High Risk Pregnancy

Question 1

Maternal Age and Parity Factors

Answer 1

H- high parity (5 or more) 
I- interval of 8 years/ 3 months or less after last para
M- multipara (40 or over)
A- age (16 and below)
N- nullipara (35 and above)

Question 2

Maternal Diseases

Answer 2

2.1 PIH 
P- pre eclampsia 
E- eclampsia 
C- chronic hypertension
K- kidney disease 

2.2 Anemia
Physiologic & Pathologic

2.3 Hemorrhage

Question 3

Fetal Factors

Answer 3

T- two or more prem. para & consecutive spon. abortions
H- history of prev. defects and LGA offsprings
O- one or more still birth
R- rh compatibility

Question 4

Paternal Age

Answer 4

Sperm’s capacity

Question 5

Dystocia

Answer 5

C- CPD
M- Multiple Pregnancies
P- Previous OD & Dx of Genital Anomalies
T- two or more breech
H- hx of prolonged labor

Question 6

Hx of concurrent conditions

Answer 6

D- GDM 
T4- Throid D, TB, TORCH, Tumor
M- alnutrition
A- addiction
P- sychiatric diseases 
H- yperemesis gravidarum = Metabolic Alkalosis

Question 7

Fetal Ultrasound/ Ultrasonic Testing

Answer 7

• uses reflective soundwaves
• non-invasive
• assess FETAL PROPORTION, SEX, POSITION, GROWTH; PLACENTA, AMNIOTIC FLUID
• estimates fetal age
• can see developing embryo at 6 weeks

Question 8

Optimal time to screen for CONGENITAL ANOMALIES

Answer 8

16-20 weeks

Question 9

Cardiotocography

Answer 9

• EFM

- records fetal heartbeat and uterine contraction

Question 10

When is EFM used

Answer 10

Third trimester

Question 11

CTG interprets

Answer 11

• Uterine Activity
• Baseline FHR
• Baseline FHR variability

Question 12

Non-stress test measures the..

Answer 12

Response of FHR to fetal movement

Question 13

Reactive Non Stress Test

Answer 13

2 accelerations of FHR for 15 seconds occur after movement w/in time period