Exam 1 part 3

Question 1

2nd trimester labs

Answer 1

MSAFP
triple marker screen
quad screen
amniocentesis

Question 2

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

Answer 2

Maternal serum Alpha-fetoprotein

Question 3

when is MSAFP done

Answer 3

at 15-20 weeks

Question 4

increased levels during MSAFP

Answer 4

NTD
Anencephaly
Omphalocele
Gastroschesis

Question 5

decreased levels during MSAFP

Answer 5

trisomy 21

Question 6

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

Answer 6

multiple marker screening

Question 7

what does the triple marker test

Answer 7

Alpha-fetoprotein
Human chorionic gonadotropin
Estriol levels

Question 8

what does the Quad screen test

Answer 8

Alpha-fetoprotein Human chorionic gonadotropin
Estriol levels 
Inhibin A (detection of trisomy 21)

Question 9

decreased levels of estriol

Answer 9

suggested abnormality

Question 10

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

Answer 10

Amniocentesis

Question 11

Abdominal or pelvic pain during 2nd trimester

Answer 11

PTL
UTI
Pylonephritis
appendix

Question 12

Absence of fetal movement during 2nd trimester

Answer 12

fetal distress or death

Question 13

Prolonged N/V during 2nd trimester

Answer 13

r/o hyperemesis

risk for dehydration and PTL

Question 14

fever and chills during 2nd trimester

Answer 14

infection

Question 15

Dysuria, frequent, and urgency during 2nd trimester

Answer 15

UTI

Question 16

Vaginal bleeding during 2nd trimester

Answer 16

infection
Friable cervix
altered placenta
PTL

Question 17

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

Answer 17

Leopolds maneuvers

Question 18

3rd trimester labs

Answer 18

Repeat CBC, HIV, RPR
RHo Gam
GTT
H GTT

Question 19

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

Answer 19

1 hour Glucose Tolerance test GTT

Question 20

when is the GTT test done

Answer 20

24-28 weeks

Question 21

> 140 GTT

Answer 21

requires 3h GTT

Question 22

> 200 GTT

Answer 22

Diagnostic for gestational diabetes

Question 23

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

Answer 23

3H GTT

Question 24

Late 3rd trimester labs

Answer 24

Group Beta-Strep GBS

Question 25

swab from perineum to rectum | test for strep

Answer 25

GBS

Question 26

fetal effects of positive GBS

Answer 26

meningitis sepsis pneumonia

Question 27

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

Answer 27

fetal kick count

Question 28

monitors fetal heart rate in response to fetal activity

Answer 28

Non stress test NST

Question 29

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

Answer 29

Vibroacoustic stimulation VAS

Question 30

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

Answer 30

Contraction stress test | CST

Question 31

no late to significant decelerations

Answer 31

negative CST

Question 32

lacte decelerations noted 50% or more w/ contractions

Answer 32

positive CST

Question 33

variable to intermittent decels

Answer 33

equivocal-suspicious

Question 34

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

Answer 34

Amniotic Fluid index AFI

Question 35

average AFI

Answer 35

8-24 cm

Question 36

AFI

Answer 36

Oligohydramnios

Question 37

AFI > 24 cm

Answer 37

polyhydramnios

Question 38

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

Answer 38

Biophysical Profile

Question 39

What is being scored during Biophysical profile

Answer 39

``` reactive NST Fetal breathing fetal movement fetal tone AFI ```

Question 40

Abdominal or pelvic pain during 3rd trimester

Answer 40

PTL UTI Pyelonephritis appendicitis

Question 41

fever and chills during 3rd trimester

Answer 41

Infection

Question 42

Dysuria, frequency, urgency during 3rd trimester

Answer 42

UTI

Question 43

Vaginal bleeding during 3rd trimester

Answer 43

Infection friable cervix PTL

Question 44

signs and symptoms of PTL

Answer 44

Rhythmic vaginal discharge

Question 45

Signs and symptoms of hypertension

Answer 45

HA Visual changes facial or generalized edema

Question 46

the right to self determination

Answer 46

autonomy

Question 47

for others is the principle that all persons are equally valued

Answer 47

Respect

Question 48

the obligation to do good

Answer 48

beneficence

Question 49

the obligation to do no harm

Answer 49

nonmalificence

Question 50

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

Answer 50

justice

Question 51

the faithfulness or obligation to keep a promise

Answer 51

fidelity

Question 52

the obligation to tell the truth

Answer 52

veracity

Question 53

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

Answer 53

utility

Question 54

is a choice that has the potential to violate ethical principles

Answer 54

ethical dilemma

Question 55

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

Answer 55

evidence based practice

Question 56

Challenges in research

Answer 56

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

Question 57

is the number of live births per 1000 people

Answer 57

Birthrate

Question 58

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

Answer 58

fertility rate

Question 59

Decrease in maternal and infant mortality rates due to

Answer 59

Better nutrition Prenatal care Health care technology for pre term infants