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Quiz: 1. G2 P1001
2. G4 P1111
3. G3 P2103
Ans: 1. currently pregnant, 1 term delivery, 1 living child
2. currently pregnant, 1 term delivery, 1 preterm delivery, 1
abortion/miscarriage, 1 living child (cannot tell if it is term or preterm child by
formula)
3. currently pregnant, twins at term, 1 at preterm, 3 living children
G (# pregnancies)
T (# term deliveries at 37 weeks or more including stillbirths)
P (# preterm deliveries at 20-37 weeks)
A (abortions <20 weeks including miscarriages)
L (# living children)
Quiz: a previable fetus is defined as
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, Ans: <24 weeks old (varies w/ guidelines)
Quiz: what are the routine test during the first prenatal visit?
Ans: blood pressure, blood type & Rh, CBC, UA (glucose & protein), random
glucose, HBsAg, Hep C, HIV, syphilis, rubella titer, VZV titer, pap, sickle cell & CF
screening
Quiz: diagnosis of pregnancy can be detected by serum B-hCG at ____ days
after conception and by urine B-hCG at ____ days after conception
Ans: serum B-hCG: 5 days after conception
urine B-hCG: 14 days after conception
Quiz: how is estimated date of delivery (EDD) determined?
Ans: Naegele's Rule: from 1st day of LMP
1. subtract 3 mos, add 7 days, add 1 year
2. add 9 mos & 7 days
ex: LMP started 8/7/16 = EDD: 5/14/17
Quiz: when estimating gestational age on US what measurements can you use?
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, Ans: 1. crown rump length (CRL)
2. biparietal diameter
3. head circumference
4. abdominal circumference
5. femur length
Quiz: what physical exam and lab tests should be performed on initial visit of a
pregnant patient?
Ans: full physical exam, BP, pelvic exam w/ pap smear (unless done in last 6
mos), G/C Cx's, bimanual exam to check size of uterus and help estimate #
weeks into pregnancy, US if unsure of LMP to date # weeks
labs: CBC (r/o anemia), blood type & Ab screen + Rh status, RPR, HBSAg, rubella
Ab screen, VZV Ab screen if no h/o chickenpox, UA w/ Cx, blood glucose, HIV,
sickle cell/CF screen, PPD in high risk pts, screening for aneuploidy offered (inc
or dec free B-hCG, PAPP-A low w/ down syndrome, inc nuchal translucency
@10-13 weeks US)
Quiz: what are the screening tests for aneuploidy (including down syndrome)?
when are they performed?
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, Ans: ALL offered around 10-13 weeks
1. free B-hCG (high or low can be indicative of abnormalities)
2. PAPP-A (usually low w/ DS)
3. nuchal translucency (inc thickness on US)
4. if any above + can be offered chorionic villus sampling (or if they have any RF
for aneuploidy such as advanced maternal age/AMA, previous child w/
chromosomal abnmlity, abnml US, prior pregnancy losses) but inc r/o
spontaneous abortion w/ procedure
*amniocentesis offered around 15-18 weeks w/ same indications as CVS (both
can diagnose chromosomal abnormalities and have risk of spontaneous
abortion)
Quiz: the uterus softening at 6 weeks is what sign?
Ans: Ladin's sign
Quiz: the uterine isthmus softening after 6-8 weeks gestation is what sign?
Ans: Hegar's sign
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