OBGYN COMAT Review | 100% Correct Answers | Verified | Latest 2024 Version

When can fetal heart tones be detected w/doppler? - 10-12 weeks When is fetal movement appreciated? - 17-18 weeks When should you get a "quantitative" beta-hCG - -to diagnose & follow ectopic pregnancy -monitor trophoblastic dz -screen for fetal aneuploidy What supplement is given in pregnancy to decrease neural tube defects for all reproductive-age women? - Folic acid supplements What additional supplements are given for complete vegeterians - vitamin D & vitamin B12 What kind of immunoglobulins can cross the placenta? - IgG Prenatal screening at the initial visit - Heme= CBC, Rh factor, Type & Screen ID= UA & culture, rubella Ab titer, HBsAg, RPR/VDRL, cervical G/C, PPD, IV, Pap smear (to check for dysplasia). If indicated: HbA1C, Sickle cell screening. Can also discuss genetic screening (Tay-Sachs dz, Cystic Fibrosis). When are prenatal visits conducted? - Weeks 0-28= every 4 weeks (7*4=28) Weeks 29-35= every 2 weeks Weeks 36-birth= every weekWhen is a quad screen conducted? - 15-22 weeks When's an ultrasound for full anatomic screen done? - 18-20 weeks When is the 1 hr glucose challenge test for gestational DM done? - 24-28 weeks When is RhoGAM given to Rh- women? - 28-30 weeks When's GBS culture done? (and cervical culture for N gonorrhoeae & Chlamydia in selected populations). - 35-40 weeks or 32- 37 weeks when can a nuchal transparency test be ordered? - 9-14 weeks 4 elements of the Quad Screen - maternal serum AFP B-hCG Estradiol Inhibin A What's associated with ELEVATED maternal serum AFP (MSAFP)? (2.5 MoMs) - Open neural tube defects (spina bifida, anencephaly) Abdominal wall defects (gastroschisis, omphalocele) Multiple gestati