Ch.10 Assessment of high risk pregnancy

Question 1

T/F a count fewer than three fetal movements within 1hr warrants further evaluation by a nonstress test or contraction test

Answer 1

True

Question 2

Fetal heart activity can be demonstrated by wk _______ of gestation using transvaginal ultrasound

Answer 2

6wk

Question 3

What does it mean when IUGR is symmetric

Answer 3

Fetus is small around all parameters

Question 4

What does it mean when IUGR is assymetric

Answer 4

Head and body growth do not match

Question 5

What are the common causes of Symmetric IUGR

Answer 5

Infection
undernutrition
Heavy smoking
chrosomal anomaly

Question 6

What are the common causes of Asymetrix IUGR

Answer 6

Placental insufficiency

Question 7

Doppler blood flow is a helpful tool in management of pregnancies at risk of

Answer 7

Hypertension
Diabetes mellitus
IUGR
Multiple fetuses
Preterm labor

Question 8

Oligohydramnios is associated with

Answer 8

Congenital anomalies
Renal problems
Growth retraction

Question 9

Polyhydramnios is associated with

Answer 9

Neural tubal defects

Question 10

What is the BPP used to assess

Answer 10

It includes the AFV, fetal movements

Question 11

What is the indication for use in amniocentesis

Answer 11

genetic concerns
Fetal maturity (lung maturity)
Fetal hemolytic disease

Question 12

When is a BPP performed

Answer 12

Third trimester

Question 13

When is a Amniocentesis performed

Answer 13

After 14wk

Question 14

When is a MSAFP performed

Answer 14

wk 15- wk 22

Question 15

T/F MSAFP is a screening tool only and identifies candidates for the more definitive procedures of amniocentesis and ultrasound examination

Answer 15

True

Question 16

What is the MSAFP used to screen for

Answer 16

NTD, recommended for all pregnant women

Question 17

A CST is considered _____ when at least 3 contractions in a 10min period with no late decelerations are present

Answer 17

Negative

Question 18

A CST is considered ______ when late decelerations occur with 50% more of contractions

Answer 18

Positive

Question 19

The desired CST result is ___ and is associated with good fetal outocmes

Answer 19

Negative

Question 20

T/F For NST; women can drink orange juice or be given glucose to increase her blood sugar level thereby stimulate movements

Answer 20

True

Question 21

With regards to the NST a _____ test requires further evaluation

Answer 21

Nonreactive

Question 22

A reactive nonstress test shows

Answer 22

Two accelerations in 20min period each lasting 15sec

Question 23

A nonreactive nonstress test shows

Answer 23

Does not demonstrate 2 qualifying accelerations w/in 20min period

Question 24

What are some of the contraindications of CST

Answer 24

Preterm labor
Placentae previa
Casa previa
Multiples
classic incision

Question 25

What is the normal biophysical score ranges

Answer 25

8-10points

Question 26

T/F Scores less than 4 should be investigated and delivery could be initiated sooner than planned

Answer 26

True

Question 27

What is the multiple marker screen used for

Answer 27

Predict chromosomal abnormalities in the fetus

Question 28

When can CVS be performed

Answer 28

1st/2nd trimester ideally between 10-13wk