1.
CVS is a first trimester procedure that is optimally performed between _____ to _____ weeks gestation.
Explanation
CVS, also known as chorionic villus sampling, is a prenatal diagnostic procedure that is performed during the first trimester of pregnancy. It is typically done between 9 to 12 weeks gestation. During this procedure, a small sample of cells is taken from the placenta and analyzed for any genetic abnormalities or chromosomal disorders. Performing CVS within this time frame allows for early detection and potential intervention if any issues are found.
2.
CVS stands for...
Explanation
CVS stands for chorionic villi sampling, which is a prenatal test used to detect genetic abnormalities in the fetus. During this procedure, a small sample of cells is taken from the placenta, specifically from the chorionic villi, which are finger-like projections that provide nutrients to the fetus. These cells are then analyzed for genetic disorders such as Down syndrome, cystic fibrosis, or other chromosomal abnormalities. CVS is typically performed between 10 to 13 weeks of pregnancy and can provide early and accurate results, helping parents make informed decisions about their pregnancy.
3.
The risks of _______________ are infection, slightly increased fetal loss rate when compared to amniocentesis, and rupture of membranes.
Explanation
CVS stands for chorionic villus sampling, which is a prenatal test performed to diagnose genetic disorders in the fetus. The test involves taking a small sample of cells from the placenta and analyzing them for any chromosomal abnormalities. The risks associated with CVS include the possibility of infection, a slightly higher risk of fetal loss compared to amniocentesis (another prenatal test), and the potential for rupture of membranes (the sac surrounding the fetus). These risks should be carefully considered and discussed with a healthcare provider before undergoing CVS.
4.
____________ withdraws a small amount of tissue from the placenta, and evaluates chromosomal abnormalities and fetal gender. It does NOT test for neural tube defects and allows for pregnancy to be terminated at an earlier stage.
Explanation
Chorionic villus sampling (CVS) is a prenatal test that involves withdrawing a small amount of tissue from the placenta. This tissue is then evaluated for chromosomal abnormalities and fetal gender. CVS does not test for neural tube defects, but it does provide the advantage of allowing for pregnancy termination at an earlier stage if any abnormalities are detected.
5.
Method of CVSA catheter is inserted through the _____________ or a needle through the maternal ______________. _______________ ________________ from the placenta are withdrawn.
Explanation
The CVSA method involves inserting a catheter through the cervix or a needle through the maternal abdomen. This allows for the withdrawal of chorionic villi from the placenta.
6.
Role of sonography with CVSDetermines the method used based on ______________ position and _________________ position.
Explanation
Sonography with CVS (chorionic villus sampling) is a diagnostic procedure used during pregnancy to determine the method of sampling based on the position of the uterus and placenta. The position of the uterus is important as it helps the healthcare provider determine the best approach for accessing the placenta during the CVS procedure. Similarly, the position of the placenta is crucial in determining the safest and most effective way to perform the sampling. By evaluating the uterine and placental positions, sonography helps guide the healthcare provider in determining the appropriate method for CVS.
7.
PUBS stands for...
Explanation
PUBS stands for percutaneous umbilical blood sampling. This procedure involves inserting a needle through the mother's abdomen and into the umbilical cord to obtain a sample of the baby's blood. It is typically done during pregnancy to diagnose certain genetic conditions or assess the baby's health.
8.
____________ is an ultrasound guided sampling of umbilical cord blood in utero.
9.
PUBS is performed after _____ weeks gestation.
Explanation
The question is asking for the timing of when PUBS (Percutaneous Umbilical Blood Sampling) is performed during gestation. The correct answer is 18 weeks, indicating that PUBS is typically done at this point in the pregnancy.
10.
Uses of __________ include evaluation of fetal hematocrit, fetal blood analysis, fetal blood transfusions.
11.
Risks of _________ include pre-term labor, infection, and fetal/maternal hemorrhage.
12.
PUBS is a trans_______________ sterile procedure that involves ultrasound guidance of a small gauge needle into the _______________ ______________.
Explanation
PUBS stands for Percutaneous Umbilical Blood Sampling, which is a minimally invasive procedure performed under ultrasound guidance. It involves inserting a small gauge needle into the abdominal area to access the umbilical vein. This procedure allows for the collection of fetal blood samples for various diagnostic purposes.
13.
PUBSIf possible, the best site for puncture is the cord insertion into the ______________.
Explanation
The cord insertion into the placenta is the best site for puncture because it provides direct access to the fetal circulation. The placenta is responsible for the exchange of nutrients and waste products between the mother and the fetus, and puncturing it at the cord insertion allows for the collection of blood samples or the administration of medication directly to the fetus. This site is preferred over other areas of the placenta because it minimizes the risk of injury to the fetus and ensures accurate and reliable results.
14.
PUBSIt is important to monitor the cord _____________ site after fetal blood is drawn.
Explanation
After fetal blood is drawn, it is crucial to monitor the cord puncture site. This is because a cord puncture is a procedure where a needle is inserted into the umbilical cord to obtain a sample of fetal blood. Monitoring the puncture site is necessary to ensure that there are no complications such as bleeding or infection. By closely observing the site, any signs of discomfort, swelling, or abnormal discharge can be detected and appropriate measures can be taken to prevent further complications.
15.
This test asses the thickness of the posterior _____________ ______________, found along the posterior neck of the embryo.
Explanation
This question is asking about a test that assesses the thickness of the posterior nuchal translucency, which is found along the posterior neck of the embryo. The nuchal translucency is a measurement taken during ultrasound examinations to evaluate the risk of certain chromosomal abnormalities, such as Down syndrome, in the fetus. By measuring the thickness of the nuchal translucency, healthcare professionals can determine if there is an increased risk for these abnormalities.
16.
Nuchal translucency is measured in the __________ first trimester between ____-____ weeks ____ days.
Explanation
During the first trimester of pregnancy, nuchal translucency is measured between 11 weeks and 13 weeks 6 days. This measurement is taken to assess the thickness of the fluid-filled space at the back of the baby's neck. A thicker nuchal translucency measurement may indicate an increased risk for certain chromosomal abnormalities, such as Down syndrome. Therefore, it is an important screening test that is typically performed in the late first trimester.
17.
Enlarged nuchal translucency is defined as thickness greater than or equal to ____mm.
Explanation
Enlarged nuchal translucency is defined as a thickness greater than or equal to 3mm or 3.0mm. This measurement is taken during an ultrasound examination of a fetus and is used as an indicator for certain chromosomal abnormalities, such as Down syndrome. A measurement equal to or greater than 3mm suggests an increased risk for these conditions, prompting further diagnostic testing and evaluation.
18.
Increased NT thickness is associated with
Correct Answer(s)
A. Aneuploidy
B. Fetal demise/spontaneous abortion
C. Fetal anomalies
Explanation
Increased NT thickness is associated with aneuploidy, fetal demise/spontaneous abortion, and fetal anomalies. Aneuploidy refers to the presence of an abnormal number of chromosomes, which can lead to developmental abnormalities. Fetal demise or spontaneous abortion refers to the loss of the fetus before it reaches viability. Increased NT thickness has been linked to an increased risk of fetal demise. Fetal anomalies refer to structural abnormalities in the developing fetus, and increased NT thickness has been found to be associated with a higher likelihood of such anomalies.
19.
Trisomy ____ is the most common aneuploidy
Correct Answer(s)
21
Explanation
Trisomy 21, also known as Down syndrome, is the most common aneuploidy. It occurs when there is an extra copy of chromosome 21, resulting in intellectual disability, characteristic facial features, and certain medical conditions. Down syndrome affects approximately 1 in every 700 births worldwide. The extra genetic material from chromosome 21 disrupts normal development and causes the features associated with this condition.
20.
The nuchal translucency refers to the normal subcutaneous __________ __________ space between the back of the fetal __________ and the overlying _____________.
Correct Answer(s)
fluid filled, neck, skin
Explanation
The nuchal translucency refers to the normal subcutaneous fluid filled space between the back of the fetal neck and the overlying skin. This measurement is commonly used in prenatal screening to assess the risk of certain chromosomal abnormalities, such as Down syndrome. A larger nuchal translucency measurement may indicate an increased risk for these conditions.
21.
The NT measurement only includes the _______________ portion, an ____________ to ___________ measurement.
Correct Answer(s)
translucent, inner, inner
Explanation
The NT measurement only includes the translucent portion, an inner to inner measurement. This means that when measuring the nuchal translucency (NT), only the inner part of the translucent area is considered. The measurement is taken from one inner edge to the other inner edge, excluding any outer or peripheral areas.
22.
When measuring NT, careful technique is important, this is a very _________ structure.
Correct Answer(s)
small
Explanation
The given statement suggests that when measuring NT (presumably referring to a specific structure or object), careful technique is crucial. The use of "this is a very small structure" implies that the structure being measured is small in size. The word "small" describes the characteristic of the structure and emphasizes the importance of precision in measuring it.
23.
NT_____________ the image makes it easier to accurately measure the translucent area.
Correct Answer(s)
enlarging
Explanation
Enlarging the image makes it easier to accurately measure the translucent area because it allows for a clearer and more detailed view of the image. By increasing the size of the image, the translucent area becomes more visible and easier to distinguish from the surrounding areas. This enhanced visibility enables more precise measurements to be taken, leading to greater accuracy in determining the size of the translucent area.
24.
NTOne common error is to include the _____________ in the measurement
Correct Answer(s)
amnion
Explanation
One common error is to include the amnion in the measurement. The amnion is a membrane that surrounds the fetus during pregnancy. Including it in the measurement could lead to inaccurate results or distortions in the measurement. It is important to exclude the amnion when taking measurements to ensure accuracy.
25.
Most often, NT measurements are combined with _________________ testing when deciding if chromosome testing is required.
Correct Answer(s)
biochemical
Explanation
NT measurements, which stands for nuchal translucency measurements, are typically combined with biochemical testing when determining whether further chromosome testing is necessary. This combination of tests helps to assess the risk of chromosomal abnormalities in a fetus. The NT measurement is an ultrasound measurement of the fluid accumulation at the back of the baby's neck, while biochemical testing involves analyzing certain substances in the mother's blood. By combining these two types of tests, healthcare professionals can obtain a more accurate assessment of the risk and make informed decisions about the need for further testing.