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Z1 - Core Curriculum for Neonatal Intensive Care Nursing 4th Edition 1-100 Questions and Answers $13.49
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Z1 - Core Curriculum for Neonatal Intensive Care Nursing 4th Edition 1-100 Questions and Answers

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Z1 - Core Curriculum for Neonatal Intensive
Care Nursing 4th Edition 1-100 Questions
and Answers

Fetal fibronectin (fFN) - ANSWER Cervical swab for a protein that acts as a
"glue" during pregnancy
attaches the amniotic sac to the lining of the uterus.


After the 35th week of pregnancy, it begins to break down naturally, and is
detectable.


If premature birth is imminent, fetal fibronectin may be detected before week 35.


Cervical Ferritin - ANSWER An inflammatory marker whose presence supports
theory that infection is mediator of preterm birth


Corticotropin-releasing hormone (CRH) - ANSWER Maternal plasma levels of
CRH are elevated in both term AND preterm births; a component of common
pathway of labor


Placenta a microglobulin 1 - ANSWER AmniSure detects trace amounts of
placental α-microglobulin-1 (PAMG-1) protein, a protein expressed by the cells of
the decidua and found in the amniotic fluid. PAMG-1 is present in the blood,
amniotic fluid, and cervicovaginal discharge of pregnant women. Its presence is
found in vaginal secretions after the rupture of membranes, with a 99% sensitivity
at any gestational age. The test is administered using a sterile polyester swab to
obtain vaginal secretions without the need of a speculum.

,a- Fetoprotein - ANSWER α-Fetoprotein is assessed to identify neural tube
defects (high) and Down syndrome (low).


Moderate Fetal HR Variability - ANSWER Variability is the most important fetal
heart rate (FHR) characteristic. It is the most important indicator of normal fetal
pH or acidosis. Moderate FHR variability reliably predicts the absence of fetal
metabolic academia.


Normal FHR range - ANSWER 110-160 bpm


Absence of decels in FHR - ANSWER Decelerations are categorized as late,
early, variable, or prolonged. Decelerations are caused by two basic mechanisms:
1. reflex autonomic slowing of the FHR in response to changes in blood pressure,
blood gases, and possibly other factors; 2. direct depression of the FHR resulting
from disrupted oxygen transfer.


Biophysical Profile (BPP) - ANSWER Assessment of five variables in the fetus
that help to evaluate fetal risk: breathing movement, body movement, tone,
amniotic fluid volume, and NonStress Test


Glucose screening in women at Low Risk for GDM - ANSWER Patients who are
at low risk for developing gestational diabetes (<25 years, normal weight before
pregnancy, not a member of a high-risk ethnic or racial group, no diabetes in a
first-degree relative, no history of abnormal glucose tolerance, and no history of
poor obstetric outcome) are tested between 24 and 28 weeks' gestation.

, What is the physiologic cause of late decelerations? - ANSWER A late
deceleration is a reflex fetal response to transient hypoxemia during uterine
contractions.


FHR accelerations - ANSWER reassuring sympathetic nervous system response;
abrupt increase of 15 bpm of at least 15 beats lasting at least 15 sec


Prolonged deceleration - ANSWER parasympatheic nervous system response;
may be caused by rapid descent through birth canal; FHR <100-110 for greater
than 2 mins


Fetal bradycardia - ANSWER <110 bpm


Amnioinfusion - ANSWER used to attempt to resolve variable fetal heart rate
decelerations by correcting umbilical cord compression as a result of
oligohydramnios. When amnioinfusion is used during labor to treat recurrent
severe variable decelerations, it has been proven to reduce the incidence of
cesarean deliveries. Amnioinfusion may assist with oligohydramnios (amniotic
fluid index <5 cm) to provide additional fluid to cushion the umbilical cord and
prevent variable decelerations from occurring.


Nifedipine (Procardia) - ANSWER Tocolytic; proven to delay delivery by 2-7
days. Used for short term prolongation of pregnancy to allow for administration of
antenatal steroids


Magnesium Sulfate - ANSWER tocolytic; used for uterine relaxation; may cause
neonatal resp depression and neuromuscular depression

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