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PERINATAL Exam: Questions & Answers (Detailed)
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PERINATAL Exam: Questions & Answers (Detailed)
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PERINATAL Exam: Questions & Answers (Detailed)What is hysterosalpinography and why is it done Right Ans - Done 8-10
after LMP
Uses contrast to check patency of tubes & uterus
What is a laparoscopy? Right Ans - -Done during menstrual cycle
-Evaluates abnormalities on U/S or hysterosalpingography
-Small incision in abdomen
hysteroscopy Right Ans - used to Dx or treat problems of uterus
In Vitro fertilization Right Ans - oocytes fertilized in lab, transferred to
uterus
GIFT? Right Ans - oocytes & sperm combined, placed in fallopian tube
ZIFT? Right Ans - zygotes fertilized in vitro then placed into fallopian tube
Surrogate Right Ans - inseminated with sperm, carries fetus
Gestational carrier Right Ans - embryo placed in person who carries the
pregnancy
contract agreement
3 stages of pregnancy? Right Ans - Pre-embryonic: fertilization through
2nd week
-Embryonic: 2-8 wks
-Fetal: end of 8th until birth
What occurs in pre-embryonic stage Right Ans - -implantation
-blastocyte forms embryo & amnion
-trophoblast forms into embryonic membranes, which forms the placenta
Outer layer covering placenta? Right Ans - Chorion
Inner layer, forms amniotic sac containing the fluid? Right Ans - Amnion
Critical for fetal lung development? Right Ans - amniotic fluid
,Normal amniotic fluid range? Right Ans - 700-1000 ml
Produces RBC's, provides nutrients & O2 to baby? Right Ans - yolk sac
What do arteries do? Right Ans - carry UNoxygenated blood from fetus to
placenta
What do veins do? Right Ans - Carry oxygenated blood from placenta to
fetus
When does fetal circulation begin? Right Ans - around day 22, 23
3 shunts for fetal circulation? Right Ans - ductus venosus, foramen ovale,
ductus arteriosus
Ductus venosus Right Ans - -connects umbilical cord to inferior vena cava
-takes oxygenated blood to fetus, bypassing fetal liver
Foramen ovale Right Ans - -takes blood from right to left atrium
-bypasses fetal lungs
Ductus arteriosus? Right Ans - -blood form pul. artery to aorta
-bypasses fetal lungs
At what age can gender be determined? Right Ans - 12 weeks
when does lanugo develop? Right Ans - 13-16 wks
when is amniotic fluid swallowed? Right Ans - 13-16 wks
RBC's produced by liver? Right Ans - 9-12 wks
when does vernix caseosa coat the fetus? Right Ans - 17-20 wks
when is baby 2 pounds, 15 inches in length? Right Ans - 25-28 wks
when does rapid brain growth occur? Right Ans - 17-20 wks
, When do the lungs start producing surfactant? Right Ans - 21-24 wks
when can the baby hear? Right Ans - 26 wks
when does mother supplies antibodies to baby ? Right Ans - 33-38 wks
Baby starts to move, kick, and swallow? Right Ans - 9-12 wks
Startle reflex (moro) by week? Right Ans - 15
When can fetal heart tones be heard with a stethoscope? Right Ans - 17-20
wks
baby assumes a head down position? Right Ans - 25-28 wks
what does TORCH stand for Right Ans - Toxoplasmosis
Other
Rubella
Cytomegalovirus
Herpes simplex virus
which meds should pregnant women avoid? Right Ans - -ACE
-ARB's
-Warfarin
Presumptive signs: Right Ans - "Think mom"
-S&S of missed period
Probably signs Right Ans - -+ test
-abdominal enlargement
-braxon-hicks contractions
-Goodwell's, Hegars, Chadwick's signs
Positive signs Right Ans - -U/S
-Fetal movement
-Fetal heart tones
Labs-1st prenatal visit? Right Ans - -CBC, Rh factor, UA, blood types
-TORCH
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