Antenatal Testing

Question 1

when are antenatal tests used

Answer 1

can be done in response to decreased fetal movement
high-risk patients who need close monitoring
contraction stress testing once delivery begins

Question 2

what is a non-stress test

Answer 2

assess the fetal heart rate for accelerations and variability

Question 3

acceleration if >32wks

Answer 3

15x15, 2 in 20

Question 4

accelerations if <32wks

Answer 4

10x10, 2 in 20

Question 5

what is a reactive NST

Answer 5

baby doing well

Question 6

if NST reactive and was used for decreased fetal movement

Answer 6

no further testing required

Question 7

if NST for high-risk patients and reactive NST

Answer 7

may be indicated weekly or twice weekly until delivery

Question 8

who are high-risk patients

Answer 8

DM
preeclampsia
>41wks

Question 9

if non-reactive NST after 20mins

Answer 9

give an additional 20mins for accels to accur

Question 10

if non-reactive NST after 40mins

Answer 10

vibroacoustic stimulation tried

Question 11

if non-reactive NST after vibroacoustic stimulation

Answer 11

biophysical profile

Question 12

what is a biophysical profile (BPP)

Answer 12

in utero APGAR

Question 13

how is BPP performed

Answer 13

NST and ultrasound

Question 14

what are the factors of BPP?

Answer 14

1 - NST
2 - breathing
3 - body movement
4 - tone
5 - amniotic fluid

Question 15

if BPP 0-2

Answer 15

deliver baby

Question 16

if BPP 8-10

Answer 16

baby is normal, treat like normal NST

Question 17

if BPP 4-6

Answer 17

assess gestational age

Question 18

if BPP 4-6 and GA >36wks

Answer 18

deliver

• oxytocin
• c/s

Question 19

if BPP 4-6 and GA <36wks

Answer 19

contraction stress test

Question 20

if BPP 4-6, GA <36wks, & no late decels

Answer 20

reassuring

grow baby

Question 21

if BPP 4-6, GA<36wks, & late decels

Answer 21

fetal demise risk

deliver c/s