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16 Cards in this Set

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Amniotic fluid



Definition

Fluid in the membranous sac surrounding the fetus

Amniotic fluid



Functions

Cushioning


Protection


Lung development


Water and chemical exchanges



Notes

Cushions the fetus and allows for movement



Protects the fetus from extreme temperature change



Allows for proper lung development



Water, chemical exchanges between the fetus and maternal circulation

Reasons for analysis of amniotic fluid

Genetic analysis


Neural tube defect markers, example



Determination of HDN, full name?



Determination of fetal lung maturity

Neural tube defect: AFP



Hemolytic disease of the newborn

Tests performed on amniotic fluid that help determine fetal maturity

L/S ratio


Presence of phosphatidyl glycerol



What is the biggest risk to the premature infant?

Respiratory distress syndrome

Tests performed on amniotic fluid that help determine fetal maturity



__________


Presence of phosphatidyl glycerol

L/S ratio


Lecithin-sphingomyelin



Result: ensure a safe delivery

Over 2.0

Tests performed on amniotic fluid that help determine fetal maturity



L/S ratio


______________

Presence of phosphatidyl glycerol



This analyte is delayed in?

Diabetic mothers

Fecal analysis



Causes of secretory diarrhea

Increased production of water and electrolytes



as a result of?

Infection


Drugs


Hormones


Inflammatory bowel diseases


Endocrine disorders


neoplams


Collagen vascular diseases

Causes of osmotic diarrhea

Maldigestion malabsorption



as a result of?

Celiac disease


Lactose intolerance


Magnesium antacids


Amebiasis


Antibiotics

Steatorrhea



Definition

+ fat in the stool

Steatorrhea



Causes of this condition

-/0 of


bile salts and pancreatic enzymes



Notes

Absence of bile salts and/or decreased pancreatic enzymes impede lipid breakdown and reabsorption of triglycerides

Steatorrhea



Notes: diseases

CF


Pancreatitis


Malabsorption, notes


Maldigestion, notes


Malignancy

Malabsorption: impaired absopriton of nutrients



Maldigestion: impaired digestion of food

Guiac test



aka

Fecal occult blood

Fetal occult blood test



Principle

Pseudoperoxidase activity of hemoglobin



Formula

Hemoglobin+ hydrogen peroxide + guaiac


is converted to


Oxidized guaiac+ H20



by pseudoperoxidase

Fetal occult blood test



Significance of a positive test

>2.5 ml of blood



Notes: false positive

Asprin and anti-inflammation medications



Red meat


Horseradish


Raw brooli, cauliflower, radishes,



Melons


Menstraul and hemorrhoid contamination

Occult blood test



False-negative


Notes

Vitamin C


Iron supplements containing vitamin C

Fetal occult blood test vs. urianalysis

Fetal occult blood test is less sensitive



Notes

Guaiac is less sensitive than urianlaysis reagent b/c up to 2.5 ml of blood in stool in normal.