OB 510

  1. When should doppler use be avoided?
    1st trimester
  2. Used for obstetrical doppler are: (5)
    • 1. Maternal vessels
    • 2. Fetal Vessels
    • 3. Fetal ductus venosus
    • 4. Fetal heart
    • 5. Placenta
  3. What are the 2 basic types of doppler us?
    • CW
    • PW
  4. With increasing GA there is a __________________ in the S/D ratio.
    decline
  5. How do you calculate Resistive Index?
    S-D / S
  6. How do you calculate PI?
    S-D / mean
  7. As the vascular resistance increases what happens to the:
    S/D?
    PI?
    They both increase
  8. What happens to the PI as the GA increases?
    declines
  9. In normal pregnancies, the umbilical vein venous flow is _________________.
    ____________ velocity.
    _____________ during fetal breathing.
    • constant
    • low
    • variation
  10. Some factors related to reduced blood flow to placenta: (4)
    • smoking
    • maternal hypertension
    • various drugs
    • poor nutrition
  11. What would happen to diastolic velocity if placental resistance increased?
    reduce
  12. How is the resistance arrangement when IUGR head sparing occurs?
    • increased resistance AO & umbilical artery
    • decreased resistance in fetal middle cerebral artery
  13. Which fetal vessel is studied the most extensively?
    Umbilical artery
  14. The umbilical artery has ______________ resistance flow.
    low
  15. Increase in fetal HR causes ______________ in pulsatility.
    decrease
  16. Umbilical Artery: S/D ratio <3.0 is normal? T/F
    T
  17. Umbilical Artery:
    Normal RI=?
    <0.7
  18. Risks associated with abnormal S/D ratio include:
    • preterm delivery
    • decreased birthweight
    • decreased amniotic fluid
    • SGA
    • Risks associated with admission to NICU
  19. When assessing umbilical artery you should locate a spot close to fetal abdomen/placenta?
    fetal abdomen
  20. ___________ or ___________ of diastolic flow is a significant finding and indicates placental ____________.
    • absence or reversal
    • impedence
  21. Elevated S/D ratios are associated with: (3)
    • abnormal karyotype
    • maternal HTN
    • severe growth restriction
  22. Fetal doppler of MCA is used to detect "________ _______ ______"
    brain sparing effect
  23. MCA has _______ cerebral blood flow and little diastolic flow
    80%
  24. MCA PI = ?
    >1.45
  25. MCA acronym HABS stands for
    • Heart
    • Adrenal
    • Brain
    • Sleen
  26. Which are the highest velocities found in fetal cardiovascular system?
    • ductus arteriosus
    • 50-140

    • Diastolic 6-30cm/sec
    • Flow Rt to Lt
  27. Maternal uterine artery gives off branches near ?
    Runs?
    • internal os
    • sup lat along corpus

    ant ---> external iliac
  28. When do you sample MUA?
    16-22 weeks
  29. After 12 weeks the MUA has a ____________resistance flow pattern
    low
  30. What is an abnormal S/D ratio of MUA?
    >2.6

    above indicates increased vascular resistance and decreased blood supply to uterus

    notching on diastolic is bad
  31. MUA normal PI? RI ?
    • PI = .82
    • RI = 4.7
  32. What may be one of the earliest signs of IUGR especially if there is maternal HTN?
    arcuate artery with reduced flow
  33. Umbilical artery & vein reflect changes in the _______________ vascular bed.
    placental
  34. How many weeks before fetus appears to be in trouble may doppler parameters become abnormal?
    4 or more
  35. Studies have shown that ___________________ as part of the OB management has resulted in a reduction of emergency c-sections?
    doppler
  36. In severe PIH doppler studies correlate well with _______ ______.
    fetal distress
  37. You can see doppler changes 24hrs before/after nonstress test?
    before
  38. In discordant twins, doppler has/has not proven to be more useful than EFW.
    has not
  39. With cardiac anomalies, doppler can gage systolic function by measuring: (3)
    • aortic volume
    • systolic velocities
    • AT
  40. Smoking can increase maternal HR and BP therefore increasing fetal ____________ and _____________blood flow
    • aortic
    • umbilical
  41. Doppler of umbilical artery that is suggestive of distress or compromise would be?
    absent or reversal of flow
Author
lstaal1
ID
22583
Card Set
OB 510
Description
Obstetrical Doppler
Updated