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60 Cards in this Set
- Front
- Back
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What is the Sandovsky method?
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done after 24 wks
eat small meal then lie down on L side for 1 hr and count how many times fetus moves should be about 10 times call Dr. if 7 or less |
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What is the Cardiff method?
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count fetus movement until 10 and see how long it takes
call Dr. if more than 1 hr |
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What should the fetal heart rate be?
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120-160
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What is the rhythm strip testing?
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look at fetal heart rate for 20 min
should have 2 accelerations of the heart that rise about baseline 15 beats for at least 15 sec |
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What is short term variability?
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how the heart rate changes from beat to beat
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What is long term variability?
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how the heart rate changes over time
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What is a reactive NST?
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2 accelerations of 15 beats remaining at that level for 15 seconds in a 10 minute period
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What is a nonreactive NST?
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none or <2 accelerations
needs retesting |
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What is an OCT?
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decreases 02 to the fetus to see reaction
done on a term baby get baseline HR increase ocytocin until 3 contractions in 10 min that last at least 40 sec usually done after nonreactive NST |
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What is contraindicated for an OCT?
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bleeding
incompetent cervix pre-term |
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What is a negative OCT?
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no decelerations present with contractions
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What is a positive OCT?
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50% or more of contractions are accompained by late deceleration
needs further evaluation |
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What is a suspicious OCT?
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1 late or difficult to read
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What is a BPD?
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measurement of head to determine growth
if about 8.5 cm the fetus should be about 5.5 lbs and 38 weeks |
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What should the head circumference be at about 38-40 wks?
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34.5 cm
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What is placental grading?
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determines wks by looking at calcium deposits
0 = 12-24 wks 1= 30-32 wks 2 = 36 wks 3 = 38 wks maturity |
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What is doppler umbilical velocimetry?
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looks at flow of blood through placenta to umbilical cord to see if there is any resistnace
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What would a decreased doppler flow indicate?
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poor neonatal outcome
immediate intervention |
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What is an amniotic fluid volume assessment?
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measures amniotic fluid
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What should the anminotic fluid be at 20 wks or less?
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2 pockets of fluid
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What is a negative OCT?
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no decelerations present with contractions
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What is a positive OCT?
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50% or more of contractions are accompained by late deceleration
needs further evaluation |
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What is a suspicious OCT?
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1 late or difficult to read
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What is a BPD?
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measurement of head to determine growth
if about 8.5 cm the fetus should be about 5.5 lbs and 38 weeks |
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What should the head circumference be at about 38-40 wks?
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34.5 cm
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What is placental grading?
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determines wks by looking at calcium deposits
0 = 12-24 wks 1= 30-32 wks 2 = 36 wks 3 = 38 wks maturity |
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What is doppler umbilical velocimetry?
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looks at flow of blood through placenta to umbilical cord to see if there is any resistnace
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What would a decreased doppler flow indicate?
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poor neonatal outcome
immediate intervention |
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What is an amniotic fluid volume assessment?
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measures amniotic fluid
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What should the anminotic fluid be at 28 wks?
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15 cm
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What is a negative OCT?
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no decelerations present with contractions
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What is a positive OCT?
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50% or more of contractions are accompained by late deceleration
needs further evaluation |
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What is a suspicious OCT?
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1 late or difficult to read
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What is a BPD?
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measurement of head to determine growth
if about 8.5 cm the fetus should be about 5.5 lbs and 38 weeks |
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What should the head circumference be at about 38-40 wks?
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34.5 cm
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What is placental grading?
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determines wks by looking at calcium deposits
0 = 12-24 wks 1= 30-32 wks 2 = 36 wks 3 = 38 wks maturity |
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What is doppler umbilical velocimetry?
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looks at flow of blood through placenta to umbilical cord to see if there is any resistnace
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What would a decreased doppler flow indicate?
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poor neonatal outcome
immediate intervention |
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What is an amniotic fluid volume assessment?
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measures amniotic fluid
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What should the anminotic fluid be at 28-40 wks?
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15 cm
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What would a measurement of 20-24 cm of amniotic fluid indicate?
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Polyhydramnios
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What would a measurement of 5-6 cm of amniotic fluid indicate?
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Oligohydramnios
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What is the BPP?
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fetal breathing movements
fetal movement fetal tone amniotic fluid volume placental grading fetal heart rate reactivity |
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What is a good BPP?
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6-8
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What BPP score indicates fetal jeopardy?
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4-6
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What's McDonalds rule?
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measures the distance from the fundus to the synthesis pubis in cm
@ 20 wks should be at the level of mom's umbilicalus 20-31 cm = wks gestation |
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What would an increased in McDonalds rule indicate?
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Polyhydramnios or multiples
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What would a decrease in McDonalds rule indicate?
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Oligohydramnios or uterine growth retardation
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What is the alpha fetoproein?
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most accurate at predicting neural tube defects
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What is the triple screen?
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more accurate predictor for down syndrome
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What is chrionic villi sampling?
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may be done if a family hx of downs or other ds and may terminate pregnancy
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What does the mother have to be treated with if she's rh-?
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rogan
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What color should the amniotic fluid be?
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clear to light yellow
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What would a dark yellow amniotic fluid indicate?
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blood incompatibility
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What would a green amniotic fluid indicate?
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meconium staining
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What would a red or pink amniotic fluid indicate?
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blood
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What is a L/S?
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protein components of surfactant formed around 22-24 wks
2:1 indicates maturity usually around 32 wks |
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Who should be cautioned with a L/S test result?
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diabetic
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What is a phosphatidyl glycerol and desaturated phosphatidyl-choline?
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only present with mature lung function
35-36 wks |
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What can the PUBS be used for?
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CBC
Comb's (dark yellow amniotic fluid) blood gases fetal transfusion |
