AP Fetal Surveillance

Question 1

Indications for AP Fetal surveillance

Answer 1

Decreased FM, Late term (41 0/7), Post term (>42 0/7), Reassurance, Current medical conditions, Current obstetric conditions, Hx of obstetric conditions

Question 2

Fetal Movement Counts

Answer 2

28 wks with risk, 34-36 wks without risk, 10 kicks in 2 hours is norm, clapping is a good way to wake up a baby

Question 3

Fetal HR strip - top vs bottom

Answer 3

Lower strip is contractions, upper strip is FHR (opposite for the sensors)

Question 4

FHR monitoring 4 basic questions

Answer 4

What is baseline? Is there variability and how do I describe it? Are there Acels? Are there decels and what kind?

Question 5

Definition of Accel

Answer 5

At least 15bpm for 15 minutes

Question 6

5 components of Biophysical Profile (Fetal VS)

Answer 6

NST, Fetal breathing movement, fetal body/limb movement, fetal muscle tone, amniotic fluid volume (All gathered by US)

Question 7

Premise of Fetal Monitoring

Answer 7

Tone, movement all dependent on proper oxygenation

Question 8

Biophysical Profile scorign

Answer 8

Max 10/10, Normal 8/10, Equivocal 6/10, Abnormal

Question 9

Modified BPP

Answer 9

NST and Amnionic fluid index. Normal is Reactive NST and AFI >5, Abnormal is nonreactive NST and AFI

Question 10

What is a fetal vital sign in the 2nd and 3rd trimester?

Answer 10

Volume of Amniotic fluid, reflects utero-placental and fetal kidney fxn

Question 11

When does Amniotic fluid peak?

Answer 11

Peaks at 33 weeks, declines at 38 weeks

Question 12

AFI

Answer 12

Deepest pocket in all 4 quadrants measured in cm, then added together, Normal is 5-25

Question 13

Jobs of Amniotic fluid

Answer 13

Cushion, temperature regulation, antibacterial, growth factors