High Risk Testing

Question 1

genetic disorders, nutritional and general health status, and medical or obstetric related illness
originates with mother or fetus

Answer 1

biophysical

Question 2

schizopherenia and bipolar and anorexia can cause problems in pregnancy
material behaviors and adverse lifestyles that have a neg effect on mother and fetus

Answer 2

psychosocial

Question 3

lack of prenatal care. low income, marital status, ethnicity

Answer 3

sociodemographic

Question 4

hazards in workplace like chemicals, gases, and radiation

Answer 4

environmental

Question 5

this monitors fetus in pregnancies complicated by conditions that may affect oxygenation

Answer 5

daily fetal movement count (DFMC)

Question 6

describe DFMC

Answer 6

AKA kick counts

a count of <3 kicks in 1 hr warrants further evaluation by a nonstress test (NST)

Question 7

if baby is ______ we know it is oxygenated

Answer 7

kicking and moving

Question 8

what are the levels of ultrasonography

Answer 8

abdominal and transvaginal

Question 9

what are the indications for ultrasound

Answer 9

fetal heart activity, gestational age, fetal growth, fetal anatomy, fetal genetic disorders/anomalies, placental position/function

Question 10

how do you know fetal well being

Answer 10

Doppler blood flow analysis, amniotic fluid volume

Question 11

what does a biophysical profile monitor

Answer 11

amount of amniotic fluid, fetal tone, fetal movement, fetal breathing, NST (modified)

Question 12

noninvasive radiology
evaluates fetal structure, growth , placenta, quality of amniotic fluid, maternal structures, biochemical status of tissue and anomalies

Answer 12

magnetic resonance imaging (MRI)

Question 13

involves biologic examination and chemical determinations

Answer 13

biochemical testing

Question 14

what is encompassed in biochemical testing

Answer 14

amniocentesis, percutaneous umbilical blood sampling, chorionic villus sampling

Question 15

describe amniocentesis

Answer 15

obtains sample of amniotic fluid

indications: genetic concerns, fetal monitoring, fetal hemolytic disease

Question 16

complication of amniocentesis

Answer 16

infection and neonatal death

*make sure baby and placenta are not punctured

Question 17

describe chorionic callus sampling (CVS)

Answer 17

genetic studies, earlier diagnosis, rapid results
can be done between 10 and 13 weeks gestation
removal of small tissue specimen from fetal portion of placenta

Question 18

high risk for what with chorionic villus sampling

Answer 18

loss of pregnancy (greater than amniocentesis)

Question 19

chorionic villus sampling can be done how

Answer 19

transcervically or transabdominally

Question 20

what is percutaneous umbilical blood sampling (PUBS)

Answer 20

aka cordocentesis
direct access to fetal circulation during 2nd and 3rd trimester
most widely used for fetal blood sampling

Question 21

how is PUBS done

Answer 21

needle insertion into fetal umbilical vessel with guided ultrasound