lrn rnc questions and answers with well elaborated
ls ratio lecithinsphinomyelin
reactive nst non stress test
nonreactive nst non stress test
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Lrn Rnc Questions And Answers With
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L/S ratio (lecithin/sphinomyelin) - ANSWER✔✔test of fetal lung maturity
0.5:1 early inpregnancy
1:1 at 30-32 weeks
2:1 at 35 weeks (fully mature)
not accurant for IDM or mec/blood stained fluid
PG (phosphatidylglycerol) - ANSWER✔✔test of fetal lung maturity
a part of surfactant, its presence is a sign of fetal lung maturity
appears at 36 weeks (or 35 weeks for IDM)
Reactive NST (non-stress test) - ANSWER✔✔2+ accelerations in fetal heart rate
15 bpm above baseline for 15+ seconds in 20-40 minutes
(normal, reassuring result)
nonreactive NST (non-stress test) - ANSWER✔✔0-1 acceleration of fetal heart
rate in 40 minutes
(abnormal, concerning result)
biophysical profile - ANSWER✔✔test of fetal status
includes non-stress test (NST), respirations, movement, tone, and amniotic fluid
value
score 10 - normal no risk
score 6 - possible asphyxia
, score 4 - repeat test same day and if 6 or less should induce delivery
score <4 - deliver immediately
triple screening - ANSWER✔✔used to detect neural tube defects at 15-16 weeks
serum AFT (alpha-fetoprotein) in the second trimester
ultrasound
amniocentesis (checking amniotic AFT)
HELLP syndrome - ANSWER✔✔hemolysis, elevated liver enzymes, low platelet
count
pain in upper right quadrant, flu-like symptoms
congenital and neonatal infections - ANSWER✔✔CHEAP TORCHES:
Chickenpox (varicella)
Hepatitis (B, C, & E)
Enterovirus (polio)
AIDS (HIV)
Parvovirus
Toxoplasmosis
Other (GBC, Candida, Listeria, TB)
Rubella (measles)
Cytomegalovirus [most common]
Herpes Simplex Virus (HSV)
Every other STD (Chlamydia, gonorrhea, papilloma)
Syphilis
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