Ob/Gyn COMAT test with
complee verified solutions
2025
GPTPAL
Gravida - total # OF pregnancies
Parity - # of deliveries
T - term infants
P - premature
A - abortions
L - living children
Naegele's Rule
add 7 days to LMP, subtract 3 months, add 1 year
most accurate measurement of the embryo in the
first trimester
crown-rump length
Total recommended weight gain in pregnancy
normal BMI is 25 to 35 pounds.
-- first trimester: 3-6 pounds.
-- second and third trimesters: 0.5 to 1 pound per
week
,estimating gestational age and due date
hCG doubles every:
And peaks around:
2-3 days
8-11 weeks, then declines
triple screen test
The Triple Test combines the maternal serum-AFP,
beta hCG, and estriol serum level values.
-- done during second trimester (16-18 weeks)
-- The hormone level results are used in a formula
to figure out the risk for a Down's syndrome infant.
Diagnostic test for genetic anomalies is
chromosome testing.
In the setting of a low PAPP-A and serum β-hCG,
one would suspect the presence of
fetal aneuploidy
-- US (nuchal translucency) recommended to be
conducted at weeks 9-13
-- can detect an estimated 85% of Down syndrome
cases as well as an estimated 97% of trisomy 18.
,Indication for amniocentesis and chorionic villus
sampling
Amnio: women older than 35 at time of delivery
and in conjunction with an abnormal MSAFP, triple,
or quad screen.
CVS: performed as early as 10 weeks gestation.
Indications for CVS include maternal age >35,
abnormal first trimester screen, abnormal
ultrasound findings, family history of chromosomal
or genetic disorder, or parents who are known
carriers for a genetic disease
When can amniocentesis be performed?
15-20 weeks
When can chorionic villus sampling be performed?
10-12 weeks
First step in mgmt following an abnormal MSAFP
test
US to r/o multiple gestation or inaccurately dating
7 cardinal movements of labor
Every Darn Fool In Egypt Eats Raw Eggs
1. Engagement
2. Descent
3. Flexion
4. Internal Rotation
5. Extension
, 6. External Rotation
7. Expulsion
GP(tpal) example?
G6P(4024)
6 pregnancies
4 full term
0 premature
2 abortions
4 living children
Stages of labor and delivery
1. dilation stage
2. expulsion stage (resting to birth)
3. placental stage
Bishop score
Determines maternal readiness for labor by
evaluating whether the cervix is favorable by
rating
1) cervical dilation
2) effacement
3) consistency
4) position
5) station
complee verified solutions
2025
GPTPAL
Gravida - total # OF pregnancies
Parity - # of deliveries
T - term infants
P - premature
A - abortions
L - living children
Naegele's Rule
add 7 days to LMP, subtract 3 months, add 1 year
most accurate measurement of the embryo in the
first trimester
crown-rump length
Total recommended weight gain in pregnancy
normal BMI is 25 to 35 pounds.
-- first trimester: 3-6 pounds.
-- second and third trimesters: 0.5 to 1 pound per
week
,estimating gestational age and due date
hCG doubles every:
And peaks around:
2-3 days
8-11 weeks, then declines
triple screen test
The Triple Test combines the maternal serum-AFP,
beta hCG, and estriol serum level values.
-- done during second trimester (16-18 weeks)
-- The hormone level results are used in a formula
to figure out the risk for a Down's syndrome infant.
Diagnostic test for genetic anomalies is
chromosome testing.
In the setting of a low PAPP-A and serum β-hCG,
one would suspect the presence of
fetal aneuploidy
-- US (nuchal translucency) recommended to be
conducted at weeks 9-13
-- can detect an estimated 85% of Down syndrome
cases as well as an estimated 97% of trisomy 18.
,Indication for amniocentesis and chorionic villus
sampling
Amnio: women older than 35 at time of delivery
and in conjunction with an abnormal MSAFP, triple,
or quad screen.
CVS: performed as early as 10 weeks gestation.
Indications for CVS include maternal age >35,
abnormal first trimester screen, abnormal
ultrasound findings, family history of chromosomal
or genetic disorder, or parents who are known
carriers for a genetic disease
When can amniocentesis be performed?
15-20 weeks
When can chorionic villus sampling be performed?
10-12 weeks
First step in mgmt following an abnormal MSAFP
test
US to r/o multiple gestation or inaccurately dating
7 cardinal movements of labor
Every Darn Fool In Egypt Eats Raw Eggs
1. Engagement
2. Descent
3. Flexion
4. Internal Rotation
5. Extension
, 6. External Rotation
7. Expulsion
GP(tpal) example?
G6P(4024)
6 pregnancies
4 full term
0 premature
2 abortions
4 living children
Stages of labor and delivery
1. dilation stage
2. expulsion stage (resting to birth)
3. placental stage
Bishop score
Determines maternal readiness for labor by
evaluating whether the cervix is favorable by
rating
1) cervical dilation
2) effacement
3) consistency
4) position
5) station
