Pregnancy Flashcards
When is the fundus palpable suprapubically?
14/40
When is the fundus palpable at the umbilicus?
22/40
What does the measurement from symphysis pubis to fundal height approximate? When does this become more unreliable?
SFH approximates gestational age until 36 weeks
When does a primip detect foetal movements?
When does a multip detect foetal movements?
20-22 weeks
16-18 weeks
What is the foetal movement threshold for clinical review of the pregnancy? At how many weeks pregnancy is this threshold set?
If it takes more than 12 hours to feel ten kicks after 28 weeks
When is beta HCG detectable? (serum and urine)
Serum - 7-12 days after conception
Urine 10-14 days after conception
What is the normal doubling rate of beta HCG? For how long?
Beta HCG doubles every 2-3 days during the first 60-70 days of pregnancy
What does a slow rate of betaHCG increase indicate
This is suggestive of ectopic pregnancy or miscarriage.
What should be visible on a TV USS with a beta HCG over 2000 IU/L?
The gestational sac
What should be visible on a transabdominal USS with a beta HCG over 6500 IU/L?
The foetus
When is amniocentesis done? What is the risk of miscarriage with amniocentesis?
14-16/40 weeks
Risk of 0.5-1% miscarriage
When is chorionic villus sampling done? What is the risk of miscarriage with chorionic villous sampling?
10-12/40 weeks
1% risk of miscarriage
At what two levels and when should the post partum uterus be palpable?
Day 1 - at the umbilicus
Day 10 - suprapubically.
