Keppler high risk part 2 Flashcards

1
Q

An ultrasound can assess what two things for the child?

A
  1. Anatomic assessment

2. Growth assessment

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2
Q

What are involved in the fetal anatomic assessment

A
  1. Heart
  2. Brain
  3. Limbs
  4. Kidneys
  5. Face and palate
  6. Spine
  7. Placenta and cord
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3
Q

What does the biophysical profile look at?

A
  1. Fetal breathing
  2. Gross axial skeletal movements
  3. Motor Tone
  4. Amniotic fluid assessment
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4
Q

a biophysical score of 8-10 implies what?

A

No fetal asphyxia, repeat weekly

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5
Q

a biophysical score of 6 implies what?

A

suspected chronic asphyxia, if >36 weeks deliver, if less repeat test in 4-6 hours

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6
Q

a biophysical score of 4 and below implies what?

A

Strongly suspect asphyxia, if >36 weeks deliver, if not repeat after 4-6 hours for 120 minutes, persistent score <5 deliver regardless of GA

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7
Q

An amniocentesis looks at what 4 things?

A
  1. Genetic
  2. Fetal lung maturity
  3. Spectrophotmetry
  4. Assesses infection
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8
Q

How long is a NST and how long might it be extended to?

A

a NST is a 20 minute recording of fetal HR frequency. May extend to 40minutes if “non-reactive”

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9
Q

What elements does a NST look at?

A
  1. baseline frequency
  2. accelerations
  3. decelerations
  4. Variability
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10
Q

A reactive NST tells us what?

A

that there is a 99.8% likelihood the fetus will not die within next week from hypoxia

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11
Q

What are the two differences between continuous fetal monitoring and NST?

A
  1. continuous fetal monitoring is intrapartum

2. Real time assessment of fetus at a single point in time

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