Antepartum Assessment

Question 1

State 1F

Answer 1

quiescent state

Question 2

State 2

Answer 2

REM

Active aleep

Question 3

Vigorous body movement with continuous eye movement and fetal heart rate increase

Answer 3

State 4

Awake state

Question 4

This cycle has been described as varying from about 20 to 75 mins

Answer 4

Sleep cyclicty

Question 5

This is based of accelerations with fetal movements

Answer 5

Non stress test

Question 6

Methods of quantifying fetal movements

Answer 6

Use of tocodynameter
Ultrasound
Maternal peceptions

Question 7

Reassured fetal movement counting

Answer 7

10 distinct movements in up to 2 hours

Question 8

Paradoxical chest movements is due to coughing of clear amniotic fluid debris

Answer 8

Fetal breathing

Question 9

2 types of respiratory movements

Answer 9

Gasps/sighs

Irregular burst or breathing

Question 10

Factors that affect fetal breathing

Answer 10

Hypoxia
Sound stimuli
Hypoglycemia
AoG 
Impending pre term labor
Cigarette smoking
Amniocentesis
Labor

Question 11

Normal FHR

Answer 11

110-160

Question 12

Visually apparent abrupt increase in FHR

Answer 12

Fetal heart acceleration

Question 13

During NST, how do you wake up the baby

Answer 13

Vibroacoustic stimulation

Question 14

What other factors that can cause loss of fetal heart rate reactivity

Answer 14

Fetal sleep
Medication - magnesium sulfate
smoking

Question 15

What are the common causes of nonreactive non stress test

Answer 15

Hypoxia
Fetal distress
Neurologic depression

Question 16

At least 3 in 20 minutes or lasting more than 1 minute

Worse prognosis

Answer 16

Repetitive variable decelerations

Question 17

False normal NST

Answer 17

Meconium aspiration
Intrauterine infection
Cord accident
Congenital malformation
Placental abruption

Question 18

Also known as contraction stress test

Answer 18

Oxytocin challenge test

Question 19

CST is for what

Answer 19

Uteroplacental function

Respense to uterine contraction

Question 20

Symmetrical gradual decrease and return of the fhr

Mirror image effect

Answer 20

Early deceleration

Question 21

What causes early deceleration

Answer 21

Head compression

Question 22

Nadir of the deceleration occurs after the pewk of contraction

Answer 22

Late deceleration

Question 23

What can cause deceleration to be late

Answer 23

Uteroplacental insufficiency

Question 24

Components of biophysical profile

Answer 24

FHR acceleration
Breathing
Movements
Tone
Amniotic fluid volume