Daily Fetal Movement Count correct answers "Kick Counts"
-Having the patient assess how frequently the fetus moves
-Number of movements varies based on maternal and fetal wake/rest cycles
-Notify provider if no fetal movement for 12 hours
-Listen to your patient!
Ultrasound (HRP) correct an...
NURB 334 Exam IV || with A+ Guaranteed Solutions.
Daily Fetal Movement Count correct answers "Kick Counts" -Having the patient assess how frequently the fetus moves
-Number of movements varies based on maternal and fetal wake/rest cycles
-Notify provider if no fetal movement for 12 hours
-Listen to your patient!
Ultrasound (HRP) correct answers -Use of intermittent high-frequency sound waves to create image of fetus
-Amount of Amniotic Fluid
-Cord insertion
-Placenta location and health
-Number of embryo/fetus
-Fetal position and presentation
-Fetal size
-Fetal health
Ultrasound Amount of Amniotic Fluid correct answers -Amniotic fluid volume (AFV) - measurement of pockets of fluid
-Amniotic fluid index (AFI) - WNL = 5-20
< 5 = oligohydramnios
>20 = polyhydraminos
Ultrasound fetal size correct answers -Biparietal diameter of fetal head
-Fetal femur length
Ultrasound fetal health correct answers -Fetal Breathing Movements (FBMs)
-Fetal Heart Rate (FHR)
-Fetal anomalies
Non-stress Test NST correct answers -Assessment of fetal health
-Locate fetal heart sound
-Record FHR for approximately 20-40 minutes
-Patient will record each fetal movement by pushing a button
-Movements are marked on the FHR tracing
-Fetal heart rate should mirror fetal movement
Reactive NST correct answers Two or more accelerations of 15 bpm or more within 20 min
Nonreactive NST correct answers Less than two (nonreassuring)
Contraction Stress Test correct answers -Assess fetus ability to tolerate labor (stress)
-Essentially trying out labor to see if baby can handle it
-Locate fetal heart sound and best site for monitoring contractions
-Stimulate contractions Non-reassuring CST correct answers -Bradycardia
-Tachycardia
-Absent or minimal variability
-Late decelerations
-Sinusoidal pattern
Biophysical Profile BPP Criteria correct answers -Fetal movement (3 or mor in 30 minutes) = 2
-Fetal breathing movements (3 or more episodes 30 sec or more in 30 min) = 2
-Fetal tone (1 or more episodes of extension with flexion) = 2
-Amniotic fluid volume (1 or more pockets measuring at least 2 cm) = 2
-Reactive NST =2
BPP Score of 10 correct answers Normal, delivery not indicated
BPP Score of 8 correct answers with normal amniotic fluid measurement = Normal, delivery not indicated
BPP score of 6 correct answers Equivocal, consider delivery
BPP score of 4 or less correct answers -Abnormal, deliver fetus if gestation is greater than 26 weeks
-24 weeks considered viable, trying to maintain life outside of utero
Types of Screening correct answers PAPP-A and hCG
Alpha Fetal protein (AFP) Quadruple Marker -Blood tests done looking at different hormones
-Generally do blood tests first and if positive do diagnostics after if they wish to do so
PAPP-A hCG correct answers 11-14 weeks Trisomy 21 (Down's Syndrome)
Alpha fetal protein (AFP) correct answers 16-18 weeks Neural tube defects, including anencephaly trisomy 21
Quadruple marker correct answers 16-18 weeks Trisomy 18 (incompatible with life) Trisomy 21
Diagnostic Tests correct answers -Chorionic Villa Sampling CVS
-Aminocentesis
-Percutaenous Umbilical Blood Sampling (PUBS)
Chorionic Villa Sampling correct answers -10-13 weeks (preferable) -Sample of chorionic villa tissue through cervix or abdomen -Chromosomal disorder
-Fetal lung maturity
-Genetic Abnormality
aminocentesis correct answers > 15 weeks -Sample of amniotic fluid is aspirated through the abdominal wall -Chromosomal disorders -Fetal lung maturity -Genetic abdormality
Percutaneous Umbilical Blood Sampling (PUBS) correct answers > 14 weeks (follow up to CVS/ amniocentesis) -insertion of needle into umbilical vein -anemia
-chromosomal disorders
-genetic abnormalities
-infection -thrombocytopenia
-transfusion
Potential Maternal Complications of Diagnostic Tests correct answers Abruption
Amniotic fluid embolism
Damage to intestines or bladder
Hemorrhage
Infection
Labor
Leakage of amniotic fluid
Preterm labor
Spontaneous abortion
Potential Fetal Complications of Diagnostic Tests correct answers Death
Hemorrhage
Infection
Injury from needle
Isimmuzations
Diabetes mellitus correct answers -Metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both
-Glucose accumulates in the blood stream resulting in hyperglycemia
-Body is unable to metabolize glucose
-Compensates with gluconeogenesis
Diabetes + Pregnancy correct answers -Most common endocrine disorder associated with pregnancy
-Considered high risk (referred to maternal-fetal medicine)
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