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Maternal serum alpha-fetoprotein (MSAFP) - ✔✔indicates an open neural tube
defect
When is MSAFP tested? - ✔✔16-18 weeks gestation
chorionic villus sampling - ✔✔a test made in early pregnancy to detect
congenital abnormalities in the fetus.
When is CVS performed? - ✔✔1st trimester
Amniocentesis - ✔✔assesses fetal lung maturity
When is amniocentesis performed? - ✔✔2nd trimester
Biophysical profile - ✔✔APGAR score for the fetus
preeclampsia - ✔✔hypotension with or without proteinuria
eclampsia - ✔✔seizures
most common intrauterine infection - ✔✔CMV
how is CMV treated - ✔✔gancyclovir
S/sx of toxoplasmosis in the mom - ✔✔flu-like symptoms
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,how is syphilis transmitted - ✔✔through secretions
how is herpes transmitted - ✔✔ascending infection
how is herpes treated? - ✔✔acyclovir
HELLP Syndrome - ✔✔High blood pressure/hemolysis, elevated liver enzymes,
low platelets
When is the hep B vaccine given? - ✔✔at birth, at 1 month, then at 6 months
how is HIV spread - ✔✔through EBM
chlamydia - ✔✔most common bacterial STI
chlamydia prophylaxis - ✔✔erythromycin
oligohydramnios - ✔✔<1 L at 36 weeks
potter sequence - ✔✔no kidneys, no urine, hypoplastic lungs
polyhydramnios - ✔✔>2 L at 36 weeks
Causes of polyhydramnios - ✔✔GI obstructions, neurological deficits, impaired
fetal swallowing
L/S ratio - ✔✔measures lung maturation
L/S ratio results - ✔✔>2 normal, <2 immature
VEAL CHOP - ✔✔Variable - Cord compression
Early - Head Compression
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, Acceleration - Okay
Late - Placental insufficiency
Sustained fetal tachycardia- think? - ✔✔infection
tocolytics - ✔✔magnesium sulfate, indomethacin, terbutaline
what does magnesium sulfate cause? - ✔✔respiratory depression,
neuromuscular depression; anticipate intubation
what does indomethacin cause? - ✔✔Premature PDA closure, PPHN, decreased
UOP
what does terbutaline cause? - ✔✔hypoglycemia due to hyperinsulinemia
if you see bruising, think? - ✔✔hyperbilirubinemia
red reflex? - ✔✔light reflecting off the funds of the eye
APGAR score components - ✔✔HR, respiratory effort, tone, reflex irritability,
color
acrocyanosis is normal for how long? - ✔✔first 48hrs of life
jaundice in the first 24hrs of life? - ✔✔always abnormal; think ABO
incompatibility
cutis aplasia - ✔✔scalp defects associated with trisomy 13
caput succedaneum - ✔✔Crosses the suture lines; watch for hyperbili
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