
Weight category: overweight
Total weight gain: 15-25
Recommended 1st trimester: 0-2 lbs
Recommended 2nd and 3rd trimester: 0.6/wk
Prepregnancy BMI > 30.0
Weight category: obese
Total weight gain: 11-20
Recommended 1st trimester: 0-1 lbs
Recommended 2nd and 3rd trimester: 0.5/wk
mild glycosuria in pregnancy
is due to increased glomerular filtration rate (GFR) and is normal in pregnancy
informed consent when discussing genetic screening option is an example of which ethical principle
Autonomy
the moral goodness of an action by its consequences best describes the concept of
utilitarianism:
example:
mandating the covid-19 vaccine for hospital staff is meant to reduce spreading covid-19 to compromised patients. This consequence does not take into consideration the inconvenience and potential small risk of harm to the staff.
It focused on the greater good.
To act in the benefit of the patient (regardless of the consequence)
Beneficence
to avoid harm to the patient (regardless of the consequence)
Non-maleficence
Listeriosis
Bacteria
Food:
raw sprouts
deli meats and hot dogs
raw milk
soft cheese
smoked seafood
Fetus:
Miscarriages
stillbirths
newborn deaths
Toxoplasma
Parasite
Food:
undercooked food (especially pork, lamb, venison
shellfish
cat feces
drinking contaminated water
Fetus:
Miscarriage
stillbirth
preterm birth
serious newborn illness
Mercury
Tuna, bigeye
King mackerel
Marlin
Shark
Swordfish
Orange roughy
Tilefish (Gulf of Mexico)
Which genetic screening determines fetal sex
chorionic villus sampling (CVS)
Cell-free DNA/NIPT/NIPS (cfDNA)
Which genetic screening is diagnostic
chorionic villus sampling
which genetic screening is non invasive…no risk to fetal
NT/Serum screen
Cell-free DNA/NIPT/NIPS