ACOG questions unit 2-OB normal Rated 100% Correct!!

Braxton Hicks contractions - haracterized as short in duration, less intense than true labor, and the discomfort as being in the lower abdomen and groin areas. labor warnings - contractions every five minutes for one hour, rupture of membranes, fetal movement less than 10 per two hours or vaginal bleeding. A reactive non-stress test and normal AFI (modified biophysical profile) are sufficient to assess fetal well being at this time. What do you do if patient moves around too much and can't assess fetal HR? - Closer fetal monitoring via a fetal scalp electrode should be performed. What does it mean if place IUPC and frank bleeding is noted? - possible placental separation or uterine perforation. Remove IUPC, asses fetal HR and if reassuring can replace IUPC greatest risk factor for 3rd and 4th degree lacerations? - median episotomy what test should u do for African American in preconception counseling - hemoglobin electrophoresis and CBC AA have 1/10 chance of being a carrier for sickle cell trait which diseases are at increased risk in Azkenaki jews? - AR ones including: Fanconi anemia, TaySachs disease, Cystic Fibrosis, and Niemann-Pick Uncontrolled diabetes in early pregnancy has highest risk of what complication in fetus? - 4-8 fold increase in structural anomaly with majority involving CNS and cardiovascular system when is CVS done? - 10-12 weeks first trimester combined test - first trimester nuchal translucency, PAPP-A (pregnancy associated plasma protein A) and Beta-hCG- 85% Detection Rate of downs triple screen - second trimester AFP (alpha fetoprotein), Beta-hCG, uE3 (unconjugated estriol) - 69% Detection Rate quad screen - Quad screen: (second trimester Triple screen + inhibin A) - 81% Detection Rate sequential screen - Sequential screen: (first trimester NT and PAPP-A + second trimester quad screen) - 93% Detection Rate risk of miscarriage in CVS - 1% most common form of inherited mental retardation - fragile X syndrome how much weight should an obese woman gain in pregnancy? - 11-20 pounds features of newborn with Down syndrome - flattened nasal bridge, small size and small rotated, cup-shaped ears, sandal gap toes, hypotonia, a protruding tongue, short broad hands, Simian creases, epicanthic folds, and oblique palpebral fissures