Normal Obstetrics Flashcards
Fetal movement in primigravida? multigravida?
Primigravida: 18-20 weeks
Multigravida: 16-18 weeks
When is hCG detected in maternal serum? when does it peak?
8-9 days after ovulation
plateau: 16 weeks
hCG produced by
syncitiotrophoblasts
Inc hCG conditions
multiple pregnancy, molar pregnancy, exogenous injection, impaired renal clearance, hCG-secreting tumors
when is the sonographic detection of gestational sac?
4-5 wks
when is the sonographic detection of yolk sac?
middle of the 5th week
when is the sonographic detection of embryo
> 6 wks
when is fetal heart sounds appreciated in Doppler UTZ? Stethoscope?
10 wks
20 wks
Dose of folic acid to prevent NTDs? if with previous NTD?
400 mcg/day
4 mg/day
immunization schedule of TDaP in pregnancy?
IM (3 doses): 0, 1, 6-12 mos
immunization schedule of influenza vaccine in pregnancy?
IM (1 dose) once a year
immunization schedule of hepatitis B vaccine in pregnancy?
IM (3 doses): 0, 1, 6 mos
normal fetal activity?
10 fetal movements in up to 2 hours in normal
Satisfactory test in CST
3 or more contractions
40 seconds or more
10-minute period
Positive CST
abnormal
late fetal heart deceleration due to U-P insufficiency