name of the order in Epic for prenatal genetic testing
What is Consult to Fetal Care and Genetics
100
Gestational age that FHT should be heard by Doppler
What is 12 weeks
Possible to hear by 10 weeks
FHT seen on ultraound by 7 weeks
100
Frequency of prenatal visits after 32 weeks
What is every 4 weeks until 30 weeks, every 2 weeks until 36 weeks, weekly after 36 weeks
100
Screening tests ordered for GDM in the first trimester
What is fasting glucose and hemoglobin A1c
100
Name of the shared Epic patient list for prenatal list
What is 1 FMOB PRENATAL PATIENTS
200
Gestational age for first trimester screen blood draw
What is 10- 13 weeks
Measures pregnancy associated plasma protein A(pappA) and hCG.
Specifically, 10 0/7- 13 6/7.
Labs can be drawn at clinic labs.
Need to fill out form
200
Gestational age when fetal movement is typically felt
What is 20 weeks.
200
Frequency that the attending needs to see prenatal patients
What is every visit
200
This HgbA1c values is indication for referral to the Diabetes of Pregnancy Program.
What is greater than or equal to 5.7
200
Tdap should be given to pregnant women in this trimester.
What is third tirmester.
- 27 to 36 weeks per the CDC
300
Gestational age to schedule ultrasound for nuchle translucency
What is 11-14 weeks
Specifically, 11 2/7- 14 2/7
Must be done at Fetal Care and Genetics
300
Gestational age when Rhogam is given to Rh negative patients
What is 28 weeks.
300
Frequency of antenatal testing after 41 weeks
What is twice a week until delivery
300
Patient with a normal HgbA1c in the first trimester should have a 2 hour gtt ordered at what gestational age
What is at 24- 28 weeks.
Consider checking a CBC for anemia at the same time.
300
Pregnant women should receive influenza vaccine in this trimester.
What is any trimester
400
Gestational age for second trimester screen blood draw
What is 15- 20 weeks.
measures AFP, uE3, hCG, inhibin A
California law states that must be offered to all women. If patient refuses, needs to be documented
400
Gestational age to start acyclovir prophylaxis in patients with history of genital herpes.
What is 36 weeks
400
Frequency that patients should be doing kick counts
What is daily after 28 weeks
400
True or false. Patients should be fasting for the 2 hour GTT.
What is true.
Cut of values: fasting <92, 1 hour <180, 2 hour <153
Refer to DAPP if one or more values elevated.
400
Group B strep culture results expire after this may weeks
What is 4 weeks
500
UCSD uses a step-wise sequential integrated screen. Who should be offered genetic screening?
What is all patients
The step-wise sequential screening process involves performing the first trimester portion of the integrated screen and then offering counseling and chorionic villus sampling (CVS) to women whose results place them at very high risk (eg, ≥1 in 50) of an affected fetus. Women whose screen does not place them at very high risk do not receive early results and go on to complete the second trimester portion of the test.
500
GBS culture is collected at this gestational age
What is 36-37 weeks
500
Number of movements in a reassuring kick count
What is 10 movements in 1 hour.
500
this class(es) of GDM are co-managed by Family Medicine and DAPP
Patients who are controlled by diet or oral medications can be co-managed.
Patients on insulin, pre-existing diabetics should be managed by DAPP
500
Fill in the blank
Tubal ligation consents need to signed ___ days before EDD.
What is 30 days.
Give a copy to the patient to bring with them to the hospital.
Fax a copy to LD
Scan into Epic