Testing
Type of Ultrasound that may be done in the first trimester. Requires a full bladder and is invasive.
Transvaginal Ultrasound
When do you educate your patient to begin fetal kick counts
28 weeks
What maternal and fetal conditions qualify as high-risk?
Hypertension
Gestational Diabetes
Drug/ETOH use
Autoimmune disease
Cardiac or Renal disease
Placental previa
IUGR
Multiple Gestations
Example of a Category B Drug
Tylenol
Hypertension diagnosed before pregnancy or before 20 weeks gestation
chronic hypertension
Testing involving a needle inserted through the abdominal wall, into the uterus, under ultrasound guidance, to withdraw a sample of amniotic fluid
Amniocentesis
comprehensive assessment of fetal wellbeing using ultrasound and an NST
BPP
occurs when a fertilized egg implants outside of the uterine cavity
Ectopic Pregnancy
Adverse effects shown in animal studies, but no adequate studies in humans. Use only if the benefit justifies the risk
Category C drug
New onset B/P over 140/90 after 20 weeks gestation WITHOUT protein in the urine
gestational hypertension
Done around 10-13 weeks to detect genetic abnormalities by sampling placental tissue.
CVS- Chorionic Villus Sampling
Done around 28 weeks gestation to check for diabetes
Glucolla test
the loss or termination of a pregnancy before 20 weeks' gestation
Abortion
2 Drugs used in pregnancy that significantly increases the risks of placental abruption
Meth and Cocaine
BP over 140/90 after 20 weeks gestation WITH protein in the urine or symptoms of headache, vision changes, right upper quadrant pain, edema
Pre-eclampsia
Detects 80-85% of neural tube defects and 90% of anencephaly cases
Quad screen
What qualifies as a reactive NST
Two or more accelerations in fetal heart rate in 20 minutes
the placenta implants low in the uterus, sometimes covering or partially covering the cervix
Placenta previa
Most used Teratogen in pregnancy
ETOH
Seizure activity in a pregnant woman with preclampsia not due to other conditions
Eclampsia
Increased levels indicate a Neural Tube Defect or abdominal wall defects.
AFP
Remember decreased levels indicate trisomy 21 or 18
Swab of the cervix done to assess risks of preterm labor
FFN
refers to fetal death after 20 weeks of gestation but before delivery
IUFD
Example of a Category X drug
Accutane
What does HELLP syndrome stand for?
Hemolysis, elevated liver enzymes, low platelets.