NURS 4500 Class #2 Preconception and Uncomplicated Pregnancy

Question 1

When can we assess FHR

Answer 1

10-12 weeks

Question 2

When can we asssess SFH

Answer 2

20 weeks

Question 3

When can we assess fetal movements

Answer 3

~24 weeks

Question 4

When can we so Leopold’s maneuver to assess

Answer 4

30-32 weeks

Question 5

What are labs & diagnostics 4 weeks onward

Answer 5

Urine or serum hCG

Question 6

What are labs/diagnosticds 10-12 weeks

Answer 6

1. CBC
2. Blood type, rh, antibody screen
3. MSU C&s, urinalysis
4. Cervic]cal swab GC & CT
5. serology: HIV, HEP B, Syphilis
6. Titres for rubella, varicella

Question 7

Labs and diagnostics for weeks 10-14

Answer 7

U/S forNuchal Translucency

Question 8

Labs and diagnostics for 15-20 weeks + 6 days

Answer 8

Maternal Serum Screening (AFP, hCG, estriol, Inhibin A)

Question 9

18-22 weeks

Answer 9

U?S

Question 10

Labs and diagnostics for 28 weeks

Answer 10

1. OGTT 50gm
2. Repeat CBC
3. Repeat HIC & syphilis screening (consider need for full repeat on STI panel)
4. Repeat Rh & antibody screen (if Rh WEG)

Question 11

Labs and diagnostics for weeks 35-37

Answer 11

GBS vaginal/perianal swab

Question 12

How can we preevent fetal hemolytic anemia

Answer 12

If a pregnant person is is Rh HEG carrying a fetis that is Rh POS,

We prevent this by giving the pregnant person Rh IgG 300mcg (if antibody screen is NEG) routinely at 28 wk & within 72 hours of the birth of Rh POS infant

Question 13

It is used to diagnose genetic disorders or chromosomal abnormalities in the 1st trimester.
It is done at 10-13 weeks, U/S guided biopsy of chorion (transbdominal or transcervical)

Answer 13

CHORIONIC VILLUS SAMPLING

Question 14

It is done to diagnose genetic disorders or chromosomal abnormalities.
It determine fetal lung maturity.
Used to diagnose fetal hemolytic anemia.

Done 15 weeks on, U/S guided transabdominal extraction of amniotic fluid.

Answer 14

AMNIOCENTESIS