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30 Cards in this Set

  • Front
  • Back

A modified BPP consists of

NST + AFI

Short term indicator of fetal acid-base status

NST

Indicator of chronic placental fx

AFI

Normal modified BPP has a reactive NST and

AFI > 5cm

Abnormal modified BPP has a NRNST and

AFI < 5 cm

Even when membranes have ruptured, you can still have a normal amount of

Amniotic fluid vol

Decrease in amniotic fluid vol is linked to a greater chance of

C-section

Decreased amniotic fluid vol can be d/t

Congenital fetal kidney problems

Decreased amniotic fluid vol can be d/t

Perfusion problems from mother and placenta

This will decrease breathing and gross body movements

ROM

Primary source of BF to uterus

Uterine arteries

_____ % of maternal CO in 3rd trimester goes to the uterus

20

Flow through each uterine artery is _____ mL/min

225-375

Fetal circulation begins with paired

Umbilical arteries

Umbilical arteries feed the

Placental villi

Fetal blood leaves the placenta through the

Umbilical vein

Umbilical veins enters fetus and travels through the fetal

Liver

Uterine arteries are _____ flow _____ resistance

High; low

_____ u/s is used to assess BF in fetal arterial and venous systems

Doppler (velocimetry)

Eval of _____ gives info on placental resistance/fetal afterload

Umbilical arteries

UPI

Uteroplacental insufficiency

Failure of low-resistance, high flow vascular circuit at level of placenta

UPI

Cause of UPI

DM

Cause of UPI

Chronic HTN

Cause of UPI

Collagen vascular dx

Cause of UPI

Autoimmune

Cause of UPI

Placental infarcts or abnormal implantation

Increased placental _____ is seen with UPI

Resistance

Doppler velocimetry aids in timing of delivery in ______ caused by UPI

IUGR

Idea delivery of a GRF is with only umbilical and venous circulation abnormalities, before they appear in

FHR or BPP