prenatal screenings/information Flashcards

1
Q

what is the first trimester?

A

1-13 weeks

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2
Q

what is the second trimester?

A

14-26 weeks

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3
Q

what is the third trimester?

A

27-40 weeks

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4
Q

from 1-28 weeks, how many OB appointments are there?

A

patient comes every 4 weeks

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5
Q

from 29-36 weeks how often does woman come back?

A

patient returns every 2 weeks

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6
Q

from 37-40 weeks how often does woman come back?

A

patient returns weekly

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7
Q

> 40 weeks, how many times does woman come to OB appointment?

A

return 2x/week

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8
Q

what is done at each visit?

A

weight, BP, UA, FHT, fundal height (starts at 20 weeks), presentation of fetus, screening for edema

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9
Q

when can first transvaginal US be done?

A

8 weeks for dating
- crown rump length is most accurate 1st TM screening that estimates date of delivery

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10
Q

when can truE 1st tm screening start

A

11-13 weeks

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11
Q

what happens at 11-13 weeks

A

plasma hcg
PAPP-A
nuchal translucency
chorionic villus sampling if indicated

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12
Q

what is most accurately done at 11-13 weeks

A

NIPT can be done from 10 weeks-term and is most accurate

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13
Q

what screening happens from 14-26 weeks

A

quad screening, AFP for ntd, and amniocentesis if indicated
also glucose testing but technically overlaps into 3rd tm (24-28 weeks)

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14
Q

what is entailed in quad screening

A

AFP, inhibin-A, estriol, b-hcg

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15
Q

when does abdominal anatomy scan happen?

A

18-22 weeks
*best at 20-22 weeks

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16
Q

what testing is done between 27-40 weeks

A

28 weeks- rhogam if needed,
27-36 weeks- tdap
28 weeks- abdominal US for fetal growth
32-34 weeks- h/h
35-37 weeks- GBS

17
Q

what tests are done in at the very initial OB appt

A

cbc, ua + culture, hcg
ABO/rh typing w/ ab screening
RPR/VDRL, HIV
hep b surface ag
rubella and varicella titers
pap
gonorrhea/chlamydia