Term
|
Definition
| position of a pelvic exam |
|
|
Term
| What should Beta hCG levels do in the first 10 days of pregnancy? |
|
Definition
|
|
Term
How is a Beta hCG test completed?
What do the results mean? |
|
Definition
serum leels tested and then tested two days later.
increase 2x states normal pregnancy
beta hCG stable or falls over 48 hours indicate miscarriage or ectopic pregnancy |
|
|
Term
| What are low levels of progesterone associated with? |
|
Definition
| spontaneous abortion and ectopic pregnancy |
|
|
Term
| Why would a progesterone level be tested? |
|
Definition
| When a woman has a history of spontaneous abortion or spotting early in pregnancy |
|
|
Term
| What progesterone levels are associated with normally developing intrauterine pregnancies? |
|
Definition
|
|
Term
| How and when is progesterone supplemented during pregnancy? |
|
Definition
Before 12 weeks gestation (after that placenta will make enough)
If low levels of progesterone are being produced by corpus luteum provider/mother can decide to try supplementing progesterone to encourage viability of pregnancy
How: oral or vaginal suppositories |
|
|
Term
| Between 6-12 weeks gestation, how accurate is ultrasound for EDB? |
|
Definition
|
|
Term
| In the second trimester, how accurate is ultrasound for EDB? |
|
Definition
|
|
Term
| In the third trimester, how accurate is ultrasound for EDB? |
|
Definition
|
|
Term
| What does nuchal translucency testing identify? |
|
Definition
| risk for chromosomal disorder (downs, trisomy 18) |
|
|
Term
| How is the nucal translucency test done? |
|
Definition
Ultrasound and maternal serum
ultrasound: assess accumulatio of fluid between posterior cervical spine and overlying skin on fetal neck (nucal folds)
biochemical markers PAPP-A and free beta hCG are obtained |
|
|
Term
| risks involved in nuchal translucency testing |
|
Definition
|
|
Term
| What is the next step if abnormal nuchal translucency testing? |
|
Definition
| mom is referred for chorionic villus sampling of amniocentesis |
|
|
Term
| What does fetal presentation in a second semester ultrasound tell? |
|
Definition
| Nothing - fetus is likely to change positions repeatedly before birth |
|
|
Term
| When does fetal movement peak and why? |
|
Definition
| 26-32 weeks because of constraints of uterine environment |
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