Ch.19

Question 1

1st part of a BPP

Answer 1

Fetal Breathing Movement

Question 2

2nd part of a BPP

Answer 2

Gross Body Movement

Question 3

3rd part of a BPP

Answer 3

Fetal Tone

Question 4

4th part of a BPP

Answer 4

Reactive Fetal Heart Rate

Question 5

5th part of a BPP

Answer 5

Qualitative Amniotic Fluid

Question 6

Fetal Breathing Movement - 2

Answer 6

1 or more episode of >30 sec duration in 30 minutes

Question 7

Fetal Breathing Movement - 0

Answer 7

Absent or no episode of >=30 seconds in 30 minutes

Question 8

Gross Body Movement - 2

Answer 8

3 or ^ body/limb movements in 30 minutes

Question 9

Gross Body Movement - 0

Answer 9

2 or v body/limb movements within 30 minutes

Question 10

Fetal Tone - 2

Answer 10

1 or ^ episode of active extension with quick return to flexion

Question 11

Fetal Tone - 0

Answer 11

Slow extension with partial flexion or limb in full extension, or absent movement

Question 12

Reactive fetal heart rate - 2

Answer 12

2 or ^ episodes of accels of >=15 for 15 secs in 30 minutes

Question 13

Reactive fetal heart rate - 0

Answer 13

1 or v accels of accel < 15 in 30 minutes

Question 14

Qualitative amniotic fluid volume - 2

Answer 14

1 or ^ pocket of amniotic fluid measuring 2 cm in two perpendicular planes

Question 15

Qualitative amniotic fluid volume - 0

Answer 15

no amniotic fluid pocket or pocket < 2 cm

Question 16

Contraction Stress Test (CST) - Negative

Answer 16

This is the desired outcome. No late decels noted with contractions

Question 17

Contraction Stress Test (CST) - Positive

Answer 17

Repetitive late decels within 10 minutes. Related to fetal compromise

Question 18

Nonstress test (NST)

Answer 18

Primary method of antepartum fetal assessments

Question 19

Nonreactive NST

Answer 19

There are not 2 or ^ qualifying accels in a 20 minute period. CST or BPP may be performed

Question 20

High AFP means what?

Answer 20

Neural Tube Defects

Question 21

Low AFP means what?

Answer 21

Down’s syndrome, HTN, preterm labor

Question 22

3 Indications of Amniocentesis

Answer 22

Karyotyping with chromosomes, LS/PG ratio for lung maturity, Bilirubin levels (rH and ABO)

Question 23

Complications of Amniocentesis

Answer 23

hemorrhage, miscarriage/preterm labor, infection, rupture of membranes

Question 24

Doppler ultrasound measures what?

Answer 24

velocity of blood movement

Question 25

Medical conditions that indicate doppler ultrasound

Answer 25

IUGR, HTN/preeclampsia, diabetes