DIAGNOSTICS Flashcards
laboratory assessment - bpp scoring
why is urinalysis conducted for a pregnant woman?
to test for proteinuria, glycosuria, nitrates, pyuria
why is VDRL serologic test conducted for a pregnant woman?
test for syphilis
aaron’s wife was asked to take a test with WBC, Hemoglobin, and platelet count. what type of test is this?
complete blood count
this laboratory test is conducted between 16-18wks of pregnancy
maternal serum a-fetoprotein
this is a test to determine whether Rh antibodies are present in an Rh (-) woman.
coombs test
Mary figured she is an Rh (-), her OBGYN told her to take the coombs test. why is it important for the mom to take the test?
- incompatibility of Rh antibodies would lead to complications during the pregnancy.
also called as mantoux test
tuberculosis screening
it is a noninvasie method of assessing the general well being of the fetus and the fetal assessment.
fetal biophysical profile
bpp may be used as early as what week?
26-28 weeks for surveillance of high risk pregnancy.
what does bpp test require? and observation time takes about?
- use of ultrasound and electronic fetal monitor
- 30 mins
as a nurse on duty, your patient was ordered to take a fetal bpp. what are the four indications for this?
- mom w/ gestational hypertension
- fetus is small / not growing properly
- fetus is less active than normal
- too much / little amniotic fluid
during the lecture, your professor asked you to name the 5 parameters of fetal bpp. what are these?
- reactivity
- breathing movement
- body movement
- tone
- amniotic fluid volume
during your hospital duty, you hear the physician telling the mom her fetal bpp result is 4. what does this indicate?
denotes a fetus probably in jeopardy
you see the fetal bpp result of your patient, it lands between 8-10. what does this indicate?
fetus is considered to be doing well
this fetal bpp result is considered suspicious.
6
you are conducting a biophysical profile scoring, you need to see at least one episode of 30 seconds of sustained breathing w/in 30 mins. what parameter are you checking?
fetal breathing
how would you score the fetal movement?
at least 3 episodes of fetal limb / trunk movement w/in 30 mins
how would you score the fetal tone?
observation must extend and then flex extremities or spine at least once in 30 mins
you are conducting a biophysical profile scoring, you need to observe 2 or more heart accelerations at least 15 beats/ min. what parameter are you checking?
fetal heart reactivity
the doctor told you that a range of amniotic fluid between 5 and 25 cm must be present. what parameter is the doctor pertaining to?
amniotic fluid volume
