Assessing High Risk Pregnancy

Question 1

Fetal monitoring for 20-30 minutes
Vibroacoustic stimulation - sound and vibration used to elicit fetal response

Answer 1

Non-stress test (NST)

Question 2

NST: reactive =

Answer 2

have a normal FHR baseline with fetal movement (accelerations = FM)

Question 3

NST: non-reactive =

Answer 3

additional testing needed

Question 4

What are the AWHONN guidelines for NST?

Answer 4

2 15x15 accelerations in 20 mins in a 32-40 week gestation

1 10x10 acceleration in 1 hour for 24-31.6 weeks gestation

Monitoring the baby on the monitoring stick for 20-30 mins and make sure its reactive!

FHR = 120-140 BPM, need acceleration, shows us o2, FM, and fetal well being = REACTIVE

Question 5

NST: FHR must be between _______ - _____ BPM within 30 mins and must have ______ accelerations!

Answer 5

110-160
2

Question 6

What does the NST look at?

Answer 6

looks at 4 pockets! greater than 5 cm or 1 pocket greater than 2 cm of fluid in it!

Question 7

A substance (fetal antigen) that is present in a pregnant woman’s blood; test for AFP are used to determine pregnancy. AFP in amniotic fluid can be diagnostic of inborn error of metabolism or fetal structure abnormalities, neutral tube defects.

Answer 7

Alpha-Fetoprotein

Question 8

When do RoGam injections need to be preformed?

Answer 8

when the baby is Rh positive and the mother is Rh negative.

Question 9

When does the mom need to get the RoGam injections when having a Rh Positive fetus?

Answer 9

RoGam shot @ 28 weeks

Mom receives RoGam shot 72 H after birth to prevent moms antibodies from attacking fetus in the next pregnancy!

Question 10

FHR baseline for 10-20 M
Contraction started
Findings are negative, positive, and equivocal

Answer 10

Contraction Stress Test (CST) or Oxytocin Contraction Test (OCT)

Question 11

In a CST what is done during the test?

Answer 11

Get baseline and get mom to contract
Nipple stimulation
IV Pitocin/Oxytocin
3 contractions in 10 M
How fetus reacts to contractions

Question 12

no late decelerations in a CST =

Answer 12

negative

Question 13

Late decelerations in a CST =

Answer 13

positive

Question 14

You want a negative CST because it means?

Answer 14

the baby is not stressing bc of the contractions

Question 15

The HR is going to decrease during a CST=

Answer 15

positive CST

Question 16

Doing a CST is to see if the baby gets ____________. YOU DO NOT WANT THE BABY ____________ DURING THE TEST!

Answer 16

stressed
stressed

Question 17

estimated growth and weeks gestation, predict outcome of pregnancies, FHR 110-160 BPM

Answer 17

Fetal well-being

Question 18

Pregnancy in which the life or health of the mother OR fetus is jeapardized by a disorder contraindicated with or unique to the pregnancy.

Answer 18

High-Risk Pregnancy

Question 19

Fetuses should be active unless ______

Answer 19

asleep

Question 20

High risk mom- check fetal movement?

Answer 20

2-3 x day for 30 m -1 H

Question 21

Low risk mom - check fetal movements?

Answer 21

1-2 x day for 30 M - 1 H

Question 22

You should feel FM __ - ___ within each time frame < __ movements - do a NST,CST, and/or BPp.

Answer 22

5-6
3

Question 23

No fetal movement in 12 H =

Answer 23

fetal alarm signal

Question 24

Determine FM and well oxygenated fetus which is called?

Answer 24

Great fetal well-being

Question 25

of kicks and time frame =

Answer 25

minimum of 10 movements in 12 H

Question 26

Maternal assessment of fetal activity =

Answer 26

daily fetal movement count (kick count)

Question 27

What ages are explained as high risk pregnancies?

Answer 27

less than 17 & greater than 34/35+

Question 28

What age is considered to be advanced maternal age?

Answer 28

35+

Question 29

Why would teens seek prenatal care late?

Answer 29

aren’t acceptable because of their fear that their family might not react to the situation positively