RNC-OB Exam: Fetal Assessment EXAM || MOST
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When can the uterine fundus be palpated above the
symphysis pubis the first time? - Answer-10 to 12 weeks
gestation
Starting at ___ weeks and lasting until week ___, the
fundal height measured in centimeters usually conforms
with the weeks of gestation - Answer-16, 36
where does measuring the fundal height begin at? -
Answer-symphysis pubis
SGA is also called ___ - Answer-dysmaturity
What are some common causes of SGA? - Answer-
multiple gestation, genetics, placental malfunction,
maternal disease, drug use, birth defects
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What are the two types of IUGR? - Answer-symmetric,
assymetric
Describe symmetric IUGR - Answer-Head and body are
small, occurs early in pregnancy, caused by chromosomal
abnormalities and infections
Describe asymmetric IUGR - Answer-Head or body
smaller than the other, occurs late in pregnancy, caused
by placental insufficiency and preeclampsia
What is the main cause of LGA? - Answer-maternal
diabetes
What is an amniocentesis? - Answer-The insertion of a 20-
22 gauge spinal needle through the abdominal wall into
the amniotic sac to obtain amniotic fluid for analysis,
guided by ultrasound
Cervical and vaginal fluid can be tested for ___________
markers to evaluate for presence of congenital
abnormalities - Answer-Biochemical
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Transvaginal Ultrasound can be used to measure crown
rump length of the fetus in first trimester which helps
determine approximate gestational age +/- one ________
- Answer-Week
________ is performed by inserting a catheter into the
uterus to obtain placental villi for testing . The tissue may
also be obtained through abdominal wall if needed to
safely reach the placenta - Answer-CVS
CVS can be used to do chromosomal, DNA, and enzyme
analysis on placental tissue and is usually performed at
_________weeks. One of the earliest tests to reassure
parents provide information needed to decide whether to
continue the pregnancy - Answer-10-13
Women who are at high risk of having a fetus with
congenital problems should be offered a ___ ___ ___ -
Answer-Comprehensive diagnostic evaluation
What health information is gathered at the initial prenatal
visit? - Answer-Health history, teratogen exposure,
physical exam, uterine size, fundal height, lab tests
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What is chorionic villus sampling (CVS)? - Answer-
Insertion of a catheter into the uterus to obtain placental
villi for testing. Best performed at 10-13 weeks
Uterine fundus can be palpated above the symphysis
pubis by _______ weeks - Answer-10-12
From gestation 16-36 weeks, fundal height can be used to
estimate weeks of gestation. By week ______, fundus is
usually at umbilicus. - Answer-20
During first trimester, the procedure most commonly used
to confirm fetal viability is ______________ ultrasound -
Answer-Transvaginal
SGA infants are those whose weight places them below
the ____th percentile for gesatational age - Answer-10
When fetus does not fulfill his/her growth potential for any
reason, diagnosis is _________. This is associated with
oligohydramnios and PreE - Answer-IUGR