Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Childs Health > Small for gestational age > Flashcards

Small for gestational age Flashcards

1
Q

What is small for gestational age defined as?

A

Measures below 10th centile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What measures on US are used to assess foetal size?

A

Estimated foetal weigth
Foetal abdominal circumference - AC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do customised growth charts consider?

A

Ethnic group
Weight
Heigth
Parity
Of mother

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is severe SGA

A

Below 3rd centile for GA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is low BW defined as

A

<2500g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Circulating volume of a baby

A

10ml/kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Categories of causes of SGA

A

Constitutionally small
Foetal Growth Restriction - IUGR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is intrauterine growth restriction?

A

Small foetus due to pathology reducing amount of nutritents and O2 being delivered to foetus through the placenta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Categories of causes of IUGR

A

Placenta mediated
Non placenta mediated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Causes of placenta mediated IUGR

A

Idiopathic
Pre-eclampsia
Maternal smoking
Maternal alcohol
Anaemia
Malnutrition
Infection
Maternal health conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Causes of non placenta mediated IUGR

A

Genetic abnoramlities
Strutural abnormalities
Foetal infection
Errors of metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Signs of IUGR

A

Reduced amniotic fluid volume
Abnormal dopple studies
Reduced foetal movements
Abnormal CTGs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Complications of IUGR short term

A

Foetal death or stillbirth
Birth asphyxia
Neonatal hypoglycaemia
Neonatal hypothermia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

IUGR longterm increased risk for:

A

CVD esp HPTN
T2DM
obesity
Mood and behavioural problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Risk factors for SGA

A

Prev SGA baby
Obesity
Smoking
Diabetes
Existing HPTN
Pre-eclampsia
Older mother >35
Multiple pregnancy
Low pregnancy ass plasama protein - PAPPA
Antepartum haemorrhage
Antiphospholipid syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Preganancy ass plasma protein?

A
17
Q

What is monitored in low risk women?

A

Symphysis fundal height

18
Q

What is monitored in low risk women to check for SGA and when is this done?

A

Symphysis fundal height at every antenatal appointment from 24 weeks

19
Q

What happens if the symphysis fundal height is less than the 10th centile?

A

Serial growth scans with umbilical artery doppler

20
Q

When are women booked for serial growth scans with umbilical artery doppler?

A

Three or more minor risk factors
One or more major risk factors
Issues measuring symphysis fundal heigth

21
Q

What can affect ability to measuresymphysis fundal heigth

A

Large fribroids
BMI > 35

22
Q

How are women at risk or with SGA monitored in pregnancy

A

Serial ultrasound scans that measure -
Estimated foetal weigth and abdominal circumference to determine growth velocity
Umbilical arterial pulsatility index (UA-PI) to measure flow through umbilical artery
Amniotic fluid volume

23
Q

What is typical recommendation for initiation and fequency of US for SGA?

A

Every 4 weeks from 28 weeks gestation

23
Q

What is typical recommendation for initiation and fequency of US for SGA?

A

Every 4 weeks from 28 weeks gestation

24
Q

When is US frequency increased in SGA?

A

Reduced growth velocity
Problems with umbilical flow

25
Q

Management of SGA

A

Identifying those at risk
Aspirin if at risk pre eclampsia
Treat modifiable risk factors - smoking cessation
Serial growth scans to monitor growth
Early delivery where growth static pr other concerns

26
Q

Investigations into underlying cause when infant determined SGA

A

BP and urine sipstick for pre-exlampsia
Uterine artery doppler scannig
Detailed foetal anatomy can be foetal medicine
Karyotyping for chromsomal abnormalities
Testing for infections

27
Q

What give womena at risk fo pre eclampsia

A

ASpririn

28
Q

What infections test for in SGA?

A

Toxoplasmosis, cytomegalovirus, syphilis and malaria

29
Q

When is early delivery considered?

A

Growth static on charts
Other problems identified ef abnormal doppler results
Reduces stillbirth risk

30
Q

What given before C section planned early induction

A

Corticosteroids

Childs Health (82 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions