DIAGNOSTICS (2)

Question 1

what is the normal range of normal FHR?

Answer 1

120-160bpm

Question 2

what can you use to hear the FHR at 10wks?

Answer 2

doppler

Question 3

what can you use to hear the FHR at 10-11wks?

Answer 3

ultrasound

Question 4

at what week can the mother feel “ quickening “ ?

Answer 4

18-20wks

Question 5

at 28-38wks, the mom should be able to count at least how many kicks ?

Answer 5

10 x / hour. peaks in intensity

Question 6

this is used for assessment of the fetal heart rate.

Answer 6

rhythm strip testing

Question 7

what is the average fetal movement ?

Answer 7

twice every 10 mins.

Question 8

a test used for acoustic sound stimulation.

Answer 8

vibroacoustic stimulation

Question 9

this is applied to the mother’s abdomen to produce what?

Answer 9

• acoustic simulator
• sharp sound (80db.)

Question 10

vibroacoustic stimulation is done to what?

Answer 10

• startle and wake the fetus up

Question 11

what happens to the fetus while the mother is eating?

Answer 11

the fetus wakes up

Question 12

this is the removal of fluid from the amniotic cavity by needle puncture.

Answer 12

amniocentesis

Question 13

amnion for sac and kentesis for puncture is scheduled between what weeks?

Answer 13

14th & 16th week

Question 14

during the amniocentesis, what should you monitor?

Answer 14

• monitor fetus using ultrasound to ensure its wellbeing.

Question 15

what are the complications that may come with amniocentesis?

Answer 15

• hemorrhage from penetration of placenta
• infection of amniotic fluid
• puncture of fetus

Question 16

what are the purposes of amniotic fluid analysis?

Answer 16

• detection of fetal abnormalities in early preg.
• determine fetal lung maturity / profile
• lecithin / sphingomyelin ratio
• amniotic fluid bilirubin
• Rh incompatibility
• chromosomal abnormality

Question 17

what position should you assist your patient during amniocentesis?

Answer 17

supine position

Question 18

what should you instruct the client before amniocentesis?

Answer 18

empty bladder

Question 19

why should you put a rolled towel under right hip during amniocentesis?

Answer 19

to tip the body to the left, remove pressure of uterus on vena cava.

Question 20

what should you instruct the client before insertion of needle during amniocentesis?

Answer 20

• not to take a deep breath, hold while being inserted.
• this will shift the uterus, needle may hit either placenta or fetus.

Question 21

as the nurse on duty, what should you monitor before, during, and in 30mins after the amniocentesis?

Answer 21

monitor FHT

Question 22

after the amniocentesis, what should you instruct your patient to observe?

Answer 22

• infection
• uterine cramping
• vaginal bleeding