glines antenatal testing

Question 1

2 reasons for antenatal surveillance

Answer 1

ID patients at risk for fetal mortality/morbidity and decrease the rates of these

Question 2

What is being measured in a non-stress test?

Answer 2

fetal heart rates (accelerations and variability)

Question 3

Define a reactive test for a non-stress test

Answer 3

2 accelerations of 15 bpm ABOVE BASELINE lasting 15 sec each in a 20 minute period

Question 4

What is a nonreactive non stress test?

Answer 4

something is missing so you didn?t get 2 acclerations in 20 min or one or both wasn?t 15 bpm above baseline, etc.

Question 5

NST’s are often done after this week

Answer 5

32 weeks gestation

Question 6

What is a CST?

Answer 6

contraction stress test

Question 7

What are 2 ways to perform a contraction stress test?

Answer 7

oxytocin or nipple stimulation (with warm towel) to induce contractions

Question 8

What defines a VALID (not pos or neg) test contraction stress test?

Answer 8

the woman must have 3 contractions lasting 40-60 seconds within 10 minute period

Question 9

Define negative and positive results of a CST

Answer 9

negative = no late decelerations with woman having adequate contractions; positive = late decelerations with > 50% of contractions

Question 10

What defines a suspcious CST?

Answer 10

decelerations are present with some of the contractions but not > 50%

Question 11

What defines an unsatisfactory CST?

Answer 11

inadequate uterine activity, i.e. not valid, oxytocin and nipple stim couldn?t induce contractions

Question 12

What result from an NST and CST is a GOOD result? i.e. good news for mom/baby

Answer 12

NST a positive result is good, CST a negative result is good

Question 13

What is the other way of antenatal testing aside from NST and CST?

Answer 13

Biophysical profile (BPP); it utilizes an NST and REAL TIME ULTRASOUND

Question 14

What are the POSSIBLE scoring outcomes of a BPP?

Answer 14

0, 2, 4, 6, 8, 10 (10 =max) no such thing as 3, 5, 7 or 9

Question 15

What are the 5 components of BPP?

Answer 15

fetal breathing movements, gross body movement, fetal tone, NST, and amniotic fluid volume

Question 16

Which component of the BPP is “the first to show and the last to go”?

Answer 16

fetal breathing movements

Question 17

for each of the 5 aspects of a BPP what are the 2 possible scores

Answer 17

either a 0 or a 2, why the person who came up with this decided to be a psycho and not make it 0 or 1 is beyond comprehension

Question 18

When should you do antenatal testing on a diabetic mother

Answer 18

at 28-40 weeks

Question 19

When should you do antenatal testing on a pre-ecclamptic woman

Answer 19

after 26 weeks

Question 20

When should you do antenatal testing on a woman past her due date?

Answer 20

at 41-42 weeks

Question 21

When should you do antenatal testing on a woman whose baby is diagnosied with IUGR?

Answer 21

at the time of diagnosis

Question 22

When should you do antenatal testing on a woman with a history of a stillbirth?

Answer 22

at 32 weeks