59. When a women is being evaluated for her pregnancy, there are a number of tests and procedures that are performed from the beginning of the pregnancy to the end. Please put the test and procedure the order that they are supposed to occur in the normal pregnancy.
Glucose Tolerance Test (GTT)
Human Chorionic Gonadotropin (HCG) on urine.
Group B Beta Strep
Maternal serum alpha-fetoprotein (MSAFP)
The Correct Answer is B, D, A, C
Urine hCG is used to confirm pregnancy and is the first test performed. The maternal serum alpha-fetoprotein test is typically done around 15-20 weeks to screen for fetal abnormalities. The Glucose Tolerance Test (GTT) is typically performed between 24-28 weeks to screen for gestational diabetes. Group B beta strep testing is usually done between 35-37 weeks to screen for bacterial infection.
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Related Questions
Correct Answer is ["B","E","F"]
Explanation
A. The Glucose Tolerance Test is usually performed later in pregnancy (around 24-28 weeks) to screen for gestational diabetes, so it is not a primary concern at 12 weeks.
B. Given the patient's history of multiple partners and uncertainty about the father, HIV screening is important to prevent mother-to-child transmission and provide early treatment.
C. Urine glucose is typically monitored later in pregnancy for gestational diabetes, but it is not immediately prioritized based on this history.
D. The Rubella Titer is important, but it is less immediately critical than HIV, STDs, or toxoplasmosis, given the patient’s risks.
E. Toxoplasmosis screening is necessary because handling cat litter can expose the mother to the risk of toxoplasmosis, which can harm the fetus.
F. Vaginal cultures for STDs are important given the patient’s multiple partners, as untreated STDs can lead to complications like preterm birth or neonatal infections.
G. Maternal Serum Fetal Alphaprotein is typically used for screening for neural tube defects later in pregnancy and is not an immediate concern.
Correct Answer is D
Explanation
A. The A1C is not used for diagnosing gestational diabetes; it measures long-term blood glucose levels.
B. A fasting glucose test in the first trimester is not typically used for diagnosing gestational diabetes.
C. The three-hour glucose tolerance test is used for diagnosing gestational diabetes but not as a routine screening for all women.
D. The standard screening test for gestational diabetes is the one-hour glucose challenge test, typically performed between 24 and 28 weeks of gestation.
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