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EXAM 2 STUDY PREP

Obstetrics

QuestionAnswer
Which plane should the measurements of the fetal orbits be obtained? In a plane sligthly caudal to the BPD
What is the term used in describing the shape of the cranium where the frontal bones collapse forward? Lemon Sign
All long bones should be measured if the difference between the femur length and all other biometric parameters is? 2 weeks or greater
Which alternative fetal measurement can best predict gestation age? Binocular Distance
The abdominal circumference (AC) is the? Measurement at the level of the stomach, left portal vein, and left umbilical vein
The condition in which the orbits are spaced far apart is known as? Hypertelorism
What are the landmarks used in determining the correct placement of calipers in obtaining the biparietal diameter? Thalamus and cavum septum pellucidum
Where on the parietal bones should the calipers be placed in measuring the cranium for obtaining a BPD? Outer edge to inner edge
Which fetal measurement is about as accurate as the biparietal diameter in determining gestational age? Femur length
An abnormality in the number of chromosomes is called? Aneuploidy
Which of the following is a common reason amniocentesis is performed? Advanced maternal age
What is a common reason for elevation in maternal serum AFP (MSAFP)? Incorrect dates
An early noninvasive means of assessing the risk of aneuploidy is? Nuchal translucency
A large cystic hygroma, hydrops, and coarctation of the aorta may be seen in a fetus with? Turner Syndrome
Which is the greatest advantage of chorion villus sampling (CVS) versus other methods to assess fetal karyotype? Can be performed earlier in pregnancy
Which test can produce karyotype results within 2 to 3 days? Cordocentesis
Amniotic fluid AFP ? with fetal age. Decreases
The sonographic findings of cranial anomalies, choroid plexus cysts, facial anomalies, and rocker bottom feet may be found in? Trisomy 18
Which of the following does the quadruple screen not assess? Fetal Lung Maturity
The acronym TORCH stands for which of the following? Toxoplasmosis, Other transplacental Infections, Rubella, Cytomegalovirus, Herpesvirus
One of the most common, possibly the most common, aneuploid condition is? Trisomy 21
Trisomy 18 is also known as? Edward's Syndrome
What is the normal measurement for a nuchal translucency? <3mm
What is also a measurement that relates to the back of the neck that has a measurement of <5mm? Nuchal Fold
What is a cystic hygroma? Lymphatic fluid that is often associated with turner syndrome
Are there measurements for the cerebellum? No, the cerebellum grows with the baby
What's the measurement for the cisterna magna? <10mm
True or False: Higher than normal or lower than normal MSAFP levels can indicate potential fetal anomalies. True
What is the main cause of asymmetric IUGR? Placental Insufficiency
What are some causes for placental insufficiency? Diabetes and hypertension
What is asymmetric IUGR head/brain sparing. head is measuring up to date but abdominal measurements are very SGA
What is symmetric IUGR typically caused by? Some first trimester insults, chromosomal anomalies, and exposure to certain infection in 1st trimester, TORCH
Is asymmetric or symmetric IUGR more common? assymetric IUGR
What condition do we see an impact in RH isoimmunization? Hydrops
How many parameters are evaluated during a biophysical profile? 5
How are the biophysical profiles scored? 0 or 2 (no 1) MAX: 10 points
What are the biophysical parameters? Fetal breathing movements, fetal tone, gross body movements, NST, and AFI
Fetus should score at least a what in a biophysical profile? at least 6 or above
What is the primary fuel for fetal growth in utero? Glucose
Preterm labor is the onset of labor between how many weeks of gestation? 37
What medication is administered to prevent RH isoimmunization? RhoGAM
Is the first pregnancy affected by RH isoimmunization? No
Amniotic fluid AFP levels should ? With fetal age. Decrease
Maternal fluid AFP levels should ? With fetal age. Increase
Which of the following is a common sonographic finding with Trisomy 18? Micognathia
What’s a common finding with trisomy 13? Holoprosencephaly
What is the karyotype for a fetus with Turners Syndrome? 45, XO
Hypertensive pregnancies are associated with ? Placentas. Small
What can cause the placenta to be large? Diabetes
The most frequent causes of nonimmune hydrops are ? Lesions. Cardiac
NIPT is combined with ? For additional accuracy for fetal aneuploidy. Nuchal translucency
What kind of flow do we want to see in the umbilical artery? Constant forward flow
Created by: marissagirl
 

 



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