When should you get nuchal translucency screening?
When should one get the Quad screen?
Between 16-18 weeks.
Which 4 tests does the Quad screen test for?
- 1) Alpha-fetoprotein
- 2) hcG
- 3) estriol
- 4) inhibin-A
When should you get the Chorionic Villus Sampling?
Between 10-13 weeks.
When should amniocentesis be done?
14-20, but usually 15-18
When should Group B strep be tested?
Between 35-37 weeks, usually 36.
When is testing done for Gestational DM?
24-28 weeks, usually 28
What is the top cause of inaccurate AFP?
Inacurrate dating of pregnancy.
What are 3 things a high AFP could signify?
spina bifida, anecephaly, GI malformation (omphalocoele)
What could a low AFP signify?
What else is AFP used to detect?
Liver Cancer, ovarian/testicular cancers
What trisomy is Down syndrome?
Where is AFP produced?
Yolk sac, and liver
What would a high inhibin A suggest?
- Down syndrome
- (along w/ low AFP and increased Beta-hCG)
What weeks does a primagravid mom usually feel baby move?
What weeks does a multigravid mom usually feel baby move?
Preeclmpsia/eclampsia is HTN after how many weeks of gestation? What is it if it's before that?
20 weeks. Just chronic HTN
What week differentiatates PPROM from PROM?
How often should a pregnant woman visit the OB?
- Q 4 weeks until 28th week,
- Q 2-3 weeks until 36th week,
- Weekly after.
What weeks are the 1st, 2nd, and 3rd trimesters?
- 1st: 0-12
- 2nd: 13-28
- 3rd 29-42
When can fetal heart tones usually start being heard by a Doppler?
What is normal heart beat of the fetus?
How many grams is the screening test for GDM?canine what is abnormal?
1 hour 50 gram OGTT, abmormal if > 140.
How much glucose for the follow up to the GDM test? What levels to make diagnosis of GDM?
- 3-hr 100 OGTT.
- When >= 2 of the following criteria are met
- 1 hr: 180
- 2 hr: 155
- 3 hr: 140
How long after a depo shot should they comeback?
What is considered an embryo?
Fertilization to 2 months
What is considered a fetus?
3 months to birth.
What things to address with a pregnant woman?
# pregnancies, # partners?, periods normally regular, last for what # of days, have PCP, take MVI