Smoking during pregnancy is associated with what 3 problems?
- low birth weight
- premature delivery
- stillbirth
What is the #1 cause of preventable intellectual disability?
- alcohol
What are the 4 complications of the fetus in mother’s who smoke marijuana?
- neurological problems
- increased risk of infection
- low birth weight
- increased risk of SIDS
Opioid use increases the risk of what condition in the fetus?
- neonatal abstinence syndrome (NAS)
Using Naegle’s rule how do you calculate the expected date of confinement?
- LMP + 7 days - 3 months
How accurate is ultrasound dating during the first and second trimester?
- first = accurate to 5-7 days
- second = accurate to 10-14 days
During the initial consult, urine analysis and culture should be done to detect this infection.
- asymptomatic bacteriuria (GBS)
* then again at 35-37 weeks!!!
What genetic condition increases the risk of UTI in pregnancy?
- sickle cell trait
What is the most common fatal genetic disorder in north america?
Cystic Fibrosis
What is the most common inherited cause of infant death?
Spinal muscular atrophy (SMA)
What is the most common inherited cause of intellectual disability?
Fragile X Syndrome (FXS)
When only the mother is the carrier of fragile X syndrome, what is the chance the child will be affected?
50% chance
If both parents are carriers of cystic fibrosis, what is he chance the child will be affected?
25% chance
*same for spinal muscular atrophy (SMA)
What is the recommended dosage of iron supplementation?
30 mg elemental iron
What 3 foods should be voided during pregnancy?
- fish
- cheese (listeria)
- nitrites
Excess mercury intake related to fish consumption during pregnancy increases the risk of this major neurologic condition.
- cerebral palsy
If the baby is head down the heart rate will be below or above the mother’s belly button?
if you hear the heartbeat loudest below the mother’s belly button = baby is head down
What is the difference between screening and diagnostic tests?
- screening = gives a risk for a condition
- diagnostic = gives a definitive result for a condition (usually invasive)
T/F: Any pregnant female should be offered the opportunity for screening tests.
- true
At the beginning, what was the initial risk factor used for screening pregnancies for Down syndrome?
- maternal age
Nuchal translucency > ___ mm is concerning for Trisomy 21.
> 3 mm
What are the 5 most common aneuploidies probed with a non-invasive prenatal testing (NIPT)?
- 13, 18, 21, X, Y
First trimester screening is compromised of what 3 markers?
- pregnancy-associated plasma protein-A (PAPP-A) (low is bad)
- free-B-subunit-HCG (high is bad)
- nuchal translucency on ultrasound
Choroid plexus cyst is associated with what chromosomal abnormality?
- trisomy 18
-
Maternal adaptations to pregnancy35
-
Normal Labor33
-
Prenatal Care50
-
Abnormal Labor/Induction of Labor22
-
Preterm Labor30
-
Hypertension Disorders of Pregnancy33
-
Bleeding in Pregnancy (2/3 Trimester)24
-
Fetal Monitoring & Assessment36
-
Gestational Diabetes14
-
Post-Partum17
-
Multiple Gestation11
-
More questions12
