Chapter 10 - Antepartum Fetal Assessment

Question 1

Ultrasound - uses sounds waves. T/F?

Answer 1

True

Question 2

What is a standard ultrasound test?

Answer 2

A general survey.

Question 3

What is a specialized ultrasound test?

Answer 3

looks at specific areas.

Question 4

What is a limited ultrasound?

Answer 4

Addresses a specific question.

Question 5

What is a chorionic villus sampling for?

Answer 5

Takes some cells - tests the fetal cells.

Question 6

What is placenta previa?

Answer 6

Abnormal implantation of placenta in the lower uterus!

Question 7

what is MSAFP?

Answer 7

Maternal serum alpha fetoprotein.

Question 8

Maternal intake of fruit juice can sometimes get the baby to move and kick. T/F?

Answer 8

True

Question 9

doppler shift - what is it?

Answer 9

Forward movement of blood in a vessel.

Question 10

Low levels of MSAFP suggest what?

High levels?

Answer 10

Low = Chromosomal abnomalities such as trisonomy 21. 
High = Neural tube defects and body wall defects.

Question 11

CVS - performed when? 10-12

Answer 11

10-12 weeks of gestation

Question 12

How can CVS be performed?

Answer 12

Transabdominal or trans cervical.

Question 13

Why is a CVS done?

Answer 13

Fetal tissues show the chromosomal, metabolic, and genetic makeup of the fetus.

Question 14

What is amniocentesis?

Answer 14

Aspiration of amniotic fluid from the amniotic sac for examination.

Question 15

When is amniocentesis performed?

Answer 15

15-20 weeks.

Question 16

What is the L/S ratio test?

Answer 16

Lecithin/sphingomyelin ratio - estimating fetal lung maturity.

Question 17

What kind of needle is used for the amnio?

Answer 17

3-4 inch, 20-21 gauge needle

Question 18

What’s one of the problems with amnio?

Answer 18

Well, since it’s done at about 15-20 weeks, it gives the women little turn around time to say “okay, my baby is going to be born with 3 heads and no brain….so I need to end this”

Question 19

What is PUBS?

Answer 19

Pubs (Percutaneous umbilical blood sampling)- also called cordocentesis, involves the aspiration of fetal blood from the umbilical cord.Usualyl for diagnosis of blood problems, RH disease, acid-base status, etc.

Question 20

What are the 3 goals of antepartum fetal surveillance?

Answer 20

Determine fetal health or compromise as accurately as possible, to reduce perinatal morbidity and mortality, and guide intervention by the obstetric team.

Question 21

What is a nonstress test?

Answer 21

observing the fetal heart rate response to fetal movement.

Question 22

What is the contraction stress tests?

Answer 22

Observing the fetal heart rate response to contractions (but if it’s self stimulation with the nipple, tell them to NOT do this at home).

Question 23

The NST test - very stressful and harmful. T/F?

Answer 23

FALSE

Question 24

What is VAS?

Answer 24

Vibroacoustic stimulation - uses sound stimulating to elicit fetal movement.

Question 25

How can we do a kick count?

Answer 25

Count fetal movements for 30 minutes 3x a day, count fetal movements daily for one hour, and then count to 10 - notice the start and stop from beginning to end.