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13 Cards in this Set

  • Front
  • Back
List some of the indications for prenatal testing
- maternal age >35 years
- previous child or parent with structural or chromosomal abnormalities

- ethnic factors
- maternal disease state (diabetes, heart disease)
- environmental exposure (including medications)
- maternal infection (HIV, cytomegalovirus)
True contraindications to early discharge include:
- infant jaundice at 24 hours of life or less
- known exposure to substances of abuse
- physical or oral defects
- maternal group B strep
- poor feeding, or >10% weight loss
Name the steps in an initial examination of a newborn.
- APGAR score
- quick physical exam
- gestational age estimate
Explain the three stages of transition after birth
- First Stage 0-30 minutes the first period of reactivity
- Second Stage 30 minutes to 2 hours a period of decreased responsiveness
-Third Stage 2 to 8 hours the infant has a second period of reactivity.
vaccination at birth
Hep B
When during gestation should you do an alpha feto protein
15-20 weeks
When do you do the following tests during gestation?
1 hour glucose tolerance test, hemoglobin and hematocrit, and Rh immune globulin administration
26-30 weeks gestation
When do a group B streptococcus screening test during gestation
36 weeks gestation
The five parameters of a biophysical profile score
- the non-stress test
- ultrasound measurement of the amniotic fluid volume
- observation of fetal breathing movements
- gross body movements
- tone

(measured via ultrasound imaging and fetal heart rate)
normal biophysical profile score:
2 - normal
0 - abnormal
What is a cause of LGA
diabetic mother
what is a cause of SGA (asymmetric)
pregnancy-induced HTN = placental insufficiency
> 35 years old mom
poor wt gain during preg
mult. gestation
smoking
what is a cause of SGA (symmetric)
mom drug use (narcs, cocaine, alcohol)
chromosomal abn
intrauterine viral infection (CMV)