100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
OBGYN COMAT Review 100% Correct Answers Verified Latest 2024 Version $8.49   Add to cart

Exam (elaborations)

OBGYN COMAT Review 100% Correct Answers Verified Latest 2024 Version

 0 view  0 purchase
  • Course
  • Institution

OBGYN COMAT Review | 100% Correct Answers | Verified | Latest 2024 Version When can fetal heart tones be detected w/doppler? - 10-12 weeks When is fetal movement appreciated? - 17-18 weeks When should you get a "quantitative" beta-hCG - -to diagnose & follow ectopic pregnancy -monitor tropho...

[Show more]

Preview 3 out of 22  pages

  • July 3, 2024
  • 22
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
avatar-seller
OBGYN COMAT Review | 100% Correct
Answers | Verified | Latest 2024 Version
When can fetal heart tones be detected w/doppler? - ✔✔10-12 weeks


When is fetal movement appreciated? - ✔✔17-18 weeks



When should you get a "quantitative" beta-hCG - ✔✔
-to diagnose & follow ectopic pregnancy
-monitor trophoblastic dz
-screen for fetal aneuploidy


What supplement is given in pregnancy to decrease neural tube defects for all reproductive-age women?
- ✔✔Folic acid supplements



What additional supplements are given for complete vegeterians - ✔✔vitamin D & vitamin B12



What kind of immunoglobulins can cross the placenta? - ✔✔IgG



Prenatal screening at the initial visit - ✔✔Heme= CBC, Rh factor, Type & Screen


ID= UA & culture, rubella Ab titer, HBsAg, RPR/VDRL, cervical G/C, PPD, IV, Pap smear (to check for
dysplasia).


If indicated: HbA1C, Sickle cell screening. Can also discuss genetic screening (Tay-Sachs dz, Cystic
Fibrosis).



When are prenatal visits conducted? - ✔✔Weeks 0-28= every 4 weeks (7*4=28)
Weeks 29-35= every 2 weeks
Weeks 36-birth= every week

,When is a quad screen conducted? - ✔✔15-22 weeks



When's an ultrasound for full anatomic screen done? - ✔✔18-20 weeks



When is the 1 hr glucose challenge test for gestational DM done? - ✔✔24-28 weeks



When is RhoGAM given to Rh- women? - ✔✔28-30 weeks


When's GBS culture done?

(and cervical culture for N gonorrhoeae & Chlamydia in selected populations). - ✔✔35-40 weeks or 32-
37 weeks



when can a nuchal transparency test be ordered? - ✔✔9-14 weeks



4 elements of the Quad Screen - ✔✔maternal serum AFP
B-hCG
Estradiol
Inhibin A


What's associated with ELEVATED maternal serum AFP (MSAFP)?

(<2.5 MoMs) - ✔✔Open neural tube defects (spina bifida, anencephaly)
Abdominal wall defects (gastroschisis, omphalocele)
Multiple gestation
Incorrect gestational dating
Fetal death
Placental abnormailities (like rupture)


What's associated with REDUCED maternal serufm AFP (MSAFP)

(<0.5 MoM) - ✔✔Trisomy 21 & 18

, Fetal demise
Inaccurate gestational dating



Quad screen in trisomy 18 - ✔✔all are decreased
(still "UNDERage" at age 18)



Quad screen in Trisomy 21 - ✔✔Decreased AFP
Increased B-hCG
Decreased Estradiol
Increased Inhibin A



earliest screening for down syndrome & trisomy 18? - ✔✔PAPP-A + nuchal transparency +free B-hCG
done at 9-14 weeks ("Full Integrated test")


Note-> nuchal transparency is increased.


(PAPP-A= pregnancy-associated plasma protein A)



At what time (weeks) is CVS vs amniocentesis done? - ✔✔CVS= 10-12 weeks
Amniocentesis= 15-20 weeks



Which is indicated in women who will be >35 yo at time of delivery? - ✔✔amniocentesis



What are the major infectious organisms that can cross the placenta? - ✔✔TORCHeS:
Toxoplasmosis
Other (parvovirus, varicella, Listeria, TB, malaria, fungi)
Rubella
CMV
Herpes simplex virus
HIV

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller hov. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $8.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72841 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$8.49
  • (0)
  Add to cart