BPP

Question 1

What are 2 Biophysical components?

Answer 1

Nonstress test and Fetal

Question 2

What is involved in fetal BPP?

Answer 2

Breathing & movements (for 30 min), tone, qualitative amniotic fluid volume

Question 3

How is BPP a scored?

Answer 3

2 for performance, 0 for no performance

Question 4

What is the max BPP score in US parameters?

Answer 4

8

Question 5

What is the first BPP component that becomes abnormal in the face of fetal hypoxia / academia?

Answer 5

Fetal heart rate reactivity and fetal breathing.

Question 6

What is concurrently recorded by CTG (cardiotocography)?

Answer 6

Fetal heartbeat and uterine contractions

Question 7

What does a non stress test record?

Answer 7

Fetal heart rate accelerations or deccelerations due to blood oxygen level changes resulting from uterine contractions

Question 8

In a non stress test, what are normal and abnormal conditions?

Answer 8

Fetal heart rate acceleration is normal whereas deccelerations are abnormal

Question 9

What is BPP?

Answer 9

Biophysical profile

Question 10

What does a score 2 non stress test entail?

Answer 10

2 or more fetal heart rate accelerations of at least 15 beats per minute lasting at least 15 seconds and associated w/fetal movement in 40 minutes

Question 11

What does a 0 score entail with non stress test?

Answer 11

No acceleration / less than 2 acc’s of fetal heart rate in 40 minutes

Question 12

What does a score 2 entail with fetal breathing movements?

Answer 12

At least 1 30 second duration of fetal breathing in 30 minutes

Question 13

What does a 0 score entail with fetal breathing movements?

Answer 13

Absence of breathing or for 30 second duration in 30 minutes

Question 14

What does a Score 2 entail in fetal movements?

Answer 14

3 or more body/limb movements in 30 minutes (rolling trunk, face, hand, swallowing)

Question 15

What does a Score 0 entail in fetal movements?

Answer 15

2 or less body movements in 30 minutes

Question 16

What does a Score 2 entail in fetal tone?

Answer 16

1 or more extensions of a fetal extremity w/return to flexion or opening/closing of hand

Question 17

What does a Score 0 entail in fetal tone?

Answer 17

Extremities in position of extension/partial flexion, spine in position of extension, fetal movement not followed by return to flexion

Question 18

What does a Score 2 entail in qualitative amniotic fluid volume?

Answer 18

Largest vertical pocket of amniotic fluid greater/equal to 2 cm or AFI greater/equal 5

Question 19

What does a Score 0 entail with qualitative amniotic fluid volume?

Answer 19

Largest vertical pocket of amniotic fluid less than 2 cm or AFI less than 4

Question 20

What is the maximin score for a Score 2?

Answer 20

10

Question 21

What are modified components of BPP?

Answer 21

NST / AFI

Question 22

What plane do you scan fetal breathing movements?

Answer 22

Sagittal

Question 23

What criterion is needed in AFI?

Answer 23

4 quadrants measured in AP

AFI 5⤴️ or largest pocket of 2 cm or more

Question 24

What is BPP scoring for NST?

Answer 24

Reactive = 2, Nonreactive = 0

Question 25

What is BPP scoring for sonographic observation maximum?

Answer 25

8

Question 26

In BPP scoring, what is NST and sonographic maximum score?

Answer 26

10

Question 27

In BPP scoring, what does less than 4 indicate?

Answer 27

Fetal compromise

Question 28

What is the description for just - discernible movements?

Answer 28

Slow/small shifting movements fetal contour (0.5 to 2 seconds)

Question 29

What is the description for startle movements?

Answer 29

Quick, generalized limb movements spreading to neck/trunk. Flexion/extension limbs of large size may be barely visible lasting about 1 sec

Question 30

What is the description for general movements?

Answer 30

Whole body movement without distinctive pattern or sequence of body part movement

Question 31

What is the description for hiccups?

Answer 31

Jerky contraction of diaphragm, abrupt displacement of diaphragm/thorax/abdomen

Question 32

What is the description for breathing movements?

Answer 32

Inspiration consists of fluent, simultaneous movement of diaphragm (caudal direction) leading to movements of thorax (inward) and abdomen (outward)

Question 33

What is the description for isolated arm/leg movements?

Answer 33

Rapid/slow movements involving extension, flexion, external/internal rotation or abduction/adduction of extremity without movements in other body parts

Question 34

What is the description for isolated retroflexion of the head?

Answer 34

Displacement of the head can be large or small, large movements may cause overextension of fetal spine

Question 35

What is the description of isolated rotation of the head?

Answer 35

Head may turn from a midline position position to one side and back often associated with hand-face contact

Question 36

What is description for isolated anteflexion of the head?

Answer 36

Carried out at a slow velocity and occurs independently or with hand-face contact with observable sucking

Question 37

What is the description for sucking/swallowing?

Answer 37

Rhythmic bursts of regular jaw opening and closing (once per second) and may be followed by swallowing (displacements of tongue/larynx)

Question 38

What is the description for hand-face contact?

Answer 38

Hand slowly touches face/fingers frequently extend/flex

Question 39

What is the description for flex?

Answer 39

Carried out at a slow speed consisting of forceful extension of back, retroflexion of head, and external rotation/elevation of arms

Question 40

What is the description for yawning?

Answer 40

Prolonged widening of jaws, followed by quick closure often with retroflexion of head and sometimes elevation of arms

Question 41

What is the description for rotation of fetus?

Answer 41

Rotation around sagittal/transverse axis, complex general moments change around transverse axis include alternating leg movements (may be with hip rotation) followed by trunk around longitudinal axis