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Study sets matching "ob gyn fetal"

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Study sets matching "ob gyn fetal"

13 terms
OB/GYN Fetal Syndromes
Trisomy 13
Trisomy 13
*Holoprosencephaly... *Microcephaly (smal…
Meckel Gruber Syndrome
Known as Patau Syndrome
90% Cardiac defects... Mid-line defects... Brian Anomalies
Sono findings associated with Trisomy 13
Different Considerations for Trisomy 13 (Patau Syndrome)
Trisomy 13
Known as Patau Syndrome
Trisomy 13
90% Cardiac defects... Mid-line defects... Brian Anomalies
75 terms
OB/GYN - Fetal Monitoring
What is the purpose of intrapartum fet…
Overall assessment (interpretation) of…
Components of intrapartum fetal monito…
What is the purpose of FHR monitoring?…
To monitor the well-being of the fetus during the labor proce…
Category 1 - normal... Category 2 - "everything in between"... Cate…
Fetal HR... Maternal uterine contraction
Indicator of fetal well-being... Alternative to continuous FHR m…
What is the purpose of intrapartum fet…
To monitor the well-being of the fetus during the labor proce…
Overall assessment (interpretation) of…
Category 1 - normal... Category 2 - "everything in between"... Cate…
12 terms
OB/GYN Fetal Intervention
how many babies are born preterm
most fetal anomalies
candidates for prenatal intervention
examples of potentially interrupted pa…
1/8
fixed (i.e., aneuploidy, syndromes, infections)
10% of fetuses with potentially interrupted pathophysiologies
twin twin transfusion syndrome, amniotic band syndrome, bladd…
how many babies are born preterm
1/8
most fetal anomalies
fixed (i.e., aneuploidy, syndromes, infections)
38 terms
Ob/Gyn: Fetal Monitoring
Interpreting Fetal Monitoring ... Dr. C.…
How do you score an overall assessment…
What devices to you monitor fetal hear…
What devices do you monitor uterine co…
Dr. - determine risk... C - contractions ... BRA - baseline rate ... V…
1-3... 1: Normal ... 3: Distress -- need C section now
intermittent with fetal stethoscope or Doppler US... continuous…
external tocodynanometer ... internal uterine pressure catheter
Interpreting Fetal Monitoring ... Dr. C.…
Dr. - determine risk... C - contractions ... BRA - baseline rate ... V…
How do you score an overall assessment…
1-3... 1: Normal ... 3: Distress -- need C section now
30 terms
Ob/GYN fetal anomalies
what does HELLP syndrome stand for?
what is a maternal pregnancy complicat…
sonographic findings with HELLP?
prognosis for HELLP?
Hemolysis Elevated Liver Enzymes and Low Platelets
HELLP
maternal liver hypertrophy with increased echogenicity and po…
varies depending on the severity of mother and baby
what does HELLP syndrome stand for?
Hemolysis Elevated Liver Enzymes and Low Platelets
what is a maternal pregnancy complicat…
HELLP
92 terms
OB/GYN fetal abd and GU
superior umbilical artery/SUA
the third one, 4 chamber
placental chord insert/PCI, central/mi…
breech, heart points to the left
Which image is best for viewing most heart defects?
Image represents.. Normal location....
Cephalic or breech?
superior umbilical artery/SUA
the third one, 4 chamber
Which image is best for viewing most heart defects?
23 terms
OB/GYN Review Fetal Abnormalities
Demonstration of multiple unilateral r…
Which of the following sono findings h…
Dilation of the third ventricle is a s…
Maternal AFP levels in a pregnancy wit…
multicystic dysplastic kidney
presence of a normal vermis
agenesis of the corpus callosum
markedly increase
Demonstration of multiple unilateral r…
multicystic dysplastic kidney
Which of the following sono findings h…
presence of a normal vermis
26 terms
OB/GYN FETAL CHROMOSOME ABNORMALITIES
Turners Syndrome
High
Cystic Hygroma... Cardiac defects... Renal A…
Cephalocele... Trisomy 13... Hydrops Fetalis
*45 Chromosomes, including a single X chromosome ... *Female pr…
Does Turners Syn. have high or low AFP
Sono Findings associated with Turners Syndrome
Differential Considerations of Turners Syndrome
Turners Syndrome
*45 Chromosomes, including a single X chromosome ... *Female pr…
High
Does Turners Syn. have high or low AFP
60 terms
OB/GYN Fetal COmplications in Pregnancy
what is considered SGA
what is considered LGA (large GA)
at what week will the uterine fundal h…
when do you get an US when the fundal…
<10 percentile
>90 percentile
20 weeks
>3 cm)
what is considered SGA
<10 percentile
what is considered LGA (large GA)
>90 percentile
46 terms
OB/GYN FINAL - FETAL SYNDROMES
all or part of extra 21st chromosome
thanatophoric dysplasia
large head w frontal bossing, rhizomel…
craniosynostosis, craniofacial anomali…
down syndrome results from presence of what?
most common lethal form of skeletal dysplasia
thanatophoric dysplasia is characterized by what four things?
apert syndrome is a rare autosomal dominant disorder characte…
all or part of extra 21st chromosome
down syndrome results from presence of what?
thanatophoric dysplasia
most common lethal form of skeletal dysplasia
11 terms
OB-GYN: Fetal Heart Tracings
Electrical fetal monitoring
Minimal variability
Reactive NST
Early deceleration
4 components:... 1) baseline (NR: 110-160)... 2) variability (absen…
Could be due to:... - cord compression... - fetal sleepiness... - mate…
2+ accelerations in 20 minutes (15bpm x 15 sec)
Often occurs w/ contractions. Could be due to:... - Fetal head c…
Electrical fetal monitoring
4 components:... 1) baseline (NR: 110-160)... 2) variability (absen…
Minimal variability
Could be due to:... - cord compression... - fetal sleepiness... - mate…
85 terms
Ob/gyn 3, The Fetal Skeleton
Skeletal dysplasia is the term used to…
Sonographically, healthy bone is
Dwarfism occurs secondary to
Dwarfism refers to
Abnormal growth and density of cartilage and bone
Echogenic with even echotexture
Skeletal dysplasia
A disproportionately short stature
Skeletal dysplasia is the term used to…
Abnormal growth and density of cartilage and bone
Sonographically, healthy bone is
Echogenic with even echotexture
88 terms
Ob/gyn 3, The fetal thorax
Normal evaluation of the fetal thorax…
What is probably the single most impor…
What is the major reason why fetuses y…
After ___ weeks progressive flattening…
- Majority of the heart positioned in the midline and left ch…
The adequacy of pulmonary development
Pulmonary immaturity
24
Normal evaluation of the fetal thorax…
- Majority of the heart positioned in the midline and left ch…
What is probably the single most impor…
The adequacy of pulmonary development
79 terms
Ob/gyn 3, The fetal abdomen
Is the blood coming from the placenta…
What is the pathway of the umbilical v…
At the liver the umbilical vein divide…
When the ductus venosus joins the IVC…
Oxygenated
It comes into the fetal body at the umbilical ring... Travels al…
It enters the ductus venosus which bypasses the liver to join…
The oxygenated blood from the ductus venosus mixes with the d…
Is the blood coming from the placenta…
Oxygenated
What is the pathway of the umbilical v…
It comes into the fetal body at the umbilical ring... Travels al…
Ob/gyn 3, The fetal abdomen
Which lobe of the fetal liver is large…
Where do the bladder, uterus and ovari…
When we are evaluating the fetal abdom…
What does the esophagus look like sono…
The left
The abdominal cavity
Esophagus... Stomach... Duodenum... Liver and billiary system... Spleen
It has a double lumen appearance best seen in the thorax but…
Which lobe of the fetal liver is large…
The left
Where do the bladder, uterus and ovari…
The abdominal cavity
14 terms
OB/GYN Chapter 23 - Fetal Complications
Infant below 10th percentile for GA.
Begins earlier in gestation, growth is…
Occurs in last 8-10 weeks, brain is sp…
There is a progressive _______ in RI o…
IUGR
Symmetrical IUGR
Asymmetric IUGR
Decrease
Infant below 10th percentile for GA.
IUGR
Begins earlier in gestation, growth is…
Symmetrical IUGR
19 terms
OB/GYN Chapter 25 - Fetal Syndromes
A single defect leading to the develop…
The presence of two or more embryologi…
Nonrandom occurrence of two or more de…
Early disruption of the amnion results…
Sequence
Syndrome
Association
Amniotic band syndrome
A single defect leading to the develop…
Sequence
The presence of two or more embryologi…
Syndrome
137 terms
Ob/Gyn III: The Fetal Neural Axis
The CNS arises from what?
When does the CNS arise from the ectod…
What does the cephalic neural plate de…
What does the caudal end of the neural…
Ectodermal neural plate
18 gestational days
The forebrain
The spinal cord
The CNS arises from what?
Ectodermal neural plate
When does the CNS arise from the ectod…
18 gestational days
22 terms
OB & GYN : Module 7 - Fetal Lie
lie
presentation
cephalic (vertex) presentation
breech presentation
describes the relationship between long axis of fetus to that…
refers to the part of the fetus that is over the cervix
head is closest to the cervix
fetal bottom is closest to the cervix
lie
describes the relationship between long axis of fetus to that…
presentation
refers to the part of the fetus that is over the cervix
107 terms
OB/GYN III: Fetal Abnormalities and Conditions
how accurate are gestational age charts?
the ratios should ______ as age increa…
what is a normal HC/AC ratio?
describe Asymmetrical IUGR
they indicate gestational age + or - 2 standard deviations... -m…
decrease
<36wks: 1:1... >36wks: ratio decreases because AC increases
increased HC/AC ratio because the head size is normal but the…
how accurate are gestational age charts?
they indicate gestational age + or - 2 standard deviations... -m…
the ratios should ______ as age increa…
decrease
160 terms
OB/GYN Fetal Anomalies & Complication of Pregnancy
DEVELOPMENTAL DISORDERS
A primary structural defect resulting…
Malformation is the structural defect…
Malformation may result in __________…
DEVELOPMENTAL DISORDERS
A primary structural defect resulting from error in tissue fo…
Malformation is the structural defect that occurs *during tis…
Malformation may result in complete or partial absence of a…
DEVELOPMENTAL DISORDERS
DEVELOPMENTAL DISORDERS
A primary structural defect resulting…
A primary structural defect resulting from error in tissue fo…
30 terms
ARDMS OB/GYN certification fetal complications
IUGR is
most of the causes of IUGR relate to c…
maternal causes of IUGR are
placental factors of IUGR
intrauterine growth restriction from fetal physiological cond…
uterus ... placenta ... amniotic fluid volume... placental transfer rate
poor nutritional status ... smoking ... multiple gestations ... drug o…
placental infarcts and hemangiomas... small placenta ... single umb…
IUGR is
intrauterine growth restriction from fetal physiological cond…
most of the causes of IUGR relate to c…
uterus ... placenta ... amniotic fluid volume... placental transfer rate
142 terms
Ob/gyn 3, The fetal urogenital system
What does the urogenital system consis…
What does the urogenital system develo…
In fetal life, how does urogenital sys…
The urinary and genital systems develo…
Urinary system... Genital system
The intermediate mesoderm
The excretory ducts of both systems enter a common cavity cal…
The urogenital ridge-... The urinary system from the nephrogenic…
What does the urogenital system consis…
Urinary system... Genital system
What does the urogenital system develo…
The intermediate mesoderm
30 terms
ARDMS OB/GYN certification fetal complications
IUGR is
most of the causes of IUGR relate to c…
maternal causes of IUGR are
placental factors of IUGR
intrauterine growth restriction from fetal physiological cond…
uterus ... placenta ... amniotic fluid volume... placental transfer rate
poor nutritional status ... smoking ... multiple gestations ... drug o…
placental infarcts and hemangiomas... small placenta ... single umb…
IUGR is
intrauterine growth restriction from fetal physiological cond…
most of the causes of IUGR relate to c…
uterus ... placenta ... amniotic fluid volume... placental transfer rate
11 terms
3 - Fetal Heart Tracings - OB/GYN
What is the normal HR for fetal heart…
Fetal tachycardia (HR > 160): Causes (3)
Mnemonic for 4 cause of abnormal fetal…
Cause of: Variable Heart Rate
110-160
Chorioamnionitis... Maternal HYPER-thyroidism... Abrupto placentae…
V ----- C... E ----- H... A ----- O... L ----- P
Cord compression + Oligohydramnios
What is the normal HR for fetal heart…
110-160
Fetal tachycardia (HR > 160): Causes (3)
Chorioamnionitis... Maternal HYPER-thyroidism... Abrupto placentae…
43 terms
Blueprints OB/GYN: Fetal Complications of Pregnancy
small for gestational age... (SGA)
Decreased Growth Potential
Intrauterine Growth Restriction (IUGR)
causes of IUGR
estimated fetal weight (EFW) is less than the 10th percentile…
Trisomy 21 (Down syndrome), trisomy 18... (Edward syndrome), and…
Prior to 20 weeks of gestation, growth is primarily hyperplas…
Maternal factors including hypertension, anemia, chronic rena…
small for gestational age... (SGA)
estimated fetal weight (EFW) is less than the 10th percentile…
Decreased Growth Potential
Trisomy 21 (Down syndrome), trisomy 18... (Edward syndrome), and…
10 terms
OB/GYN Chapter 18 - Fetal Face and Neck
Second most common congenital malforma…
Results from failure of mesenchymal ma…
Sonographic findings of cleft lip/palate
Midline malformation of upper lip with…
Facial clefting
Cleft Lip/Palate
Groove extending from one nostril through lip... Best seen in co…
Median Cleft Lip
Second most common congenital malforma…
Facial clefting
Results from failure of mesenchymal ma…
Cleft Lip/Palate
24 terms
ARDMS OB/GYN certification Fetal Syndromes (23)
sequence is a
syndrome is a
association is a
amnionic band syndrome is ___ and is c…
Single defect leading to other defects
the presence of 2 or more embryologically unrelated anomalies…
nonrandom occurrence of two or more or more defects ... *** occu…
rare ... disruption ... amnion ... band ... tissue ... constrict
sequence is a
Single defect leading to other defects
syndrome is a
the presence of 2 or more embryologically unrelated anomalies…
106 terms
OB/GYN #1-Fetal Abnormalities (I-I.)
What condition does this sonogram reve…
This finding was made during a routine…
Given these three images, the most lik…
Which of the following is NOT associat…
Hydronephrosis
Duodenal atresia
Fetal Hydrops
Megacystis
What condition does this sonogram reve…
Hydronephrosis
This finding was made during a routine…
Duodenal atresia
26 terms
OB/GYN Chapter 20 - Fetal Biometry and Lie
What is the most accurate measurement…
If AC falls more than 2 SD from the me…
If FL falls more than 2 SD from the me…
What anatomy should be seen at the BPD…
CRL
IUGR
Skeletal Dysplasia
Thalamus, CSP
What is the most accurate measurement…
CRL
If AC falls more than 2 SD from the me…
IUGR
142 terms
Ob/gyn 3, The fetal urogenital system
What does the urogenital system consis…
What does the urogenital system develo…
In fetal life, how does urogenital sys…
The urinary and genital systems develo…
Urinary system... Genital system
The intermediate mesoderm
The excretory ducts of both systems enter a common cavity cal…
The urogenital ridge-... The urinary system from the nephrogenic…
What does the urogenital system consis…
Urinary system... Genital system
What does the urogenital system develo…
The intermediate mesoderm
84 terms
Ob/Gyn III: The Fetal Face and Neck
When do we need to begin imaging the f…
What are the different fetal face imag…
What are the two MOST common facial an…
What are the LEAST common facial anoma…
After 12 weeks
Profile... Coronal (Face and nose/lips)... Transverse (Orbits and n…
Micrognathia and macroglossia
Nasal hypoplasia... Proboscis... Single nostril
When do we need to begin imaging the f…
After 12 weeks
What are the different fetal face imag…
Profile... Coronal (Face and nose/lips)... Transverse (Orbits and n…
52 terms
Ob/gyn 3, The Fetal Face and Neck
Congenital anomalies of the face affec…
List 5 examples of congenital facial a…
What are the 2 most common facial anom…
What is anterior cephalocele
600
Cleft lip... Hypotelorism... Hypertelorism... Micrognathia... Cleft palate
Macroglossia... Micrognathia
A protrusion of brain from the cranial cavity
Congenital anomalies of the face affec…
600
List 5 examples of congenital facial a…
Cleft lip... Hypotelorism... Hypertelorism... Micrognathia... Cleft palate
35 terms
OB/GYN Boards Fetal Heart and Chest
Aortic Atresia
Aortic Stenosis
Atrioventricular defect
Bat Wing sign
abnormality in which there is a small or absent opening betwe…
abnormal narrowing of the aortic valve
abnormal development of the central portion of the heart. AKA…
sonographic appearance of a fetal UNILATERAL PLEURAL EFFUSION
Aortic Atresia
abnormality in which there is a small or absent opening betwe…
Aortic Stenosis
abnormal narrowing of the aortic valve
OB/GYN boards - fetal heart abnormalities (14)
blood will shunt from the right atrium…
ASD (3)
"T" sign artifact
most common congenital cardiac defect
ASD
ostium primum... ostium secundum... sinus venosus
ASD
VSD
blood will shunt from the right atrium…
ASD
ASD (3)
ostium primum... ostium secundum... sinus venosus
OB/GYN boards - fetal chromosomal anomalies / syndromes
sex chromosomal abnormality, always fe…
levels for turners syndrome
turners sonographic appearance
type of dwarfism... male vs of turners
turner syndrome
decreased AFP, estriol, PAPP A... IF hydrops is present AFP and…
cystic hygroma... hypoplastic left heart... coartation ... hydrops ... re…
noonan syndrome
sex chromosomal abnormality, always fe…
turner syndrome
levels for turners syndrome
decreased AFP, estriol, PAPP A... IF hydrops is present AFP and…
36 terms
OB/GYN Boards Fetal Heart and Chest
Aortic Atresia
Aortic Stenosis
Atrioventricular defect
Bat Wing sign
abnormality in which there is a small or absent opening betwe…
abnormal narrowing of the aortic valve
abnormal development of the central portion of the heart. AKA…
sonographic appearance of a fetal UNILATERAL PLEURAL EFFUSION
Aortic Atresia
abnormality in which there is a small or absent opening betwe…
Aortic Stenosis
abnormal narrowing of the aortic valve
16 terms
OB/GYN Boards Fetal Face and Neck
amniotic band syndrome
aneuploidy
anopthalmia
Beckwith-Wiedemann syndrome
group of abnormalities assoc. with the entrapment of fetal pa…
a condition of having an abnormal number of chromosomes
absence of the eye(s)
growth disorder syndrome synonymous with enlargement of sever…
amniotic band syndrome
group of abnormalities assoc. with the entrapment of fetal pa…
aneuploidy
a condition of having an abnormal number of chromosomes
44 terms
OB/GYN Boards Fetal Spine and Musculo
Achondrogenesis
Achondroplasia
alpha-fetoprotein
Anencephaly
RARE, LETHAL condition resulting in abnormal development of t…
a disorder that results in abnormal bone growth and dwarfism
a protein produced by the fetal YOLK SAC, fetal GASTROINTESTI…
neural tube defect that is described as the ABSENCE OF THE CR…
Achondrogenesis
RARE, LETHAL condition resulting in abnormal development of t…
Achondroplasia
a disorder that results in abnormal bone growth and dwarfism
77 terms
week 12 OB/GYN Fetal Heart
what are the three fetal shunts?
ductus venosus shunts blood from the _…
Ductus arteriosis shunts blood to the…
Foramen Ovale shunts highly oxygenated…
ductus venosus... ductus arteriosis... foramen ovale
umbilical vein... IVC
main pulmonary artery... descending aorta
right atrium to the left atrium
what are the three fetal shunts?
ductus venosus... ductus arteriosis... foramen ovale
ductus venosus shunts blood from the _…
umbilical vein... IVC
OB/ GYN boards - fetal spine abnormalities (12)
vertebral column is formed by surround…
inencephaly
two most common NTD
open defect are strongly associated with
mesoderm
short spine... abnormal posterior flexion of neck... fata
anencephaly... spina bifida
chiari II malformation
vertebral column is formed by surround…
mesoderm
inencephaly
short spine... abnormal posterior flexion of neck... fata
25 terms
OB/GYN BOARDS-fetal head/brain
Alobar Holoprosencephaly
Arnold-Chiari II malformation
Beckmann-Wiedemann syndrome
Brachycephalic
MOST SEVERE.
A group of of cranial abnormalities assoc. with spina bifida
Growth disorder syndrome synonymous with enlargement of of se…
Round skull shape
Alobar Holoprosencephaly
MOST SEVERE.
Arnold-Chiari II malformation
A group of of cranial abnormalities assoc. with spina bifida
9 terms
OB/GYN Boards Fetal Gastro System
anorectal atresia
cholangitis
choledochal cyst
double bubble sign
congenital maldevelopment of the RECTUM and ABSENCE of the AN…
inflammation of the BILE DUCTS
the CYSTIC DILATION of the COMMON BILE DUCT
classic sonographic sign of DUODENAL ATRESIA representing the…
anorectal atresia
congenital maldevelopment of the RECTUM and ABSENCE of the AN…
cholangitis
inflammation of the BILE DUCTS
16 terms
OB/GYN Boards Fetal Genitourinary System
Autosomal Recessive
bladder exstrophy
caliectasis
cloaca
how a disorder or trait is inherited; BOTH PARENTS must be CA…
birth defect where the bladder is located OUTSIDE OF THE ABDO…
dilation of the calices
embryonic structure that develops into the normal rectum and…
Autosomal Recessive
how a disorder or trait is inherited; BOTH PARENTS must be CA…
bladder exstrophy
birth defect where the bladder is located OUTSIDE OF THE ABDO…
OB/GYN boards - fetal chest abnormalities
lecithin/sphingomyelin ratio
incomplete development of lung tissue
pulmonary hypoplasia is most commonly…
associated with
tests lung maturity
pulmonary hypoplasion
diaphragmatic hernia
potters syndrome
lecithin/sphingomyelin ratio
tests lung maturity
incomplete development of lung tissue
pulmonary hypoplasion
43 terms
Blueprints OB/GYN: Fetal Complications of Pregnancy
small for gestational age... (SGA)
Decreased Growth Potential
Intrauterine Growth Restriction (IUGR)
causes of IUGR
estimated fetal weight (EFW) is less than the 10th percentile…
Trisomy 21 (Down syndrome), trisomy 18... (Edward syndrome), and…
Prior to 20 weeks of gestation, growth is primarily hyperplas…
Maternal factors including hypertension, anemia, chronic rena…
small for gestational age... (SGA)
estimated fetal weight (EFW) is less than the 10th percentile…
Decreased Growth Potential
Trisomy 21 (Down syndrome), trisomy 18... (Edward syndrome), and…
OB/GYN boards - fetal demise (4)
blighted ovum
MSD measurement for blighted ovum
sonographic appearance of blighted ovum
embryonic demise
anembryonic preg
25 mm or greater TA... 16 MM or greater TV... (both without fetal p…
large sac, no fetal pole... if present, ys is usually abnormally…
fetal pole no FHT
blighted ovum
anembryonic preg
MSD measurement for blighted ovum
25 mm or greater TA... 16 MM or greater TV... (both without fetal p…
OB/GYN boards - fetal head abnormalities (11)
when should neural tube close by
what increase with NTD
what increases the risk for NTD (2)
absence of cranial vault
6 weeks
MSAFP
obesity, poorly controlled diabets,
acrania
when should neural tube close by
6 weeks
what increase with NTD
MSAFP
OB/GYN boards - fetal skeletal system anatomy
cranium is ossified by
what femur length indications strong p…
tibia or fibula longer
tib or fib more medial and lower
week 15
>2 SD
tib
tib
cranium is ossified by
week 15
what femur length indications strong p…
>2 SD
Ob/Gyn Top 10: Fetal Well-Being
2 ways to assess fetal growth
fundal height
determining gestational age in 1st tri…
determining 2nd and 3rd trimester growth
1) fundal height... 2) ultrasound
- symphisis pubis to top of fundus... - from 18wks to term, shou…
crown-rump length defines it to within 5-7 days
1) biparietal skull diameter... 2) head circumference... 3) abdomin…
2 ways to assess fetal growth
1) fundal height... 2) ultrasound
fundal height
- symphisis pubis to top of fundus... - from 18wks to term, shou…
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