Exam (elaborations)
OB EXAM2 2024
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OB EXAM2 OB EXAM2 OB EXAM2
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OB EXAM2When do we test for gestational diabetes? - ANS 24-28 weeks
Can the patient food before GDM initial test? - ANS Yes
How do we diagnose GDM? - ANS 28 week-glucose challenge (non-fasting) :
50 gram glucola-> drink
Blood drawn in 1 hour to determine utilization of glucose
Expected result : <140mg/dl
o > 140 mg/dL in glucose challenge needs 3 hour glucose tolerance test with fasting ; not diagnosed
BUT will perform diagnostic test based off the results.
o NEED 2 OR MORE ELEVATED VALUES OR.....fasting levels over 126 mg/dL=diagnosis of gestational
diabetes.
characteristic of gestational diabetes baby? - ANS Macrosomia
Enlarged internal organs (heart, liver, spleen)
Flushed or ruddy color
Large umbilical cord and placenta
Baby can be large yet, immature physiologically
macrosomia - ANS large-bodied baby commonly seen in diabetic pregnancies
how many pounds should mom gain during pregnancy ? - ANS 25-35lbs
how much weight should a pegnant woman gain in 1st trimester - ANS 2-5lbs
if mom was normal weight before pregnancy how much should she gain in 2nd and third trimester? -
ANS 1lb per week
if she was underweight before pregnancy how much weight should she gain in 2nd and third
trimester? - ANS 1.5 lbs per week with total gain 28-40 lbs
, Overweight pre-pregnancy -how much weight should she gain in 2nd-third trimester? - ANS 0.5lbs
per week with total gain 15-25lbs
Obese pre-pregnancy 0.4 lbs per week with weight gain 11-20 lbs. - ANS true
What is IUGR (intrauterine growth restriction)? - ANS Infant who is in gestation is not thriving.
oligohydraminos is associated with - ANS low amounts of amniotic fluid (<300ml) - an amniotic fluid
disorder resulting in decreased amniotic fluid volume for gestational age. could be due to babies
kidneys?
amniotic fluid - ANS fluid within the amniotic sac that surrounds and protects the fetus
amnion - ANS Innermost membranous sac surrounding the developing fetus
chorion - ANS Outermost layer of the two membranes surrounding the embryo; it forms the fetal
part of the placenta.
when to initiate antepartum testing? - ANS Used primarily in women at risk for disrupted fetal
perfusion and oxygenation.
non stress test - ANS Looks at FHE with activity
- Favorable results- 2 or more FHR accelerations of 15 beats lasting 15 seconds in a 20 minute period
Gestational trophoblastic Disease/Molar pregnancy - ANS condition in which trophoblastic tissue
overtakes the pregnancy and propagates throughout the uterine cavity
Trophoblastic villi tissue develops abnormally
An abnormal placenta develops but usually no the fetus
if patient is having vaginal bleeding that is dark brown-prune juice colored, hyperemesis with hCG
levels , but no fetal heart tones and after looking at ultrasound a placenta sac full grape clusters. you
suspect? - ANS molar pregnancy
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