Quiz 3 Flashcards
What is the precipitating cause of hydrops fetalis ?
Cardiac response to severe fetal anemia
In cases of fetal Rh isoimmunization, increased fetal hepatic RBC production results in ?
decreased oncotic pressure in the fetal vasculature
when liver produces RBCs, production of other proteins decreases
initial Ab devel. will occur in approx what % of index pregnancies inv. Rh-D neg mother and Rh-D positive fetus?
15%
anti-D immunglobulin given at 28wks reduces the risk of sensitization to what level?
the standard 300mg dose will neutralize how many mLs of fetal RBCs?
0.2%;
15
this test is used to detect fetal erythrocytes in maternal circulation
Kleihauer-Betke test
severe fetal anemia is indicated by a Hct less than?
30
women has a child that was born w severe anemia, at 24wks she has an Ab screen positive for anti-D and anti-C, next step in mngmt? if fetus has higher then nml flow velocity, do umbilical blood sampling to assess fetal..?
perform U/S for MCA doppler studies ;
Hct
initial prenatal labs show a Hgb of 9, next step?
empiric try of prenatal vit/mineral supplement containing iron sulfate
women w sickle cell trait (HbSA disease) have incr risk of?
UTIs
In oral iron therapy for iron-def. anemia, an incr in reticulocyte count can be observed within?
1 wk
Anemia in preg is defined as a Hct less than?
30%
a fetus with no copies of the alpha-globulin gene will likely result in?
intrauterine fetal demise
a pt. that loses urine when she coughs or sneezes most likely has what type of prolapse?
urethral
A “Q-tip” test is used to evaluate?
incontinence is usually assoc with upward rotation of?
urethral mobility;
30 degrees
Cervix/uterus descent below the vulva known as?
Procidentia
% of women that will have a UTI at some pt in their lives?
60%
ASx bacteruria is found in what % of postmenopausal women?
20
transducer placed in vagina to measure intra-abdominal P as part of what test?
MULTIchannel urodynamic testing
Recurrence of UTIs is MC in what group of women?
postmenopausal
Most UTIs occur through what route?
ascending contamination from urethra
woman w a lower UTI is LEAST likely to experience?
fever
nml bladder capacity?
600cc
event most assoc w onset of puberty is?
achieving a critical body weight
sequ of secondary sex devel
growth spurt, thelarche, pubarche, menarche
