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size of uterus at 8 weeks
tennis ball
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size of uterus at 10 weeks
baseball
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size of uterus at 12 weeks
softball or grapefruit
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wt gain for normal BMI woman during prg
25-35 lbs
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what happens to size of gallbladder during prg
doubles in size
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UA results during normal prg
glucose and protein present
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when does diastolic bp drop most in prg
2nd trimester
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what happens to serum insulin levels during prg
rise 2-10x
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recommended number of prenatal visits
8-10
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recommended freq of prenatal visits up to 28 wks
q4wks
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recommended freq of prenatal visits 28-36 wks
q2wks
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routine screening test at 35-37 wks gestation
GBS
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Edwards syndrome is what trisomy
trisomy 18
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when is quad screen done
16-20 wks
-
best time for amniocentesis
after 15 weeks
-
best time for CVS
10-15 weeks
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what is included in Quad Screen
hCG, AFP, estriol, inhibin A
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risk of Down Syndrome in women 40+
1 in 100
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in Quad Screen a high AFP might indicate what
neural tube defect
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low AFP in the Quad Screen might indicate what
Down Syndrome or Edwards Syndrome
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how do inhibin A results differ in Trisomy 21 and 18
high in 21 and low in 18
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is AFP high or low in Down Syn
low
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is AFP high or low in Edwards Syn
low
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what are levels L1, L3, and L5 in Hale's Lactation Risk categories
L1 controlled studies show no risk in bfing ; L3 no controlled study shows significant risk ; L5 contraindicated
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psych drugs that are category D in prg
tricyclics and benzos
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what prg category are SSRIs
C
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bactiuria and UTI should be treated for how many days in prg
7
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abx that Cat D in prg
doxycline, gentamicin
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tx for positive GBS result
intrapartum abx
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how to collect specimen for GBS screen
swab lower vagina, introitus and then rectum
-
what do hCG levels look like in ectopic prg
low with no normal rate of increase
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threatened abortion
bleeding but cervix closed
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avg labor for primi
9 hrs
-
avg labor time for multip
6 hrs
-
bright red bleeding pp possible sign of what?
hemorrhage
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shape of ant and post fontanelle at birth
diamond in front ; triangle in back
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CVS can detect what?
chromosomal abnormalities but not anatomical abnormalities
-
how many cafe au lait spots might lead you to suspect neurofibromatosis
more than 5
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military children with parent on long deployment at risk for what
mistreatment
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why is mineral oil not a good laxative during prg
it inhibits absorption of fat-soluble vitamins
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when does n/v usu disappear in prg
by week 20
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spontaneous abortion is loss of fetus before when
22 weeks
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recommended 1st trimester wt gain for underwt woman
5 lbs
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what will happen to course of RA during prg
in 75% of women they have temp remission during prg
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sequence of introducing solid foods at 6 mos
cereals, fruits, yellow veg, green veg, meat
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when should BP screening begin in children
3 yo
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supplement to relieve leg cramps in prg
Ca
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when to move from car seat to booster
at 40 lbs
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when to move from booster to regular car seat
at 70 lbs
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at what age should lead screening beging
12 yo
-
when should MMR vacc beging
at 12 mos
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risks of excess Fe during prg
premature delivery, LBW
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what is the Piskacek Sign
soft asymmetrical enlargement of uterus
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Hegars sign
softening of uterine isthmus
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Chadwicks sign
bluish color to cervix and upper vagina, a presumptive sign of prg
-
elements of APGAR score
breathing effort, HR, muscle tone, reflexes, skin color
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what is the Bishops score
assessment of cervical ripening and whether induction is needed
-
primary genital HSV early in prg risks what
spontaneous abortion
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why should nitrofurantoin be avoided in last trim of prg
risk of hemolysis
-
Max dosing and duration of APAP for pain in children
5 doses daily x 5d
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1 year old should drink how much cows milk daily
2c
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is idiopathic scoliosis painful
no
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how long should ASA tx last in Kawasaki Dz
6-8 wks until no sx of coronary abnormalities
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diff between Ortolani and Barlow tests
Ortolani you abduct hips ; Barlow you rock knees medially
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what to do if tooth knocked out
wash gently and replant asap
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Is the HPV vaccine indicated in prg?
no
-
char's of Angelman Syndrome
no speech, sz, gait d/o, happy and excitable
-
char's of Prader-Willi Syndrome
low motor tone, incomplete sexual dev, obesity
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What % of ASD kids develop epilepsy before adulthood
20-30%
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What is Spaldings Sign?
overlapping of cranial bones on u/s. sign of fetal death
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apply warm or cold to breasts tender after bfing
warm
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