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Effective: Summer 2015

Prerequisites: Prerequisite: DMS 55A.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
2 hours lecture, 1 hour laboratory (laboratory meets every other week). (30 hours total per quarter)

Student Learning Outcomes -
  • Recognize clinical and sonographic signs of the abnormal pregnancy.
  • Describe the sonographic findings of the fetus affected by maternal complications.
Description -
Advanced obstetrical sonography. Abnormal 2nd and 3rd trimester fetal growth and sonographic measurements with correlations to accepted standards. Abnormalities, pathology and maternal complications. One-half hour per week will be spent in completing online exams and working on patient case studies. Intended for students in the Diagnostic Medical Sonography Program; enrollment is limited to students accepted in the program.

Course Objectives -
The student will be able to:
  1. recognize clinical and sonographic signs of the abnormal pregnancy.
  2. describe the sonographic findings of the fetus affected by maternal complications.
  3. understand the types of guided techniques in invasive procedures
  4. technical and psychosocial topics in the 2nd & 3rd trimester abnormal pregnancy and discuss ethical dilemmas for health care personnel when in conflict with cultural, gender, and age-related populations.
Special Facilities and/or Equipment -
DVD/TV, internet access, computer, monitor, viewboxes.

Course Content (Body of knowledge) -
  1. The abnormal pregnancy
    1. classifications of the high risk pregnancy and its impact on fetal and maternal well-being
    2. contrast clinical symptoms
    3. contrast history and physical examination findings
  2. Fetal abnormalities in the 2nd & 3rd trimester pregnancy
    1. fetal head and brain
    2. fetal thorax
    3. fetal chest
    4. fetal abdomen
    5. fetal skeletal system
  3. Maternal complications in the 2nd & 3rd trimesters
    1. cardiac complications
    2. urinary tract complications
    3. digestive tract complications
    4. nutritional compromises
  4. The post parteum uterus
    1. complications of infection
    2. complications for deep vein thrombosis
  5. Image Quality Recognition for interpretation, presentation, and technical quality.
    1. Assessing and obtaining pertinent clinical information.
    2. components of the clinical report
    3. assessing relevant from non relevant data
    4. produce quality studies for the physician to interpret
    5. contrast diagnostic quality of examinations from suboptimal studies
    6. Artifacts - determine useful artifacts from other types of artifacts
  6. Produce quality studies for the physicians to diagnosis
    1. internet research to develop the Case Review and presentation
    2. internet research for the differential diagnosis
  7. Technical and psychosocial topics in obstetrical sonography
    1. role of the sonographer and patients who carry an abnormal fetus with respect to cultural beliefs.
  8. Communication using profession specific nomenclature.
    1. Applying described techniques to patients from diverse cultural, emotional, and socioeconomic status with sensitivity to their rights and comforts.
  9. Emphasis on Obstetrics in the 2nd & 3rd trimesters
Methods of Evaluation -
  1. Demonstration of mastery of lecture material
  2. Written quizzes
  3. Midterm
  4. Comprehensive final exam
Representative Text(s) -
Stephenson, S., Diagnostic Medical Sonography: Obstetrics and Gynecology, 3rd ed., Baltimore: Lippincott, Williams & Wilkins, Baltimore, 2012.
Hall-Terracciano, B., Stephenson, S., Workbook for Diagnostic Medical Sonography: A Guide to Clinical Practice, Obstetrics and Gynecology, 3rd ed., Baltimore: Lippincott, Williams & Wilkins, Baltimore, 2012.

Disciplines -
Diagnostic Medical Technology
Method of Instruction -
Lecture presentations, classroom discussions, homework and Etudes Internet delivery.
Lab Content -
  1. Participate in online assessments
  2. Testing
  3. Case analysis
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Read assignments
  2. Complete written sections of the syllabus
  3. Tests