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17 Cards in this Set

  • Front
  • Back
psychosocial risk factors

maternal behaviors and adverse life styles that have a negative effect on the health of the mother or the fetus
sociodemographic risk
arise from the mother and her family. These place the mother and fetus at risk, examples; lack of prenatal care, low income, ethnicity
environmental risk factors


hazards in the workplace and the woman's general environment, may include environmental chemical, anesthetic gases and radiation



indications for antepartum testing

diabetes, chronic HTN, preeclampsia, multiple gestation, oligohydramnios, preterm premature rupture of membranes, postdate and decreased fetal movement

fetal movements in third trimester

fetus makes about 30 gross body movements every hour, mother is able to recognize 70 to 80%
When does fetal movement warrant further evaluation?

less than 3 movements within one hour, need to evaluate by a nonstress test or a contraction stress test or a modified biophysical profile
What is the most valuable diagnostic tool used in obstetrics?
diagnostic ultrasonohraphy provides fetal activity, gestational age, normal vs. abnormal fetal growth curves, fetal and placental anatomy, fetal well being and visual assistance
limited exam indications

identifying fetal presentation during labor ir estimating AFV

specialized or targeted exam indications

performed if a woman is suspected of carrying an anatomically or physiologically abnormal fetus

what should the woman do to provide a good image during an abdominal ultrasound?

should have a full bladder to displace the uterus upward

indications for ultrasound in the first trimester

number of fetuses, size, location of gestational sacs, presence of fetal cardiac and body movements, presence of uterine abnormalities, adrenal masses or ovarian cysts

indications for ultrasound in second and third trimesters

fetal viability, number, position, gestational age, growth pattern, abnormalities, amonotic volume, placental location, presence of uterine fibroids, adrenal masses and cervical length
how do you confirm fetal death?
lack of heart motion along with the presence of fetal scalp edema and maceration and overlap of the cranial bones

when can fetal heart rate be detected by transvaginal ultrasound?

around 6 weeks of gestation

macrosomic infants are at risk for?

increased risk for traumatic injury and asphyxia during birth

nuchal translucency

screening used to ultrasound measurement of fluid in the nape of the fetal neck between 10 and 14 weeks of gestation more than 3 mm is considered abnormal