High Risk Pregnancy + Diagnostic Tests

Question 1

concurrent disorder, pregnancy-related complications, or external factor jeopardizes the health of the woman, the fetus, or both.

Answer 1

High Risk Pregnancy

Question 2

Age older than 35 y/o, nulliparas and multiparas (40 and older)

Answer 2

High Risk Pregnancy

Question 3

They have a higher risk of placenta previa, H.mole, vascular neoplastic, and degenerative disease.

Answer 3

Age older than 35 y/o, nulliparas and multiparas (40 and older)

Question 4

What are the parity factors?

Answer 4

• 5 or more pregnancies= greater risk
• PP hemorrhage
• New pregnancy within 3 months

Question 5

Hx of previous uetrine surgery and/or uterine rupture, DM, cardiac disorder, Lupus, PIH, HELLP syndrome, DIC

Answer 5

High Risk Pregnancy

Question 6

What does HELLP syndrome stands for?

Answer 6

Hemolysis
Elevated Liver Enzymes
Low Platelets

Question 7

a life-threatening pregnancy complication, considered a severe variant of preeclampsia.

Answer 7

HELLP syndrome

Question 8

it is the breaking down of the RBC’s

Answer 8

Hemolysis

Question 9

may indicate an inflammation of the liver

Answer 9

Elevated Liver Enzymes

Question 10

the blood lacks the small cells it needs to form clots

Answer 10

Low Platelets

Question 11

Abnormally low levels of platelets

Answer 11

Low Platelets

Question 12

What is the other term for Low platelets?

Answer 12

Thrombocytopenia

Question 13

Can occur any time after 20 weeks and up to 6 weeks postpartum

Answer 13

HELLP syndrome

Question 14

In Antepartum Diagnostic Testing, usual schedule is:

Answer 14

-Every 4 weeks for the first 28 to 32 weeks.
-Every 2 weeks from 32 to 36 weeks.
-Every week from the 36 to 40 weeks.

Question 15

What does DFMC stands for?

Answer 15

Daily fetal movement count

Question 15

Usual schedule: from 36 to 40 weeks

Answer 15

every week

Question 15

Usual schedule: from the first 28 to 32 weeks

Answer 15

every 4 weeks

Question 16

Usual schedule: from 32 to 36 weeks

Answer 16

every 2 weeks

Question 16

this is used to monitor the fetus in pregnancies complicated by conditions that may affect oxygenation

Answer 16

DFMC

Question 17

What is the other term we use for DFMC?

Answer 17

Kick counts

Question 18

Is it true that there are several protocols used for counting?

Answer 18

True

Question 19

Is the fetal in distress when there is a count fewer than 3 counts in 1 hr?

Answer 19

No, but warrants the need for further investigation by NST.

Question 20

Does the fetus have sleep cycles?

Answer 20

Yes

Question 21

If yes, how long usually? What’s the usual duration?

Answer 21

20 to 90 minutes

Question 22

Does the baby have fewer movements when they are asleep?

Answer 22

Yes

Question 23

Is it true that during sleep, babies have fewer movements than they are awake?

Answer 23

True

Question 24

What do we call it when there is an absence of movements?

Answer 24

Indicates fetal death

Question 25

When is the best time we check for fetal movement?

Answer 25

One hour after breakfast, after lunch, and after dinner.

Question 26

What is the best position in checking the fetal movement?

Answer 26

Lying down in left lateral position.

Question 27

Healthy babies should have more than ____ movements in one hour.

Answer 27

5 to 6 movements

Question 28

Is it true that if movements are less, counting should be continued further in the next hour?

Answer 28

True

Question 29

If there are normal movements felt, should we stop the procedure?

Answer 29

Yes

Question 30

If fewer movements are felt continuously for __ hours, should we consult the doctor?

Answer 30

6 hours, yes.

Question 31

assesses intrauterine fetal well-being.

Answer 31

Cardiff count

Question 32

If the baby has moved during usual activities. What is this procedure called?

Answer 32

Cardiff count

Question 33

What is the procedure called when there are 10 kicks in 12 hours?

Answer 33

Cardiff count

Question 34

If there is less or fewer than 10 kicks in 12 hours, should we consult doctor?

Answer 34

Yes, because fewer means further medical evaluation.

Question 35

This procedure uses a high-frequency sound waves that creates an image of the baby in the mother’s womb

Answer 35

Ultrasound/ Ultrasonography/
UTZ

Question 36

What are the 2 method of using an ultrasound?

Answer 36

• Transabdominal
• Transvaginal

Question 37

A method of UTZ that is commonly used have painless effect and not invasive.

Answer 37

Transabdominal UTZ

Question 38

An ultrasound that uses a transducer moving across the abdomen to create images of the pelvic organs.

Answer 38

Transabdominal UTZ

Question 39

This method of UTZ, uses a long, thin transducer that is inserted into the vagina to create images of the structures and any abnormalities in pelvic region.

Answer 39

Transvaginal UTZ

Question 40

Is transvaginal UTZ invasive?

Answer 40

Yes

Question 41

This method of UTZ is usually painful and uncomfortable for the patient.

Answer 41

Transvaginal UTZ

Question 42

This procedure helps in identifying defects or other problems in the fetus.

Answer 42

Ultrasound/ Ultrasonography/
UTZ

Question 43

Enumerate the 3 types of Fetal UTZ:

Answer 43

1. Standard UTZ
2. Doppler UTZ
3. 3D UTZ

Question 44

A type of fetal UTZ that uses sound waves to create two-dimensional images in a computer screen.

Answer 44

Standard UTZ

Question 45

This type of fetal UTZ shows the movement of blood through the umbilical cord, in the baby’s heart, or between the baby and the placenta.

Answer 45

Doppler UTZ

Question 46

This is expensive type of UTZ as this shows a lifelike image of an unborn baby.

Answer 46

3D UTZ