PAEA OBGYN EOR Topics Latest Version Graded A+

PAEA OBGYN EOR Topics Latest Version Graded A+ 1. G2 P1001 2. G4 P1111 3. G3 P2103 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) a previable fetus is defined as <24 weeks old (varies w/ guidelines) what are the routine test during the first prenatal visit? 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 diagnosis of pregnancy can be detected by serum B-hCG at ____ days after conception and by urine B-hCG at ____ days after conception serum B-hCG: 5 days after conception urine B-hCG: 14 days after conception how is estimated date of delivery (EDD) determined? 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 when estimating gestational age on US what measurements can you use? 1. crown rump length (CRL) 2. biparietal diameter 3. head circumference 4. abdominal circumference 5. femur length what physical exam and lab tests should be performed on initial visit of a pregnant patient? 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) what are the screening tests for aneuploidy (including down syndrome)? when are they performed? 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