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This Concept Map, created with IHMC CmapTools, has information related to: Routine Prenatal Care, 2nd Trimester 24-28 wga 1-hr Glucola screen -positive if >=140 28wga-H/H to r/o anemia, -RhoGAM if Rh (-), 1st Trimester 9-12 wga Chorionic Villus Sampling, 2nd Trimester ᡇ wga Amniocentesis, 1st Trimester Initial Screen Labs If Risk Fx: Early Glucola Hb electrophoresis PPD, 1st Trimester 15-21 wga Quad screen-usually ABNL 2/2 dates -MSAFP, inhibin, estriol, b-hCG AFP-elevated in NTD, VWD -NEED 0.4mg FOLATE QD -4mg for high risk T21-low AFP, estriol high hCG, inhibin T18-low AFP, estriol, hCG, 1st Trimester 4 wga 1st missed period OTC pregnancy test (+), 2nd Trimester 18-20 wga Morphology U/S, Routine Prenatal Care ???? 1st Trimester, 3rd Trimester បwga If risk for delivery: Amnio -Assess fetal lung maturity, 1st Trimester 11-13 wga Nuchal Translucency, 3rd Trimester 35-37 wga GBS, 2nd Trimester 24-28 wga 3hr GTT abnl values: , , , 1st Trimester Twins Monthly U/S, 2nd Trimester 28-36wga-2wk 36->delivery weekly 3rd Trimester, 1st Trimester UA At EVERY appt -for glucosuria and proteinuria, 2nd Trimester ᡌ wga Percutaneous Umbilical Blood Sampling, 1st Trimester 1st visit-28 wga 4-wk follow-up 2nd Trimester, 1st Trimester Initial Screen Labs Pregnancy test STDs: GC/CT, RPR, HIV, BV HBsAg Rubella Pap smear UA, Urine C&S CBC, blood type, AB screen U/S-confirm GA, viability, Routine Prenatal Care ???? 1st Trimester, 3rd Trimester Post-Partum RhoGAM if Rh(-) and baby is Rh (+)