INITIAL VISIT
FIRST TRIMESTER
16-20 WEKS
26-30WEEKS
36WEEKS
100
Ater how many weeks should you date a pregnancy?
After 7 weeks
100
After how many weeks does uterus come out of pelvis?
11-13 weeks
100
What is in the quad screen
AFP,INHIBIN-A, ESTRIOL,HCG
100
What tests are done at 26-30 weeks?
2 hr glucola, Rhogam testing,HIV,RPR,HCT
100
What tests are done at 35-37 weeks?
GBS
200
On whom would you order a PPD?
Women who are homeless, in prison, from a foreign country, TB contact
200
When is the time to order 1st trimester screen?
11-13.6 weeks
200
When does the patient feel the baby move?
18-20 weeks
200
How much glucola for the 2 hour test? Fasting or non fasting?
75 grams fasting
200
5 ways to test for ruptured membranes?
fern test, pooling, nitrazine, AFI, tampon test
300
What is quantiferon gold test? cost?
blood test for TB, used if patient received BCG $275 PPD costs $11
300
What initial labs are ordered
CBC,TYPE & RH, RPR, HIV, HEP B,RUBELLA TITER,PPD if indicated, HGB ELECTROPHORESIS if indicated
300
What is difference between triple screen and quad screen?
inhibin-A
300
What are the glucose values for the 2 hour test?
FBS= 92 1 HR= 180 2 HR=153
300
Three types of decelerations and what is due to what?
early-head compressions- variable-cord compressions late-utero-placental insufficiency
400
What do you do if PPD or quantiferon is positive?
order chest xray and LFTs and TB clinic consult
400
What are nuchal translucency screen and ICEF?
Down's markers
400
When is the uterus at the level of the umbilicus?
20 weeks
400
What if result is ?????
overt diabetes
400
What are stretch marks due to?
electrolyte changes
500
What is a level II scan?
A targeted scan done by MFM
500
When can you hear the FH with the doppler?
What is 10-11 weeks
500
What is hyperemesis gravidarum?
excessive vomiting of pregnancy
500
In what situations do you give Rhogam?
amniocentesis, CVS, spotting, 28 weeks, version, any abortion
500
What drug is used for intrahepatitic cholestasis? dose?
actigall 12 mg/kg/d
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