High Risk Pregnancy

Question 1

What is a Biophysical profile (BPP)

Answer 1

test that combines a nonstress test with ultrasound to check the health of the fetus

Question 2

What is a non stress test

Answer 2

§ measures the fetal heart rate in response to the movements of the fetus

Question 3

§ checks your baby for signs of stress during uterine contractions
· In a contraction, your baby’s oxygen and blood supply temporarily drop. Most babies can handle this decrease.
· But if your baby’s heart rate stays low after a contraction, it could mean your baby will have problems with typical labor
what is this called?

Answer 3

o Contraction stress test

Question 4

o Maternal Alpha- fetoprotein is?

Answer 4

· The test checks the baby’s risk for having certain genetic problems and birth defects.
· An AFP test is usually done between 15 and 20 weeks of pregnancy.

Question 5

What is AFI and what does it stand for?

Answer 5

Amniotic fluid index
§ An ultrasound examination can diagnose either too little or too much amniotic fluid
§ If the amniotic fluid depth measures less than 5 centimeters, the pregnant woman has oligohydramnios (or polyhydramnios). If fluid levels add up to more than 25 centimeters, she has polyhydramnios.

Question 6

• Identify maternal variables associated with a diagnosis of a high-risk pregnancy

Answer 6

o Age: < 17/> 34 y.o.
o High parity (> 5)
o Child spacing (< 3 mo)
o HTN/preeclampsia
o Anemia or hx of hemorrhage
o Multiple gestation
o Rh incompatibility
o Hx of dystocia/operative birth
o IPV hx/lack of social support
o Height (< 5 feet)
o Malnutrition (< 15% ideal wt)/extreme obesity (> 20% ideal wt)

Question 7

• Identify signs and symptoms of potential complications in the first trimester

Answer 7

§ Severe vomiting
§ Chills, fever
§ Dysuria – uti +preterm labor
§ Diarrhea
§ Abdominal cramping - infection
§ Vaginal bleeding – severe headache, flank pain

Question 8

• Identify signs and symptoms of potential complications in the second & third trimester

Answer 8

§ Persistent, severe vomiting
§ Sudden discharge of fluid from vagina < 37wks
§ Vaginal bleeding, severe abdominal pain
§ Severe backache/flank pain
§ Change in fetal movements
§ Contractions; pressure; cramping < 37 wks
§ Visual disturbances: blurring/double vision/spots
§ Face/fingers/sacrum swelling
§ Headaches; severe/frequent or continuous
§ Muscular irritability or convulsions
§ Epigastric/Abd pain (heartburn/severe stomachache)
§ Liver is involved
§ Glycosuria, + GTT reaction
§ Gestational diabetes