Keppler high risk part 2

Question 1

An ultrasound can assess what two things for the child?

Answer 1

1. Anatomic assessment

2. Growth assessment

Question 2

What are involved in the fetal anatomic assessment

Answer 2

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

Question 3

What does the biophysical profile look at?

Answer 3

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

Question 4

a biophysical score of 8-10 implies what?

Answer 4

No fetal asphyxia, repeat weekly

Question 5

a biophysical score of 6 implies what?

Answer 5

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

Question 6

a biophysical score of 4 and below implies what?

Answer 6

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

Question 7

An amniocentesis looks at what 4 things?

Answer 7

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

Question 8

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

Answer 8

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

Question 9

What elements does a NST look at?

Answer 9

1. baseline frequency
2. accelerations
3. decelerations
4. Variability

Question 10

A reactive NST tells us what?

Answer 10

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

Question 11

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

Answer 11

1. continuous fetal monitoring is intrapartum

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