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Routine Care: Confirming and Dating Pregnancy

by Veronica Gillispie, MD, FACOG
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    About the Lecture

    The lecture Routine Care: Confirming and Dating Pregnancy by Veronica Gillispie, MD, FACOG is from the course Antenatal Care.


    Included Quiz Questions

    1. ...pelvic exam
    2. ...last menstrual period.
    3. ...urine pregnancy test.
    4. ...serum pregnancy test.
    5. ...transvaginal ultrasound.
    1. Serum beta-HCG test
    2. Urine beta-HCG test
    3. Amniotic fluid beta-HCG
    4. Both serum and urine beta-HCG levels are quantitative.
    5. There is no such thing as a quantitative HCG test. All beta-HCG tests are qualitative.
    1. The patient is pregnant, but not far along enough to see anything in the uterus with ultrasound. Repeat beta-HCG should be performed and an intrauterine pregnancy should be confirmed by transvaginal ultrasound when the beta-HCG is greater than 2,000mlU/ml. Precautions should be given for and increased abdominal pain, bleeding, or fevers.
    2. The patient has an ectopic pregnancy. She should be admitted to the hospital for close monitoring and intravenous antibiotics.
    3. The patient has an ectopic pregnancy. She should be admitted directly to the operating room for emergent exploratory laparotomy.
    4. The patient is not pregnant since there is no evidence of pregnancy on ultrasound. She likely has another endocrine problem causing a rise in beta-HCG.
    5. The patient is pregnant, but not far along enough to see anything in the uterus with a transabdominal ultrasound. Ectopic pregnancy should be ruled out this same day with a transvaginal ultrasound.
    1. beta-HCG equal to or greater than 2,000 mlU/ml
    2. beta-HCG equal to or greater than 1,000 mlU/ml
    3. beta-HCG equal to or greater than 50 mlU/ml
    4. beta-HCG equal to or greater than 1,500 mlU/ml
    5. beta-HCG equal to or greater than 15 mlu/ml
    1. beta-HCG equal to or greater than 6,000 mlU/ml
    2. beta-HCG equal to or greater than 2,000 mlU/ml
    3. beta-HCG equal to or greater than 1,500 mlU/ml
    4. beta-HCG equal to or greater than 50 mlU/ml
    5. beta-HCG equal to or greater than 15,000 mlU/ml
    1. June 21
    2. June 7
    3. December 7
    4. December 21
    5. June 14

    Author of lecture Routine Care: Confirming and Dating Pregnancy

     Veronica Gillispie, MD, FACOG

    Veronica Gillispie, MD, FACOG


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