Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Reproductive > Exam 1 part 3 > Flashcards

Exam 1 part 3 Flashcards

1
Q

2nd trimester labs

A

MSAFP
triple marker screen
quad screen
amniocentesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Alpha-fetoprotein fetal glycoprotein secreted from fetal yolk sac, Gi and liver
Blood test drawn, gestation detects neural tube defects and abdominal wall defects
Recommended routine screening

A

Maternal serum Alpha-fetoprotein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

when is MSAFP done

A

at 15-20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

increased levels during MSAFP

A

NTD
Anencephaly
Omphalocele
Gastroschesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

decreased levels during MSAFP

A

trisomy 21

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Blood test that combines multiple hormones and proteins and preteens with maternal age to detect Trisomy 12, 18, 21, and NTDs

A

multiple marker screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what does the triple marker test

A

Alpha-fetoprotein
Human chorionic gonadotropin
Estriol levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what does the Quad screen test

A 
Alpha-fetoprotein Human chorionic gonadotropin
Estriol levels 
Inhibin A (detection of trisomy 21)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

decreased levels of estriol

A

suggested abnormality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Used to obtain amniotic fluid and fetal cells for genetic testing, fetal lung maturity, assessment of hemolytic disease in fetus or intrauterine infection
Adjunct with US
needle through abdominal wall then uterine cavity then obtain amniotic fluid

A

Amniocentesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Abdominal or pelvic pain during 2nd trimester

A

PTL
UTI
Pylonephritis
appendix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Absence of fetal movement during 2nd trimester

A

fetal distress or death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Prolonged N/V during 2nd trimester

A

r/o hyperemesis

risk for dehydration and PTL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

fever and chills during 2nd trimester

A

infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dysuria, frequent, and urgency during 2nd trimester

A

UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Vaginal bleeding during 2nd trimester

A

infection
Friable cervix
altered placenta
PTL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

$ maneuvers which provide information on fetal lie, presentation, position, and engagement
Done during 3rd trimester

A

Leopolds maneuvers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

3rd trimester labs

A

Repeat CBC, HIV, RPR
RHo Gam
GTT
H GTT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

50 gm glucose drink w/ one hour lab draw post drink

A

1 hour Glucose Tolerance test GTT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when is the GTT test done

A

24-28 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

> 140 GTT

A

requires 3h GTT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

> 200 GTT

A

Diagnostic for gestational diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Must be fasting
100mg glucose drink w/ fasting
1h 2h and 3h lab draws
2 of 4 must be elevated GDM

A

3H GTT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Late 3rd trimester labs

A

Group Beta-Strep GBS

25
Q

swab from perineum to rectum

test for strep

A

GBS

26
Q

fetal effects of positive GBS

A

meningitis
sepsis
pneumonia

27
Q

maternal feeling of fetal movements at roughly same time daily after 28 weeks

A

fetal kick count

28
Q

monitors fetal heart rate in response to fetal activity

A

Non stress test NST

29
Q

use of an auditory stimulator to startle the fetus when NST not-reactive after 20 mins
Applied for 1-2 sec, may be repeated up to 3 times at 1 min intervals for 3 sec

A

Vibroacoustic stimulation VAS

30
Q

Monitors FHR in response to spontaneous or stimulated uterine contractions and of the fetus can withstand the stress of lab

A

Contraction stress test

CST

31
Q

no late to significant decelerations

A

negative CST

32
Q

lacte decelerations noted 50% or more w/ contractions

A

positive CST

33
Q

variable to intermittent decels

A

equivocal-suspicious

34
Q

Measures the volume of amniotic fluid with UA to assess fatal well being and placental function

A

Amniotic Fluid index AFI

35
Q

average AFI

A

8-24 cm

36
Q

AFI

A

Oligohydramnios

37
Q

AFI > 24 cm

A

polyhydramnios

38
Q

Evaluation of fetal status trough US observation of various fetal reflex activities
2pt each

A

Biophysical Profile

39
Q

What is being scored during Biophysical profile

A 
reactive NST
Fetal breathing
fetal movement 
fetal tone
AFI
40
Q

Abdominal or pelvic pain during 3rd trimester

A

PTL
UTI
Pyelonephritis
appendicitis

41
Q

fever and chills during 3rd trimester

A

Infection

42
Q

Dysuria, frequency, urgency during 3rd trimester

A

UTI

43
Q

Vaginal bleeding during 3rd trimester

A

Infection
friable cervix
PTL

44
Q

signs and symptoms of PTL

A

Rhythmic vaginal discharge

45
Q

Signs and symptoms of hypertension

A

HA
Visual changes
facial or generalized edema

46
Q

the right to self determination

A

autonomy

47
Q

for others is the principle that all persons are equally valued

A

Respect

48
Q

the obligation to do good

A

beneficence

49
Q

the obligation to do no harm

A

nonmalificence

50
Q

the principle of equal treatment of others or that others be treated fairly

A

justice

51
Q

the faithfulness or obligation to keep a promise

A

fidelity

52
Q

the obligation to tell the truth

A

veracity

53
Q

the greatest good for the individual or an action that is valued

A

utility

54
Q

is a choice that has the potential to violate ethical principles

A

ethical dilemma

55
Q

is the integration of the best research evidence, clinical expertise, and patent values in making a decision about the care for patents

A

evidence based practice

56
Q

Challenges in research

A

Gaps in what we know and what we do
Nursing must keep up with research
Consider context of time and patient preferences
Time and cost constraints

57
Q

is the number of live births per 1000 people

A

Birthrate

58
Q

Is the total number of live births per 1000 women of reproductive age

A

fertility rate

59
Q

Decrease in maternal and infant mortality rates due to

A

Better nutrition
Prenatal care
Health care
technology for pre term infants

Reproductive (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions