11 Fetal Testing Flashcards
> /= 2 accelerations in 20 minutes
<32wks : at least 10 acc lasting at least 10s
>32wks: at least 15 acc lasting at least 15s
Reactive NST
✔️Reassuring fetal wellbeing
✔️perform weekly nst
No FHR acc/did not meet criteria (nonreactive NST)
Proceed with __________
If still NR: perform ___________
Nonreactive NST
Fetal vibroacoustic stimulation then CST or BPP
5 components of well-being included in BPP
NST Amniotic fluid volume Gross fetal movements Extremity tone Breathing movements
Reactive NST
Negative CST
Reassuring fetal wellbeing
Nonreactive NST, negative CST
Fetal sleep
Sedation
CNS abN
Nonreactive NST
Positive CST
Fetal compromise
Normal single deepest pocket
Depth >/= 2cm and = 8cm
AFI Normal : 5-24cm
Positive CST is
> 50% late decels with >3 UC in 10min
It is predictive of poor perinatal outcome among IUGR fetuses
Nonreassuring findings (2)
Umbilical Artery Doppler
Absent/reversed UA diastolic flow