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Antepartum > Week 5 > Flashcards

Week 5 Flashcards

0
Q

Pprom

A

Occurs before 37 weeks

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1
Q

Prom

A

Spontaneous rom before onset Of labor

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2
Q

Amniotic fluid is ______ with a ph of _____

A

alkaline 7.15

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3
Q

Midwifery management if term prom is

A

Watchful waiting until 24 hrs

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4
Q

Pulmonary hypoplasia can occur if pprom bc ____

A

Not enough fluid to cushion the cord

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5
Q

Preterm labor

A

Start of 20 weeks till the completion of 37th week

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6
Q

Early preterm

A

< 32 wks

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7
Q

Late preterm

A

> 32-< 37

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9
Q

Increased risk of ptb with cerv length of_____

A

< 20 mm

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10
Q

No risk for PTB if cervical length _____

A

> 30mm

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11
Q

fibronectin is what?

A

protein that acts like glue that attaches fetal membranes to the uterine decidua

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12
Q

fetalfibronectin is not normallly found in cervical fluid between ___ weeks to ___weeks

A

22-37

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13
Q

WHat are the four predictors of PTB?

A

positive fibronectin
cervical length
previous PTB
presence of BV

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14
Q

there is NO evidence that ____and ____ change outcomes for those at increased risk for PTB

A

bedrest and sexual activity

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15
Q

bishop score zero ratings

A

closed, 0-30% effaced, -3station, firm, posterior

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16
Q

bishop score ONE ratings

A

1-2cm, 40-50%, -2, medium, midposition

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17
Q

bishop score TWO ratings

A

3-4cm, 60-70%, -1-0station, soft, anterior

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18
Q

biship score THREE ratings

A

5 or more cm, 80% or greater, +1-+2

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19
Q

what does a bishop score of >8 tell you?

A

likely sucess

20
Q

what does a bishop score of <3 tell you?

A

unlikely sucess

21
Q

laminaria is considered a ____method of induction

A

mechanical

22
Q

what is the error in thirs trimester u/s?

A

3-4 weeks…yikes!

23
Q

When should BPP be initated when managing woman approaching post dates?

A

at end of 40th or beginning of 41st week if NST reactive and AFI>5

24
Q

How often should BPP be done after 41 weeks?

A

twice weekly

25
Q

Asymtometric IUGR is _____

A

brainsparing

26
Q

Desribe type 1 BPD

A

late flattening
head growth lags behind in late pregnancy
ASYMETRIC= brain sparing
infants of moms with preeclampsia

27
Q

describe type 2 BPD

A

low profile
symmetric=everything is little
head growth lags much earlier then type 1
commonly have chromosomal anomalies

28
Q

diagnosis of IUGR before u/s

A

lag of 4cm

29
Q

u/s should be every_____with IUGR

A

serial u/s for growth patterns every 3 weeks

30
Q

Oligo can be cuased by ________

A

decreased perfusion of fetal kidneys and reduced urine production

31
Q

thickness in placenta correlates to _____

A

gestation age

32
Q

doppler velocimetry not useful as ________

A

screening technique

33
Q

what is hypermelanosis

A

darkening of the skin

34
Q

what is chloasma?

A

facial hypermelanosis

35
Q

what is melanocyte

A

mole changes, tend to grow larger in pregnancy

36
Q

What is the most common dermatosisof pregnancy?

A

PUPPS

37
Q

trophoblastic tissue could lead to ______

A

worse pupps

38
Q

itchy rash that breaks out in blisters

A

impetigo herpetiformis

39
Q

MOA of clomid

A

induces ovulation by stimulating the release of pituitary gonadotropins

40
Q

monozygotic

A

1egg and 1 sperm

41
Q

dichorionic/diamniotic

A

2 sacs, 2 placentas

42
Q

monochorionic/diamniotic

A

2sacs, 1 placenta

43
Q

monochorionic/monoamniotic

A

1 sac, 1 placenta

44
Q

which twins have the highest risk of twin twin trasfusion?

A

mono/mono

45
Q

what are the four measures of antepartum surveillance with twins?

A
  1. daily fetal kick counts begininning at 28wks
  2. serial u/s beginning around 24-28 wks
  3. weekly or biweekly NST’s arounf 32 wks
  4. BPP’s and doppler studies as indicated

Antepartum (6 decks)

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