Uncomplicated Pregnancy Flashcards
What is Goodell’s sign
Cervical softening due to increased vascularization at 4-5 weeks
A failed 3 hour glucose test at hour 2 is a blood sugar over ______
155
When do you do TDaP vaccination for pregnant women
35-37 weeks
What are the 5 components of the biophysical profile
Fetal breathing
Fetal tones
Amniotic fluid levels
NST (non-stress test)
Gross fetal movements
What is tested in the triple screen
ß-hCG, a-FP, estradiol
Where is the fundal height at 20 weeks
Umbilicus
When is the first trimester of pregnancy
1-12 weeks
What value indicates abnormalities of ß-hCG in Down Syndrome screening
Abnormally high or low
Where is the fundal height at 16 weeks
Midway between the pubis and the umbilicus
When can a pelvic ultrasound detect a fetus
5-6 weeks
What is Chadwick’s sign
Bluish coloration of the cervis and vulva at 8-12 weeks
How do you detect fetal heart tones
Doppler
When do pregnant women start having visits every 2 weeks instead of every 4
28 weeks
When can sex of the fetus be determined with ultrasound
16 weeks
When can you do chorionic villus sampling
10-13 weeks
When do you do RhoGam immunization for Rh- mothers
Weeks 28-30
Repeat within 72 hours after childbirth
describe the 1 hour glucose test
50 grams
Fail if >140
Cervical softening due to increased vascularization at 4-5 weeks
Goodell’s sign
You do a triple screen and get a high a-FP. What are you concerned about?
Open neural tube defects
What is normal heart rate for fetal heart tones at 10-12 weeks
120-160 bpm
What are you looking for with contraction stress test
No late decelerations int he presence of 3 contractions in 10 minutes
What is assessed at the 30 week fetal ultrasound
Fetal growth
Position
State of placenta
AFI
A failed 3 hour glucose test at hour 1 is a blood sugar greater than _____
180
You do a triple screen and get low values for all 3: a-FP, ß-hCG, estradiol. What are you concerned about?
Trisomy 18
Who gets chorionic villus sampling offered to them
Prior child with chromosomal abnormality
Maternal age > 35
Abnormal screening tests
Abnormal ultrasound
Prior pregnancy losses
When can urine ß-hCG be detected?
14 days after conception
What value indicates Down Syndrome for PAPP-A
Low
When do pregnant women go from visits every 2 weeks to every week
36 weeks
Describe the 3 hour glucose test
100 g of glucose
Fail if > 180 first hour
>155 second hour
>140 third hour
What are you looking for in non-stress testing
> 2 accelerations in 20 minutes
Increased fetal heart rate > 15 bpm lasting >15 seconds
When can you detect fetal heart tones
10-12 weeks
When is the third trimester of pregnancy
28 + weeks
Bluish coloration of the cervix and vulva at 8-12 weeks
Chadwick’s sign
A failed 3 hour glucose test at hour 3 is a blood sugar above _____
140
When do you do Group B Strep screening for pregnant women
35-37 weeks
When is Piskacek’s sign (palpable lateral bulge or softening of uterine cornus)
7-8 weeks
When is the gestational diabetes screen
24-28 weeks
What do you see on triple screen with trisomy 18
Low ß-hCG
Low Estradiol
Low a-FP
When is the second trimester of pregnancy
13-27 weeks
When is the fetal anatomy ultrasound
18-20 weeks
What abnormality would you find in a nuchal tranlucency ultrasound with Down Syndrome
Increased thickness
What is Ladin’s sign
Uterus softening at 6 weeks
What does high levels of inhibin-A indicate?
Chromosomal abnormalities
When can you do a nucal translecency ultrasound
10-13 weeks
What can you look for on the maternal blood screening test for indications of Down Syndrome
Free ß-hCG (abnormally high or low)
PAPP-a (low)
When do you do a maternal blood screening test for Down syndrome
10 weeks
Palpable lateral bulge or softening of uterine cornus at weeks 7-8
Piskacek’s sign
A failed 1 hour glucose test is a blood sugar over ______
140
You get a high ß-hCG on triple screen. What are you concerned for?
Trisomy 21 Down Syndrome
What do you see on a triple screen with open neural tube defects
ß-hCG: N/A
Estradiol: N/A
High a-FP
What does the fetal anatomy ultrasound assess for?
Anatomic abnormalities
Fetal position
Location and status of placenta
Amniotic fluid index
Cervical length
Fetal weight
When does fetal quickening happen
18-20 weeks for first pregnancy
16-18 weeks for all other pregnancies
What do you see on a triple screen with Down Syndrome
High ß-hCG
Low estradiol
Low a-FP
When is Ladin’s sign (uterus softening)
6 weeks
When can a serum ß-hCG be detected?
5 days after conception
When is the maternal quad (or triple) screen
15-18 weeks
What is Piskacek’s sign
Palpable lateral bulge or softening of uterine cornus at 7-8 weeks
When is Hegar’s sign (uterine isthmus softening)
6-8 weeks
What is Hegar’s sign
Uterine isthmus softening at 6-8 weeks
When is Gooddell’s sign (cervical softening due to increased vascularization)
4-5 weeks
Uterine isthmus softening at 6-8 weeks
Hegar’s sign
Uterus softening at 6 weeks =
Landin’s sign
