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OB/GYN Rotation > Uncomplicated Pregnancy > Flashcards

Uncomplicated Pregnancy Flashcards

1
Q

What is Goodell’s sign

A

Cervical softening due to increased vascularization at 4-5 weeks

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2
Q

A failed 3 hour glucose test at hour 2 is a blood sugar over ______

A

155

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3
Q

When do you do TDaP vaccination for pregnant women

A

35-37 weeks

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5
Q

What are the 5 components of the biophysical profile

A

Fetal breathing

Fetal tones

Amniotic fluid levels

NST (non-stress test)

Gross fetal movements

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7
Q

What is tested in the triple screen

A

ß-hCG, a-FP, estradiol

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9
Q

Where is the fundal height at 20 weeks

A

Umbilicus

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12
Q

When is the first trimester of pregnancy

A

1-12 weeks

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13
Q

What value indicates abnormalities of ß-hCG in Down Syndrome screening

A

Abnormally high or low

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14
Q

Where is the fundal height at 16 weeks

A

Midway between the pubis and the umbilicus

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16
Q

When can a pelvic ultrasound detect a fetus

A

5-6 weeks

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19
Q

What is Chadwick’s sign

A

Bluish coloration of the cervis and vulva at 8-12 weeks

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20
Q

How do you detect fetal heart tones

A

Doppler

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21
Q

When do pregnant women start having visits every 2 weeks instead of every 4

A

28 weeks

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22
Q

When can sex of the fetus be determined with ultrasound

A

16 weeks

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23
Q

When can you do chorionic villus sampling

A

10-13 weeks

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24
Q

When do you do RhoGam immunization for Rh- mothers

A

Weeks 28-30

Repeat within 72 hours after childbirth

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26
Q

describe the 1 hour glucose test

A

50 grams

Fail if >140

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27
Q

Cervical softening due to increased vascularization at 4-5 weeks

A

Goodell’s sign

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29
Q

You do a triple screen and get a high a-FP. What are you concerned about?

A

Open neural tube defects

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30
Q

What is normal heart rate for fetal heart tones at 10-12 weeks

A

120-160 bpm

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34
Q

What are you looking for with contraction stress test

A

No late decelerations int he presence of 3 contractions in 10 minutes

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35
Q

What is assessed at the 30 week fetal ultrasound

A

Fetal growth

Position

State of placenta

AFI

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37
Q

A failed 3 hour glucose test at hour 1 is a blood sugar greater than _____

A

180

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38
Q

You do a triple screen and get low values for all 3: a-FP, ß-hCG, estradiol. What are you concerned about?

A

Trisomy 18

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39
Q

Who gets chorionic villus sampling offered to them

A

Prior child with chromosomal abnormality

Maternal age > 35

Abnormal screening tests

Abnormal ultrasound

Prior pregnancy losses

41
Q

When can urine ß-hCG be detected?

A

14 days after conception

42
Q

What value indicates Down Syndrome for PAPP-A

A

Low

44
Q

When do pregnant women go from visits every 2 weeks to every week

A

36 weeks

45
Q

Describe the 3 hour glucose test

A

100 g of glucose

Fail if > 180 first hour
>155 second hour
>140 third hour

46
Q

What are you looking for in non-stress testing

A

> 2 accelerations in 20 minutes

Increased fetal heart rate > 15 bpm lasting >15 seconds

47
Q

When can you detect fetal heart tones

A

10-12 weeks

48
Q

When is the third trimester of pregnancy

A

28 + weeks

52
Q

Bluish coloration of the cervix and vulva at 8-12 weeks

A

Chadwick’s sign

53
Q

A failed 3 hour glucose test at hour 3 is a blood sugar above _____

A

140

54
Q

When do you do Group B Strep screening for pregnant women

A

35-37 weeks

55
Q

When is Piskacek’s sign (palpable lateral bulge or softening of uterine cornus)

A

7-8 weeks

58
Q

When is the gestational diabetes screen

A

24-28 weeks

61
Q

What do you see on triple screen with trisomy 18

A

Low ß-hCG

Low Estradiol

Low a-FP

63
Q

When is the second trimester of pregnancy

A

13-27 weeks

64
Q

When is the fetal anatomy ultrasound

A

18-20 weeks

65
Q

What abnormality would you find in a nuchal tranlucency ultrasound with Down Syndrome

A

Increased thickness

66
Q

What is Ladin’s sign

A

Uterus softening at 6 weeks

67
Q

What does high levels of inhibin-A indicate?

A

Chromosomal abnormalities

68
Q

When can you do a nucal translecency ultrasound

A

10-13 weeks

69
Q

What can you look for on the maternal blood screening test for indications of Down Syndrome

A

Free ß-hCG (abnormally high or low)

PAPP-a (low)

71
Q

When do you do a maternal blood screening test for Down syndrome

A

10 weeks

75
Q

Palpable lateral bulge or softening of uterine cornus at weeks 7-8

A

Piskacek’s sign

77
Q

A failed 1 hour glucose test is a blood sugar over ______

A

140

79
Q

You get a high ß-hCG on triple screen. What are you concerned for?

A

Trisomy 21 Down Syndrome

81
Q

What do you see on a triple screen with open neural tube defects

A

ß-hCG: N/A

Estradiol: N/A

High a-FP

82
Q

What does the fetal anatomy ultrasound assess for?

A

Anatomic abnormalities

Fetal position

Location and status of placenta

Amniotic fluid index

Cervical length

Fetal weight

83
Q

When does fetal quickening happen

A

18-20 weeks for first pregnancy

16-18 weeks for all other pregnancies

87
Q

What do you see on a triple screen with Down Syndrome

A

High ß-hCG

Low estradiol

Low a-FP

89
Q

When is Ladin’s sign (uterus softening)

A

6 weeks

90
Q

When can a serum ß-hCG be detected?

A

5 days after conception

91
Q

When is the maternal quad (or triple) screen

A

15-18 weeks

97
Q

What is Piskacek’s sign

A

Palpable lateral bulge or softening of uterine cornus at 7-8 weeks

99
Q

When is Hegar’s sign (uterine isthmus softening)

A

6-8 weeks

101
Q

What is Hegar’s sign

A

Uterine isthmus softening at 6-8 weeks

103
Q

When is Gooddell’s sign (cervical softening due to increased vascularization)

A

4-5 weeks

107
Q

Uterine isthmus softening at 6-8 weeks

A

Hegar’s sign

110
Q

Uterus softening at 6 weeks =

A

Landin’s sign

OB/GYN Rotation (2 decks)

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