Early Pregnancy Bleeding
Previa vs. Abruption
Antepartum Testing
Ultrasound & Fluid
Screening vs. Diagnostic
100

A pregnancy that ends from natural causes before this many weeks is a miscarriage.

What is 20 weeks

100

Painless, bright red bleeding in the 2nd or 3rd trimester is the hallmark of this.

What is placenta previa?

100

Absent fetal movement for this many hours is a "fetal alarm signal." and requires an immediate ultrasound

What is 12 hours?
100

This US route needs no full bladder and is useful in early pregnancy and in obese patients.

What is transvaginal US?

100

This noninvasive maternal blood test analyzes fetal DNA and can be done as early as 10 weeks.

What is NIPT?

200

After a tubal rupture from an ectopic pregnancy, this type of referred pain may be reported.

What is Shoulder Pain

200

This is the most common risk factor for placental abruption.

What is maternal hypertension?

200

An NST with two accelerations in 20 minutes, each lasting at least 15 seconds and peaking 15 bpm above baseline, is called this.

What is reactive?

200

An AFI under 5 cm indicates this.

oligohydramnios

200

This serum screen at 16–18 weeks checks hCG, AFP, estriol, and inhibin A.

What is a Quad Screen?

300

For cervical insufficiency, this suture ties the cervix closed and is removed at 36 weeks, or sooner with PPROM or preterm labor.

What is a cervical cerclage?

300

Dark red bleeding, a tender uterus, and a rigid abdomen point to this.

What is placental abruption?

300

Repetitive late decelerations with 50% or more of contractions make a CST this.

What is positive?

300

Polyhydramnios, which can accompany GI abnormalities or mutligestatiaonal pregnancies, is diagnosed as an AFI of this level or greater

What is 25cm?

300

This procedure samples placental tissue at 10–13 weeks, giving earlier results than amniocentesis.

What is CVS (chorionic villus sampling)?

400

A "snowstorm" pattern on ultrasound, prune-juice discharge, and a uterus larger than dates suggest this.

What is a hydatidiform (molar) pregnancy?

400

Cocaine use in pregnancy places the patient most at risk for which bleeding condition in the 2nd or 3rd trimester?

what is placental abruption?

400

The five BPP components are AFI, breathing movements, body movements, tone, and this test.

What is NST (non-stress test)?

400

An amniocentesis uses an US to assess where to collect amniotic fluid. It is important to provide what patient education prior to the start of the procedure

What is empty their bladder?

400
There is an increased risk for neural tube defects when this screening test is elevated?

What is AFP?

500

This high-alert medication, also used in cancer treatment, can manage an ectopic pregnancy only before rupture and only when fetal cardiac activity is absent.

What is methotrexate?

500

When bleeding from an abruption is trapped behind the placenta and never reaches the cervical os, it is called this type of abruption.

What is a concealed abruption?

500

A CST is contraindicated with preterm labor, vasa previa, a prior classical uterine incision, or this placental condition.

What is placenta previa?

500

This US test is done between 10-14 weeks which screens for trisomies 13, 18, and 21.

What is a nuchal translucency US?

500

This procedure takes blood directly from a fetal umbilical vessel and is usually done after abnormal amnio or CVS results.

What is PUBS (percutaneous umbilical blood sampling)?